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health as the absence of disease positivist methodology, essentialism, reductionism, cartesian dualism emphasis on nosology, identification and curative |
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categorization to identify, then reat |
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Critique of Biomedical Model |
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- difficulty applying to mental health - illness in the absence of disease - social constructed and not truly objective - decontexualizes and depoliticizes - its dominance obscures the value of other models |
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holistic and positive, demands multidisciplinary approach, health enabled/inhibited my social context and location, health as a human right |
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where you stand socially (i.e. refuge, middle class, etc.) can either enable or inhibit health |
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o “Health is a state of complete mental, physical and social well-being and not merely the absence of disease or infirmity.” o “highest standard of health – physical, mental, and social – is a fundamental human right” |
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definition is too broad, abstract and subjective difficult to quantify and measure risk pathologizing us all ethics and human rights are contested |
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- wellness, build on biomedical and social models health and fitness, embodiment emphasis on perception, choices, and lifestyle people as rational decision makers |
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interweaving mind, body, society |
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o With education people make best choices for their health o Focus on what individuals can do to protect their health o Focus on individual as a whole not separate parts like the bio-medical model |
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Critiques of psychosocial model |
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depoliticizes health, illness, determinants neglects material conditions overemphasizes individual's choices and perceptions blames the victim abstract, subjective and relative difficult to measure |
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interaction and interrelatedness health is the ability to maintain balance in environment web of causation multi-disciplinary, multi-level analysis |
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Critiques of Ecological Model |
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difficult to evaluate all components equally privileges human biological development may not adequately address psychological elements may not give adequate attention to culture may not give adequate attention to the social world |
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