Sociology of Mental Health and Illness Study Guide for the Final Exam
Sociology of Mental Health and Illness Study Guide for the Final Exam SOCY 349
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This 4 page Study Guide was uploaded by annazeberlein on Sunday April 17, 2016. The Study Guide belongs to SOCY 349 at College of Charleston taught by Dr. Sarah Hatteberg in Spring 2016. Since its upload, it has received 134 views. For similar materials see Sociology of Mental Health and Illness in Sociology at College of Charleston.
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Date Created: 04/17/16
Sociology of Mental Health and Illness Study Guide for the Final Exam MI – Mental Illness MD- Mental disorder MH – Mental health Chapter 5 – Social Epidemiology - The scientific study of social distribution and social determinants of health - Epidemiological language o Case o Risk o Crude rate o Age-specific o Incidence o Prevalence § Point prevalence § Period prevalence § Lifetime prevalence - Epidemiological study of MI o Continuums § Psychological distress and mental disorder - Medical sociologists o Symptom scales and numeric values o Mild to severe symptoms estimate prevalence of mental disorder o But what about researchers goals? - Studies of MI o Diagnostic interview schedule o National comorbidity survey - Problems with these studies o Lifetime prevalence of MI o Inconsistencies in prevalence - Center of Epidemiological Studies Depression Scale - “True” prevalence of MD o Stigma o Untreated cases? o Estimates are approximations § Men vs. women Chapter 6 – Social Class - MI and SES - Lower classes and schizophrenia vs. upper classes and depressive and anxiety disorders - Studies o Faris and Dunham (Chicago, 1930’s) § Replicated by Levy and Rowitz o Hollingshead and Redlich (New Haven, CT, 1958) o Srole et al. (Midtown Manhatten, 1975) o Leighton et al. (1963) - Explaining the relationship between MI and SES o Genetic explanation o Social causation o Social selection Chapter 7 – Age, Gender, and Marital Status - Age o Health services needed for the elderly o MI distributed by age o Childhood and adolescence § 20% of this group has a diagnosable mental or addictive disorder § Common disorders in childhood/adolescence o Young and Middle age § Highest prevalence of MD in young adulthood § Common disorders § Optimal time for MH o Late Adulthood § 20% in need of MH services § Common disorders § Loss as a factor in psychological distress - Gender o No differences with schizophrenia o Women vs. men § Internalizing vs. externalizing o Historical vs. recent differences in prevalence § Explanations and additional findiings o Biological factors o Gender role socialization § In childhood and adulthood o Gender roles and work § Housewives and women employed outside the home - Marital status o Better MH outcomes o Social causation vs. social selection - Race (Chapter 9 – Race, Ethnicity, and Immigrant Status) o Rates of MD distributed among racial groups is debated o Methodological issues o SES is a stronger predictor than race o Racial discrimination as a stressor o Studies § Williams et al. (1997) § Kessler, Mickelson, and Williams (1999) § Schnittker (2003) • Black women vs. black men § Wilson (1987) § Neighbors and Howard (1987) o Mixed findings § Stigma and MI § Superwoman schema o Hispanic Americans o Native Americans and Alaska Natives o Asian Americans and Pacific Islanders Chapter 10 – Help-Seeking Behavior - Complicated process o Choice o Coercion o Muddling through - Uncoerced care o Greenley and Mechanic o Degree of psychological stress is the most important factor - Coerced care o Either a delicate push or brutal and threatening o Men rarely talk about their problems or place themselves in care - Family disruption o Wives and husbands dealing with MI - Family alienation o Removal from normal society o Rejecting those close to the patient - Public disruption o Coerced by a justice system The Caregiver Experience - Caregiver role o Negotiating boundaries and obligations o Own health and well-being o Imbalance of exchanges in relationship - Familial hierarchies of obligations o Immediate family vs. extended family o Care between spouses and parents and their children § Connection between brothers and sisters o Parents’ claim on children after they’re married § And again after their children have children Chapter 12 – The Mental Hospital Patient - The total institution - Depersonalization and adjustment to hospital life o Ward management’s use of depersonalization o Effects on ward staff o The “good” patient Coping with Mental Illness - Coping o Position in the Stress Process Model - Coping resources o What about people with many mental illnesses? - Coping Processes o Problem-focused coping o Emotion-focused coping o Meaning-focused coping The Meaning of Medication - Psychiatric medication o General practitioners vs. psychiatrists § Social constructionism and medicalization o Biological causes vs. psychological and social factors o Identity and authentic selves Chapter 14 – Mental Health Policy - Delivery of MH services o Primary medical care and the outpatient sector § Benefits of primary care physicians o Growth of hospital outpatient and ER services § Especially for emergent problems - Changing focus of MH care delivery o Outpatient vs. inpatient services o Decrease in length of stay when institutionalized § Often followed by community treatment - MH and insurance reform o Patient Protection and the Affordable Care Act § Benefits to MH patients o Remaining problems
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