psychosomatic research center [email protected] هوالحکیم
TRANSCRIPT
Disease/Illness
Disease – biological event with pathology – disease as a specific entity
Illness – subjective experience – devalued changes
Disease does not exist as a social phenomenon until we agree it does, who labels this: Dr? Patient? Science?
Diseaseillness
Doctor’s viewPatient’s view
More objectiveMore subjective
GeneralizedIndividualized
AbstractConcrete
CategoricalNarrative
BiomedicalBio-psychosocial
Rational/ ExperimentalPhenomenological
Disease Vs. IllnessDisease Vs. Illness
A medical model which is based on multilevel A medical model which is based on multilevel
interactions, from molecule to society.interactions, from molecule to society.
Multilevel assessment/ interventionMultilevel assessment/ intervention
The scope of psychosomatic medicine?The scope of psychosomatic medicine?
Person – centered not disease - orientedPerson – centered not disease - oriented
Psychosomatic Approach toPsychosomatic Approach to Disease & Illness Disease & Illness
Thoughts & Images
Physiology (Central Chemistry)Emotions
Behaviour
Cognitive Model
Environment
Triggersstress, distress, anxiety, illness, symptoms
Physical symptoms
Meaning/interpretationThreat, loss, inability to cope
Emotional responseAnxietyDepression
Behaviour: rest, checking, reassurance seeking,
medication, treatments
Cognitive Model of Somatisation
Probability x (perceived cost) awfulness
Anxiety =Perceived ability to cope + chance of help (rescue)
Cognitive behavioural approachto understanding health anxiety
Factors involved in the maintenance of health anxiety
Physiological & biologicalSymptoms
Bodily variationsMedical information
(Selective attention)(Arousal)
Beliefs about being ill
•Probability•Cost•Coping•RescueReassurance
seeking,Checking, safety behaviours
Mood changes• anxiety• depression
(Prevent disconfirmation) (Alters perception)
Approach to patients: Approach to patients: disease or illness orienteddisease or illness oriented? ?
Ideas, BeliefsIdeas, Beliefs Cognitive styles Cognitive styles EmotionEmotion FunctionFunction ExpectationExpectation Concerns, questionsConcerns, questions
What is sick roleWhat is sick role??
The protective role given an individual who is physically or mentally ill or injured; it may be assumed by the individual or it may be imposed as a part of social
custom.
A behavior pattern in which a person adopts the symptoms of a physical or mental disorder to be cared for, sympathized with, and protected from the demands and stresses of life.
