Health: Social Determinants Of Health

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ASC 101 – 2012 Essay assignment Question 4: Focusing on one specific health-related issue or medical condition, critically discuss how social factors can serve to shape and inform notions of health and wellness, illness and disease. This question must make reference to the readings from Week #6 regarding ‘Health and the self’, specifically the notion of ‘social determinants of health’. Examples of health issues that you may wish to explore in this essay include diabetes, the ‘obesity epidemic’, or ‘mental illness’. This essay critically discusses how social factors can serve to shape and inform notions of health and illness. It begins by outlining the limitations of the dominant model of health—the biomedical science model—before proposing…show more content…
Germov (p. 12) makes mention of the model’s “reductionism”, which operates by reducing its focus to the biological, cellular, and genetic levels, and Doyal (p. 245) also draws attention to the limited “conceptual schema” that doctors and some other health care providers use to understand “complex human phenomena”, her implication being that human health has a significant non-physical dimension. The recognition that social factors can physically affect and otherwise serve to shape and inform notions of health and illness has over time given rise to an explicitly social model of health. Engels (in Germov, p. 8) posited a causal link between poor working conditions in mines and the “black lung” disease in the nineteenth-century, and McKeown (in Germov, pp. 13-14) and Marmot (2005, p. 1101) have more recently argued that even ostensibly individual causal health factors to large extent have a social basis. Turner (p. 235) writes that the basic position in the present sociological approach to illness is to see it as fundamentally a social state of affairs, which amounts to not narrowly defining it as a biological and individual phenomenon, and Germov (p. 4) importantly adds that the social model of health does not…show more content…
Parson’s theory draws attention to the fact that in order to facilitate recovery, conventional medical treatment reduces the “sick” person’s responsibility by shifting accountability to a professional provider such as a doctor and absolving the patient from family and social obligations such as income-earning employment (Turner, 2010, p. 235). In doing so, the patient effectively withdraws from society and is placed above moral criticism and legal punishment, but in exchange for these privileges is also subjected to various forms of social degradation, however implicit such rituals may be (Turner, p. 241). Amongst these degradations are having to assume the social obligation to recover by seeking health care and respecting any subsequence advice (Turner, p. 235). Thus, while the sick role legitimizes illness, it also requires an acceptance of a medical regime whose ultimate objective is to restore the sick person to his conventional social role. The biomedical model is blind to any notion of illness as a means of social
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