Sunday, January 26, 2020

Effectiveness of Social Model of Health

Effectiveness of Social Model of Health Anna Wei Models of Health Health is one of the most vital and valuable aspects of human life, as without one’s health we are unable to enjoy our day-to-day activities and have the energy to pursue physical activities. There are two well-known models of Health and Illness that focus on different aspects of health; they are the Biomedical model and the Social model. This essay will discuss the relevance of the Social model in today’s society as opposed to the Biomedical model and the effectiveness of this model in clarifying the obesity epidemic, a medical condition that is dominating the globe and bringing with it many other illnesses that today, are some of the leading causes of death. The Biomedical model believes that biological factors are the main cause of disease (Browne, 2005). It has been the main model for health care in the past century, due to its assistance in the discovery of countless medical advancements as it was able to decrease the amount of infectious diseases such as tuberculosis (Borrell-Carrio, Suchman Epstein, 2004). This framework is based on the concept of health as being without disease and focuses on finding cures that will successfully eliminate the biological factors that caused the illness (Cleland Cotton, 2011). Although the Biomedical model has been valuable in the discovery of many techniques to successfully treat numerous diseases, it is no longer the dominating model of health in today’s society. This model has been scrutinised for being too narrow-minded resulting in its inability to analyse different forms of sickness (Borrell-Carrio et al., 2004; Cockerham, 2007). Over the years, there have been massive health reforms, from infectious diseases such as puerperal fever, gonorrhoea, malaria and scurvy to the dominating chronic illnesses that affect society today such as obesity, cardiovascular disease and diabetes (Tulchinsky Varavikova, 2000). The transition from infectious to chronic illnesses indicates that as time changes, strategies that have previously worked may not be as effective as they had once been. Hence, the social models were introduced. A psychiatrist named George Engel first proposed the Social model, as he wanted to put a stop to the dehumanisation of the practice of medicine, and to give patients the power over their own health (Borrell-Carrio et al., 2004). Engel believed, that the social and physiological aspects of an individual played an important role in relation to the illness procedure and hence, this model acts as an aid, to guide us through the numerous levels of organisation that affect diseases, ranging from the social aspects to factors at the molecular level (Alonso, 2004; Borrell-Carrio et al., 2004). Since Engel first proposed this model, there have been many variations of this model created such as the Dahlgren and Whitehead’s model of health and the WHO social determinants of health framework. Social models place a strong emphasis on not only the biological aspects of disease but also the social and the psychological aspects of sickness, whereas, the Biomedical model is built around the evidence and the symptoms of the disease of interest (Brown, 2005; Cleland Cotton, 2011). Hence, Social models of health have become more relevant over the last 150 years because of the changing society. As time passed, infectious diseases were no longer the major problem, with the problem now lying within the degenerative diseases such as cancer and heart disease present in today’s society (Cleland Cotton, 2011). Therefore, the Biomedical model is no longer relevant as the development of these non-communicable diseases is multi-factorial and hence is not due to straightforward biological causes, nor can they be cured easily (Cleland Cotton, 2011). For people in society today, the experience of suffering from a disease is not just about the biochemical processes behind it, but als o about how the patients identify with this disease in terms of the things they are able to or unable to do, their emotions and the unmet requirements as a result of this disease (Jackson, Antonucci Brown, 2003). Hence, Social models are more widely accepted and relevant in society, as it recognises the multi-factorial causes associated with diseases such as obesity. Obesity is defined as the extreme build-up of fat due to energy input being greater than energy expenditure, in technical terms, a body mass index (BMI) of 30 or over means that the individual will be considered obese (World Health Organization [WHO], 2014). The rates of obesity have been rapidly increasing since the 1980s and not only the prevalence of obesity has been increasing but the incidence of diseases associated with obesity has also been increasing (Finkelstein, Ruhm Kosa, 2005). Health consequences associated with obesity are non-communicable diseases such as cardiovascular disease, cancer, diabetes and other musculoskeletal diseases (WHO, 2014). The obesity epidemic is a major issue in society today and in 2008, of the 1.4 billion adults considered overweight, over 200 million males and nearly 300 million females were considered obese (WHO, 2014). In the early twentieth century, obesity was only thought to be present in developing countries such as China, Thailand and Mexico and only affected those with higher socioeconomic positions in the population; however, this disease has shifted to affect those of lower socioeconomic position and globally, there is now more than 10% of the world’s population of adults considered obese (Callabero, 2007; WHO, 2014). The improvement in people’s living and working conditions has resulted in society having longer life spans due to the eradication of infectious diseases (Cockerham, 2007). However, the major issue facing society today is non-communicable diseases such as strokes, heart disease and cancer which all stem off obesity (Cockerham, 2007). Non-communicable diseases were originally thought to affect only the rich, but there is now an increasing trend in developing countries. If this trend continues to increase at the same pace, it is estimated by the year 2020, for every ten deaths, seven will be due to non-communicable diseases (Boutayeb, 2006). This transition from infectious diseases to chronic illnesses meant that the use of medicine became increasingly important in order to tackle these health issues and therefore, there has been little success in tackling these non-communicable diseases as the approaches they took in the past via the Biomedical model proves to be unfitting for t he current situation (Cockerham, 2007). Social models have been effective in preventing this problem, as it takes into account not only the biological causes of these health conditions associated with obesity, but also social factors such as dietary intake and physical activity. An individual’s lifestyle is vital towards their health as it is a relevant social mechanism that needs to be considered when approaching these diseases (Cockerham, 2007). Over the years, the dietary intake of individuals has increased, with people consuming more sweetened beverages and processed meals and consuming less healthy wholesome foods such as fruits and vegetables (Callabero, 2007). Research reveals an inversely proportional relationship exists between the availability of fast food outlets and the socioeconomic status of the individual, with individuals in lower socioeconomic areas being 2.5 times more exposed to fast food chains compared to those in higher socioeconomic areas, and this social gradient indicates that a decreasing s ocioeconomic status results in an increased chance of obesity (Reidpath, Burns, Garrard, Mahoney Townsend, 2002). This brings about inequality between those of low socioeconomic status and those with high socioeconomic status, further reiterating that there must be other factors apart from biological components, which bring about diseases. Physical activity has also decreased with people opting for more sedentary lifestyles, for example, it was predicted that less than 30 percent of the US population had a suitable level of exercise, another 30 percent were involved in physical activity but not enough, while the remainder had adapted to sedentary lifestyles (Callabero, 2007). It is habits such as these that has attributed to the individual’s susceptibility or resistance to these illnesses (Cockerham, 2007). Only Social models of health can take into consideration of these habits as well as the social gradients shown to help us to understand their influences towards these ill nesses that stem off obesity. Many complex factors are interacting with one another, causing the increase in prevalence of health conditions associated with obesity (Candib, 2007). Therefore, Social models are effective in explaining this phenomenon as it recognises the importance of social factors and how they contribute to health conditions such as cardiovascular disease. Social factors such as the individual’s surrounding environment can either reverse or increase the biological risk of diseases making the Biomedical model inadequate as it does not consider anything but the biological cause (Cockerham, 2007). An environment that has contributed hugely to this increasing prevalence is an obesogenic environment; this is essentially a setting that encourages sedentary lifestyles; promoting food consumption and discouraging exercise, which eventually leads to an increased risk of obesity (Reidpath et al., 2002). Social models are therefore efficient as it considers how we can eliminate such influences in or der to reduce the multi-factorial effects associated with the obesity epidemic by combining the formerly separated characteristics of illness (Cleland Cotton, 2011; Jackson et al., 2003). It helps us to efficiently comprehend the significant contributions of multiple factors outside the biological sense that drives the increasing prevalence of health conditions associated with obesity. To conclude, health is one of the most important aspects of human life and can be affected by factors that are not always biological components. As a result, the multidimensional Social models were created to allow a better understanding of the diseases, such as obesity, that affect our society (Borrell-Cario et al., 2004). However, because society is constantly changing – there is no perfect model for health that exists and therefore we must seek new ideas that we can incorporate in our models with the hopes that it will be applicable to the changing society. Reference List Alonso, Y. (2004). The biopsychosocial model in medical research: the evolution of the health concept over the last two decades.Patient education and counseling,53(2), 239-244. doi: 10.1016/S0738-3991(03)00146-0 Browne, K. (2005). Health and Illness. An introduction to sociology, 3, 397-415. Retrieved from http://www.library.auckland.ac.nz.ezproxy.auckland.ac.nz/ereserves/2144315b.pdf Borrell-Carrio, F., Suchman, A. L., Epstein, R. M. (2004). The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry. Annals of Family Medicine, 2(6), 576-582. Retrieved from http://www.annfammed.org.ezproxy.auckland.ac.nz/content/2/6/576.full.pdf Boutayeb, A. (2006). The double burden of communicable and non-communicable diseases in developing countries.Transactions of the Royal society of Tropical Medicine and Hygiene,100(3), 191-199. Retrieved from http://trstmh.oxfordjournals.org.ezproxy.auckland.ac.nz/content/100/3/191.full Callabero, B. (2007). The Global Epidemic of Obesity: An Overview. Epidemiological Review, 29, 1-5. doi: 10.1093/epirev/mxm012 Cleland, J., Cotton, P. (Eds.). (2011).Health, Behaviour and Society: Clinical Medicine in Context. SAGE. Retrieved from http://books.google.co.nz/books?hl=enlr=id=BuZpuJSlNRMCoi=fndpg=PP2dq=Jennifer+Cleland,+Philip+Cotton.+(2011).+Health,+Behaviour+and+Society:+Clinical+Medicine+in+Context.+ots=CSbguqMTZlsig=TvNhB4GJdQnp8m-enuFPer6J2Qg#v=onepageq=modelf=false Cockerham, W.C. (2007). The social causation of health and disease. Social causes of health and disease, 1-24. Retrieved from http://www.library.auckland.ac.nz.ezproxy.auckland.ac.nz/ereserves/2130941b.pdf Finkelstein, E. A., Ruhm, C. J., Kosa, K. M. (2005). Economic causes and consequences of obesity.Annu. Rev. Public Health,26, 239-257. doi: 10.1146/annurev.publhealth.26.021304.144628 Jackson, J. J., Antonucci, T. C., Brown, E. (2003). A cultural lens on biopsychosocial models of aging.Advances in cell aging and gerontology,15, 221-241. Retrieved from http://books.google.co.nz/books?hl=enlr=id=kBXLPaaXPKcCoi=fndpg=PA221dq=%22biopsychosocial+models+of+health%22ots=ToNciaJ7sosig=fZmma3Fai9VhqZm5xhCPS1oEy_w#v=onepageq=%22biopsychosocial%20models%20of%20health%22f=false James, P. T., Leach, R., Kalamara, E., Shayeghi, M. (2001). The worldwide obesity epidemic.Obesity research,9(S11), 228S-233S. Retrieved from http://onlinelibrary.wiley.com.ezproxy.auckland.ac.nz/doi/10.1038/oby.2001.123/full Reidpath, D., Burns C., Garrard J., Mahoney, M., Townsend, M. (2002). An ecological study of the relationship between social and environmental determinants of obesity. Health and Place, 8, 141-145. doi: 10.1016/S1353-8292(01)00028-4 Tulchinsky, T. H., Varavikova, E. A. (2000). The New Public Health: an introduction for the 21st Century. San Diego: Academic Press. World Health Organization. (2014). Obesity and Overweight. Retrieved from http://www.who.int/mediacentre/factsheets/fs311/en/ 1

Saturday, January 18, 2020

Critical Analysis Of “Enduring Love” Essay

In â€Å"Enduring Love†, McEwan again creates a family that confronts a challenge and finds it difficult to survive. Joe and Clarissa are intellectuals living together in a well-appointed flat in a comfortable neighborhood in London. Clarissa is a professor researching Keats, and Joe is a well-known science writer with a doctorate in quantum electrodynamics who is somewhat dissatisfied with his decision to leave academia behind. Through the story utilizing the characters of Joe and Clarissa, McEwan articulates the idea humans are emotionally and intellectually evolved and are therefore less fit for survival than animals. Joe and Clarissa have figured out how to retain their individual identities within the relationship, so that they do not feel guilty that they lead separate lives, and do not become parasitic when they are together. Joe and Clarissa are aware of their individuality, and ultimately their relationship entails a defense against enmeshment, a protection of self against the encroachment of others, as a primary motivating factor. In the end it is their insistence on â€Å"me† over â€Å"us† that renders their connection vulnerable to withstand the challenge of obsession and madness from an outside source. In the novel’s celebrated opening scene, when Joe and Clarissa witness a hot air balloon in distress, Joe attempts, with several other men, to rescue the terrified boy inside the basket by pulling the balloon back to earth. The experience is undeniably traumatic. Joe’s guilt at letting go is overwhelming, and the sight of the dead body haunts him. Back at home, Joe and Clarissa comfort and support each other, cooperating in each other’s recovery by talking through the event and their feelings, and trying to work together to make meaning of it. McEwan is careful to show that their initial reaction to the trauma appears to reinforce the solidity of their relationship. It is an appropriate, mutual, and affiliative response. Clarissa recognizes Joe’s feelings and tries to help him: â€Å"‘ We’ve seen something terrible together. It won’t go away, and we have to help each other. And that means we’ll have to love each other even harder'† (McEwan 36). Moreover, Joe appreciates Clarissa’s efforts and feels delivered from his trauma by the physicality of her love: â€Å"she put her arms around my neck and brought my face close to hers. She knew I was a fool for this kind of encirclement. It made me feel that I belonged, that I was rooted and blessed† (McEwan 37). But for the reader, the event’s revelation of Joe and Clarissa’s relationship resonates on another level as well. Joe’s reflections on the nature of the cooperative effort enacted by the group of men can equally be applied to his relationship with Clarissa. He is remarkably aware, both during and after the event, of the extent to which human interaction is governed by a weighing of benefits, a balancing of pros and cons: â€Å"Selfishness†¦ is our mammalian conflict: what to give to the others and what to keep for yourself. Treading that line, keeping the others in check and being kept in check by them, is what we call morality† (McEwan 15). And, in the end, it is this constant hedging, this instinct to protect the self at the expense of risking connection with others, McEwan says, that dooms both the rescue and the relationship: â€Å"Someone said me, and then there was nothing to be gained by saying us†¦ Suddenly†¦ we were disintegrating. Suddenly the sensible choice was to look out for yourself (McEwan 15). In a sense, the extent to which Joe and Clarissa’s relationship is more of a compromise than a connection finds its expression in Joe’s astute observation about the men: â€Å"There may have been a vague communality of purpose, but we were never a team† (McEwan 11). With the metaphor of the balloon accident, McEwan implies the necessity for Joe and Clarissa to face the same choice as the rescuers – to let go and survive, or die. The audience is aware from the start of â€Å"Enduring Love† that the veneer of togetherness in this family belies a strong undercurrent of disconnection. To begin with, the reunion picnic is necessitated by the couple’s six week separation while Clarissa has pursued her own research abroad, leaving Joe home alone. Perhaps even more of a signal to the reader, however, is McEwan’s refusal to clarify the exact nature of Joe and Clarissa’s relationship. As the narrator, Joe describes his relationship with Clarissa as one of marriage: â€Å"We were seven years into a childless marriage of love† (McEwan 8). But then he refers to Clarissa not as his wife, but as his friend: ‘†Look, I’m sorry, I’m going back up to see my friend'† (28). Later, when he is talking to the widow of the balloon accident hero, he says it again: â€Å"I shook my head. There was my friend Clarissa, two farm laborers, a man called –â€Å"‘ (McEwan 122). It is significant that McEwan will not allow the consistent use of the word ‘wife’, even for the sake of convenience, and his refusal to do so comments on this couple’s lack of a formal commitment to connection. From the critical perspective and comparing to humans to animals in terms of the organizational system, Joe and Clarissa have learned to mediate conflict by focusing on the defects and failings of the partner. In a sense, McEwan implies, Joe and Clarissa’s relationship has always been about competition. In particular, Joe’s decision to give up â€Å"real science† for popular science puts him at a disadvantage with Clarissa, a promising scholar with a place at a university, who has a famous scientist as a Godfather. Moreover, their relationship is illuminated by the conflicts inherent in their chosen fields-the objectivity of science and the subjectivity of the humanities. Despite their mutual instincts for connection, and their evident love for each other, Joe and Clarissa have not, as a family, internalized a regulating dynamic by which the closure of their family can be defined and maintained. Unlike animals, Joe and Clarissa as humans are complex and evolved human beings that are reliant on comfort and habit rather than intimate dedication to each other, as evidenced by their readiness to turn the tension of the event onto their relationship rather than absorbing it together. As such they are less fir fit survival in a broad context and are vulnerable to inside and outside threats to their integrity. WORKS CITED McEwan, Ian. Enduring Love. New York: Anchor Books, 1999.

Thursday, January 9, 2020

Heres What I Know About Journalism Essay Topics

Here's What I Know About Journalism Essay Topics Writing your very first APA format essay can be a bit intimidating at first, but learning a number of the basic rules of APA style can provide help. The essay format style doesn't have anything to do with the intricacy of your paper. The format can be adapted based on the nature and the topic of a custom made essay. The format of the works cited page also varies based on the type of citation used in your text. The Ultimate Journalism Essay Topics Trick Based on the length and the breadth of topic, an individual can include more than three major paragraphs in her or his essay. You ought to be confident that it's going to draw the interest of the audience, and you'll be in a position to convey and explore it in detail. Basically the outlining must include all the vital details of your entire essay in a brief and coherent way. The Journalism Essay Topics Cover Up Aldous Huxley, a major essayist, gives guidance on the matter. Wr iting an essay at our company is completely stress-free. You may also find a great deal of successful sample essays online. It's optimal to create one, a few ideas in 1 essay and divide them inside the respective sections. When writing essays, it's simple to drift away from this issue and go offbeat. The topics for argumentative essays are frequently quite self-explanatory they're common understanding. There's a typical college essay writing format that you need to follow. You might see college essay templates on the internet that offer guidelines about how to structure your essay and what things to say in each individual paragraph. When you submit your paper, be certain to keep a safe copy. Or you might even receive a distinct portion of your essay paper done. While an essay is a big project, there are several steps a student can take which will help break down the task into manageable components. The major target of essay program is to frame your upcoming work and maintain appropriate flow. There's numerous helpful guidelines you may use to enhance your paper and facilitate your writing process. To be certain you are on the most suitable way you require help in writing your paperwork. If you haven't been assigned a topic, you have a bit more work to do. Whether you're taking an introductory or a graduate-level psychology class, odds are strong that you'll have to write a minumum of one paper during the class of the semester. Valentine's Day isn't a holiday. No matter the mission of the essay, be certain you're interested in your topic. Research may give some bright ideas that you'd like to use. You would like to adhere broadly to the wisdom that every paragraph ought to have an identifiable major notion, but a college essay is definitely an extraordinary opportunity to break free from the five-paragraph essay. In an academe, plagiarism is a really serious offense that may sometimes lead to expulsion. Such essays shall have a good deal of quotations, based just on facts and laws, and show no more than the true picture of the circumstance. Expository essay utilizes formal language to go over someone or something. The Birth of Journalism Essay Topics Don't forget, any source employed in your essay has to be included in your reference section. In case the source is written by multiple authors, then you ought to state last names of them all, at least in the very first reference within the essay. Additionally, you'll also get a comple tely free bibliography page and an anti-plagiarism check. The list consists of the exact same running head as the primary text. There is an additional step you should make to be able to prepare ideal writing is to make an APA style essay outline. The ideal thing of all is that the rules on the way to format an essay are amazingly easy. One of the absolute most troublesome things in writing essays is making up a very good title. Sample Section Headings The next sample headings are supposed to be used only as a reference. The Argument About Journalism Essay Topics Becoming able to compose an essay is an essential part of any educational system, but simply listing ideas in a linear fashion might not always be sufficient. The principal aim of the college essay format is to assist the readers follow main ideas on the other side of the content without stumbling upon its structure. Even with the ample number of substantial research materials and intelligent ideas, the essay may wind up flawed in the event the student doesn't have effective writing skills. At our on-line company, writing essays is an excepti onal process which can be compared to a masterpiece creation.

Wednesday, January 1, 2020

Judaism Race, Religion, Or Religion Essay - 1004 Words

Judaism: Race, Religion, or Both If your religion is Judaism you will most definitely encounter an instance of someone claiming that Judaism is a race. While to practicing Jews Judaism is a religion, outsiders sometimes see it as something that is racial. Judaism is quite the conundrum, is it a race or is it a religion? The answer to this question is that it is both. It’s a religion in the technical sense because it is something people can join into and is the central belief system for a group of people. The racial piece has to do with how others see Jews. Religion connotes a central set of beliefs that unifies a group of people. These people come together to celebrate and observe their similar views. Religion does not bring people together because of a common genetic makeup or a similar skin pigment. These traits are things humans are born with, traits obtained only at birth. People permanently retain their skin pigmentation as well as their genetic makeup. Religion is something with which people are generally afforded more freedom. Usually people are able to covert religions. Judaism affords people the opportunity to covert and in the holy book, Deuteronomy 4, it is highlighted: 5Behold, I have taught you statutes and ordinances, even as the LORD my God commanded me, that ye should do so in the midst of the land whither ye go in to possess it. 6Observe therefore and do them; for this is your wisdom and your understanding in the sight of the peoples, that, whenShow MoreRelatedThe Three Major Religions Essay1429 Words   |  6 PagesThe Major Religions Judaism, Christianity and Islamic Humanities 101 August 28, 2010 Strayer University The major religions in the world are Judaism, Christianity, and Islam. Judaism, Christianity, and Islam are monotheistic religions, namely they believe that there is only one God. All three religions believe that this God is the origin and source of all that exists. 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