KHAIR SPRING 2014 INTRO TO SOCIAL PROBLEMS STUDY GUIDE FOR FINAL EXAM Chapter 10 Medical Care Physical and Mental Illness Terms Concepts Caesarian Birth Rates o 1970 1 out of 19 Today 1 out of 3 o Feminist Controversy o Abdominal surgery Attempts to change one s sexual orientation through talking The discharge of psychiatric patients from the 1970s Conversion Therapy Deinstitutionalization Depersonalization People being treated as inanimate objects a trait seen in many medical settings Environment Disease Connection What once was seen as a weakness coal miners having weak in mines is now seen as a preventative disease caused by The epidemiologic transition describes changing patterns of distributions mortality fertility life expectancy and Who benefits from the fee for service system lungs the environment Epidemiological Transition population age causes of death Fee for Service o Physicians o Medical suppliers o Hospitals o Drug companies o Patients o Nurses o Investors A self correcting system The global level Iatrogenesis Illness caused by medical care Infant Mortality o IMR in 1960 26 deaths per 1000 live o IMR today 6 6 Lifestyle Social influences The South Race Poverty U S compared to other industrialized nations Heroic medicine Emergency rooms as doctors offices Uneven distribution of medical services Life Expectancy o In 1900 Average Person Died Before 50 o Today Women 81 Men 76 Medicaid Medicaid is the largest source of funding for medical and health related services for people with low income in the United States Physicians were heavily against it because to an extent it replaced the fee for service program that the poor often did Medicine for Profit than an average doctors visit Doctors like sick people Emergency rooms can cost 3 5x more Mental Health Stigma Environmental Hypothesis People in lower social class tend to be sadder and more depressed than those of higher class who are happier and have more security health Their environment puts them in a better place of mental Patient Protection and Affordable Care Act The Affordable Care Act provides Americans with better health security by putting in place comprehensive health insurance reforms that will Expand coverage Hold insurance companies accountable Lower health care costs Guarantee more choice and Enhance the quality of care for all Americans Preventative medicine Primary prevention impoved nutrition and childhood vaccinations keeps diseases from occurring in the first place Secondary prevention self examination includes detecting the disease before the physician Tertiary prevention to prevent further damage to an already existing disease Resurgence of Infectious disease Superbugs Disease that no antibiotics can cure Two tiered system Health care services are divided for those who can afford it and those that cannot Film BIG PHARMA Possible Essay Questions 1 Explain positive and negative effects of globalization on health 2 Explain how the social factors of social class education family structure gender and race and ethnic minority status affect health and illness 3 How do we make sense of the systematic campaign to get Americans to take prescription drugs when we consider that there has been a simultaneous intensive media campaign aimed at discouraging the use of illegal drugs Is there a contradiction here or does the issue of legality resolve any sort of mixed message Explain Chapter 11 The Changing Family Terms Concepts Consequences of Industrial Revolution on Family Men Left Home Children Economic Assets or Economic Liabilities Formal Education and Prolonged Dependence Lower Birthrate Rural to Urban Loss of Functions Women s Role as an Emotional Provider Greater Equality More Divorce Longer Lives and More Intergenerational Ties The Quiet Revolution Domestic Abuse Intimacy and love Or cruelty and violence 16 out of 100 spouses physically attack their husband or wife one out of 6 yes women are equally likely to attack their husband but effects are different Minor offenses not significant The most violent are children Declining Functions of Family Increased singlehood Single women 25 29 increased four times since 1970 41 men three times 57 In 1950 brides were younger than any other time now an abrupt reversal older age at first marriage in 2003 21 25 for women 23 27 for men Increased heterosexual and same sex cohabitation Delayed childbearing Remaining single Couples without children International comparisons Life satisfaction Increased births to unmarried women Defective Discipline Excess leniency or excess control Dilemma of Abused Women Why doesn t she just leave Low self concept Belief in traditional values No financial security No support network Incest Incest 16 others Offenders uncles first cousins fathers brothers and Mothers and sons very rare Effects on victims Pro Incest lobby Be Skeptical of a Pedophile Liberation Army Front It s just our attitude Brother and sister marriages with Egyptian pharaohs and the Incas of Peru Thonga Lion Hunters Future Shock Rapid social change and future shock Homeward Bound Multigenerational and One Person Households on the Rise In Vitro Children Denied Citizenship Happily Unmarried Georgia Stats In 2000 57 of people 18 and over were married in 2010 only 51 are Tangled Family Trees and Heirs Apparent Lasch Accusations The Lasch Accusations Intrusions by professionals Sex experts Child experts Therapeutic Society Marital Decline Resiliency Virtually everyone wants to get married Taking into account the rate of population growth more people are getting married now than ever 96 Remarriage indicates a belief in the institution The idea that the family has declined is a sociological myth Middletown Studies The Mythical Child Middletown Studies Lynds 1929 1937 Caplow 1982 Marriage satisfaction is the key Telling family and friends that you are waiting to hav a kid but in reality both in the couple aren t planning on having a kid myth Quiet Revolution The entering of women in the workforce Social Class and Violence are found in Social class and violence The highest rates of violence Families with low incomes Blue collar workers Families in which the husband is unemployed Families with above average numbers of children People with less education Individuals with no religious affiliation or people with ultra conservation religious affiliation People under 30 Social Construction of Family Increased singlehood Single women 25 29 increased four times since 1970 41 men three times
View Full Document