What is Health and What is Health Psychology

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What is Health and What is Health Psychology Chapter 1

What is Health and What is Health Psychology Chapter 1

Current Western Conception • Health is a state of complete physical, mental and social

Current Western Conception • Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity

What is Health Psychology? • The study of individual behaviors and lifestyles affecting a

What is Health Psychology? • The study of individual behaviors and lifestyles affecting a person’s physical health. – Disease prevention and Treatment – Identification of risks – System improvement – Shaping opinion

Why Do This? • Changing Patterns of Disease and Death • Escalating Costs of

Why Do This? • Changing Patterns of Disease and Death • Escalating Costs of Health Care • Evolving View of Health

Leading causes of death, United States, 1900.

Leading causes of death, United States, 1900.

Leading causes of death, United States, 2000

Leading causes of death, United States, 2000

Per capita health expenditures, U. S. , 1960 to 1998.

Per capita health expenditures, U. S. , 1960 to 1998.

Estimated Contributions of Different Factors to Health Status

Estimated Contributions of Different Factors to Health Status

Evolving view of Health/Disease • Past Conceptualizations of Health • Medical Model • Biopsychosocial

Evolving view of Health/Disease • Past Conceptualizations of Health • Medical Model • Biopsychosocial Approach • Public Health Model

Health Through History

Health Through History

Medical Model • Disease is organic – Began with ancient Greeks • Humoral Theory

Medical Model • Disease is organic – Began with ancient Greeks • Humoral Theory – Solidified w/Germ Theory (Pasteur, 1860 s) • Single cause • Health is the absence of disease • Physical treatments are optimal

Biopsychosocial Model

Biopsychosocial Model

Public Health Model AGENT HOST AGENT – Viruses, Germs, Drugs, Alcohol, Toxins HOST –

Public Health Model AGENT HOST AGENT – Viruses, Germs, Drugs, Alcohol, Toxins HOST – The Individual. Genetic and Developmental Factors ENVIRONMENT – The Context. Access, exposure, norms, laws

Example – HIV/AIDS • AGENT – HIV Virus • HOST – Homosexual males. Injection

Example – HIV/AIDS • AGENT – HIV Virus • HOST – Homosexual males. Injection Drug User • ENVIRONMENT – Norms supporting unprotected sex. Type of sex. Lack of access to clean needles.

Example - Cancer • AGENT – Environmental toxins. Cigarette smoke • HOST – Genetic

Example - Cancer • AGENT – Environmental toxins. Cigarette smoke • HOST – Genetic make-up. Suppression of emotion. Dietary practice. Smoker. • ENVIRONMENT – Regulations. Taxes. Norms about smoking.

Disciplines within Health Psychology • Psychosomatic Medicine – Organized as a field in 1930’s

Disciplines within Health Psychology • Psychosomatic Medicine – Organized as a field in 1930’s • Medicine – Examines the relationship between emotions and illness • Behavioral Medicine – 1970’s • Interdisciplinary – Rooted in learning theory – Focus is on behavior contributions to medical illness • Behavioral Health – Prevention focused – Behavioral contribution to health and illness prevention