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Terms in this set (23)
-permanency
-residual disability
-non-pathological alteration: something that can't just go away b/c of a physical treatment
-requires rehab: mental, physical, emotion, etc
-long period of supervision, observation, or care
-time: acute hospitalization exceeding 30 days or medical supervision for 3 months or longer
-residual disability
-non-pathological alteration: something that can't just go away b/c of a physical treatment
-requires rehab: mental, physical, emotion, etc
-long period of supervision, observation, or care
-time: acute hospitalization exceeding 30 days or medical supervision for 3 months or longer
1. job strain- psychological job consequences of high job demands
-decision latitude: low decision latitude (low degree of control in job=job strain= CVD) but have more duties
2. depression/anxiety
-those with depression 2-3x more likely to have CVD
-dying from CVD if you have CVD, men=35x & women=14x more likely
3. SES
-health disparities: access/quality of care as a product of different social groups
-access to healthy food, literacy
4. sex differences
-sex=biological
-pre-menopause women are less likely to get CVD, after risks go up
5. personality differences
-type A's don't have CVD more often like assumed
-anger out=get anger out
-anger in=hold in, higher likely to get CVD
-decision latitude: low decision latitude (low degree of control in job=job strain= CVD) but have more duties
2. depression/anxiety
-those with depression 2-3x more likely to have CVD
-dying from CVD if you have CVD, men=35x & women=14x more likely
3. SES
-health disparities: access/quality of care as a product of different social groups
-access to healthy food, literacy
4. sex differences
-sex=biological
-pre-menopause women are less likely to get CVD, after risks go up
5. personality differences
-type A's don't have CVD more often like assumed
-anger out=get anger out
-anger in=hold in, higher likely to get CVD
1. rationing talk
-one way to reduce the risk is reduce talk and reduce talk w/ restraint
I.e. picking battles, if your partner is eating red meat dont say anything but meal plan together
-talking less=you have less risk
-this respects autonomy
-disadvantages: restricting can be stressful, decrease chances for problem-solving, can be seen as a lack of concern
2. saying it nicely
-protecting other person w/ the way you say something
-advantage: intentions have to be inferred (doesn't overtly threaten someone), emphasizes repore
-disadvantages: lack of clarity (having to infer), no clarity heightens having to clarify the risk
3. framing it cooperatively
-look at task of partners health= doing it together
I.e. do you want me to bring it up when I see you eat red meat?
-advantages: partners are symmetrical, sense of accomplishment (if we can figure it out together, sense of pride with partner)
-disadvantage: if this doesn't work the stakes are pretty high, praise can be condescending, if you can't metacommunicate (comm about comm) it can emphasize how things have changed
*generally meta theory is good
-one way to reduce the risk is reduce talk and reduce talk w/ restraint
I.e. picking battles, if your partner is eating red meat dont say anything but meal plan together
-talking less=you have less risk
-this respects autonomy
-disadvantages: restricting can be stressful, decrease chances for problem-solving, can be seen as a lack of concern
2. saying it nicely
-protecting other person w/ the way you say something
-advantage: intentions have to be inferred (doesn't overtly threaten someone), emphasizes repore
-disadvantages: lack of clarity (having to infer), no clarity heightens having to clarify the risk
3. framing it cooperatively
-look at task of partners health= doing it together
I.e. do you want me to bring it up when I see you eat red meat?
-advantages: partners are symmetrical, sense of accomplishment (if we can figure it out together, sense of pride with partner)
-disadvantage: if this doesn't work the stakes are pretty high, praise can be condescending, if you can't metacommunicate (comm about comm) it can emphasize how things have changed
*generally meta theory is good
1. openness
-how freely do people talk about it
-things they are open to share, usually necessary
-usually easier to talk about treatment options
2. difficulty
-how upsetting/difficult it is to talk about it
-challenging or upsetting topics
-children, life w/o them
3. frequency
-how often/what pattern over time
-talking about topics at different times
-episodic convos
-diagnosis discussed little after its done/happened
4. topical focus
-emphasizing facts vs. feelings
-medical vs. personal
-relational vs. individual
5. disagreement
-conflict about a topic
-major source of conflict due to different feelings
-needs delicate handling
-more around some topics than others
-how freely do people talk about it
-things they are open to share, usually necessary
-usually easier to talk about treatment options
2. difficulty
-how upsetting/difficult it is to talk about it
-challenging or upsetting topics
-children, life w/o them
3. frequency
-how often/what pattern over time
-talking about topics at different times
-episodic convos
-diagnosis discussed little after its done/happened
4. topical focus
-emphasizing facts vs. feelings
-medical vs. personal
-relational vs. individual
5. disagreement
-conflict about a topic
-major source of conflict due to different feelings
-needs delicate handling
-more around some topics than others
1. integrating old and new identities
-people trying to reconcile who they were before breast cancer diagnosis and after now with symptoms
-felt uncertain
2. managing info
-people may not understand all the information they need/want
-privacy questions that may seem evasive, deemed interference when they are attempting to maintain privacy
-"comm work"
-managing info for others
3. co-owning the disease
-going through this together
-sometimes they feel it is ultimately up to them
-interference of disease owner
4. experiencing a lack of intersubjectivity (shared meaning)
-people may feel isolated or misunderstood
-feeling incredibly alone which leads to distancing
-interferes w/ other goals when desire connection
5. symbolizing sexuality
-representing their sexuality for others (loss of hair, body parts)
-insecurities about empowerment
-self and partner uncertainty
-some side effects: early onset menopause
-people trying to reconcile who they were before breast cancer diagnosis and after now with symptoms
-felt uncertain
2. managing info
-people may not understand all the information they need/want
-privacy questions that may seem evasive, deemed interference when they are attempting to maintain privacy
-"comm work"
-managing info for others
3. co-owning the disease
-going through this together
-sometimes they feel it is ultimately up to them
-interference of disease owner
4. experiencing a lack of intersubjectivity (shared meaning)
-people may feel isolated or misunderstood
-feeling incredibly alone which leads to distancing
-interferes w/ other goals when desire connection
5. symbolizing sexuality
-representing their sexuality for others (loss of hair, body parts)
-insecurities about empowerment
-self and partner uncertainty
-some side effects: early onset menopause
1. shared acknowledgment of the reality of death
-people are confronting reality that someone has died and trying to understand the meaning
-anticipatory grief, being able to grieve ahead of the person passing away
I.e. grandfather dying at 95, than a student dying at 21
2. shared experience of the loss
-we use rituals to mark the end of life
-vigil, balloons, cremation, bringing food to people houses
3. reorganization of the family system
-death of a family member disrupts patterns
I.e. comm, logistics
4. reinvestment in other relationships and life pursuits
-process of mourning takes a long-time, transitions happen over time
-readjust w/ life events
I.e. weddings, holidays, babies
-people are confronting reality that someone has died and trying to understand the meaning
-anticipatory grief, being able to grieve ahead of the person passing away
I.e. grandfather dying at 95, than a student dying at 21
2. shared experience of the loss
-we use rituals to mark the end of life
-vigil, balloons, cremation, bringing food to people houses
3. reorganization of the family system
-death of a family member disrupts patterns
I.e. comm, logistics
4. reinvestment in other relationships and life pursuits
-process of mourning takes a long-time, transitions happen over time
-readjust w/ life events
I.e. weddings, holidays, babies
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