Monday, January 27, 2020

Health And Illnesses Defined By Society Sociology Essay

Health And Illnesses Defined By Society Sociology Essay Health is the general condition of a person in all aspects of life. It can be seen as the level of functional and or metabolic efficiency of an organism, often implicitly human. According to World Health Organization (WHO), health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity- (WHO 1986). It can be defined as the absence of disease, a state of health unless symptoms emerge that demonstrates a deviance from normality. Mechanic and Volkhart (1961) define illness behaviour as the way in which symptoms are perceived, evaluated and acted upon by a person who recognizes some pain, discomfort or other signs of malfunction. Coe, (1979) asserts that illness is a subjective phenomenon. Individuals perceive themselves as not feeling well and hence may deviate from usual normal behaviour. According to him, the individual may feel sick without a disease being present, (or he/she may not experience illness even though a disease is present). Two persons with the same clinical symptoms may act altogether differently in degree and kind of concern expressed, and whether and how they search for treatment Foster and Anderson (1979) posit that the state of illness comes with a time sequence. There is the beginning, an awareness of the first faint symptoms, there is a progression, the social and psychological progresses that occur, and there is a termination, through recovery or death. At many points during the course of illness, medical and social decisions must be made, roles adjusted and attitudes changed to confirm to the reality of the situations. Medical sociologist believes that illness behavior is to a large extent influenced by the individuals social class, ethnic background and culture of orientation. The definition of health and illness polarizes between those that rely upon objectives, scientific criteria at one extreme, and awareness, at the other. It has generated divergent views and understanding which is reflected in the academic debates about the nature of health and illness. Traditional Medical View The traditional medical view is that there is such a thing as a normal functioning of the body, which has a limited degree of variation. When operating within the normal boundaries of these variations, a person can be defined as healthy, and when they are outside these normal boundaries, they are ill or there organs are diseased. Health can be defined within this framework as the absence of disease. It assumes a state of health unless symptoms emerge that demonstrate a deviance from normality. The Positivist Approach The positivist approach accepts the concept of disease, but, brings out a much broader social element into the definition, suggesting that health is not just a physical state, but also a wider sense of well-being, closely linked to our social surroundings. While the Lay Models of Health perspective emerged to use the functional definition by arguing that health can be defined as the ability to perform normal daily activities (Haralambos and Holborn 2008:280-1). The functionalist approach to the sociology of health and illness derives from the work of Talcott Parsons. He explored the relationship between illness and social control. Parson (1951) put forward one of the most famous concept in the sociology of health and illness: the sick role. This is the role assumed by an individual who excuses him or her from the normal behaviour because he is sick due to injury or incapacitation. He/she then seeks compassion from colleges, friend and family members and is no longer able to carry out normal activities. The sick person has the right to be exempted from normal social obligations, such as attending employment, or fully engaging in family activities. More so, sickness is something that no person can do anything about and for which the sick should not be blamed -they therefore have the right to be looked after by others. However the obligation of the sick role entails that the sick person must accept that he/she is in a situation that is undesirable and should seek to get well a soon as possible. The sick person must seek professional help and cooperate with the medical profession to get better. To the functionalist, illness has positive adaptive function which only a critical analysis can bring out. Dysfunctionally, disease and illness are destructive of human organism attacking cells and tissues thus reducing organisms adjustment. It brings loss resources for the individual and his/her group and can engender role problems as one individual or some people are put off temporally or permanently. On manifest, illness serves to forewarn the individual about the possible collapse of his/her physical structure and to effect repair. It makes the individual, his/her group or society to mobilize for such and similar occurrence, and for the group or society to train members for multiple roles incase of incapacitation of some people. On the latent functions, illness relieves the victim of unbearable pressure, mainly from relatives and dependants. It is used to gain attention and also maybe a device to expiate sinful feelings. The Work of Foucault A Foucaultian perspective drives social constructionalism much further on, right to the heart of the natural or biological, arguing that what we know as disease are themselves fabrications of powerful discourses, rather than discoveries of truths about the body and its interaction with the social world (Bury 1986) The corpus of his major work from the 1960s to the 1980s is an attempt to write a new history of the subject as constituted through historically located disciplinary powers. Foucaults starting position is the configuration of knowledge or episteme which constitutes particular subjects during specific historical periods. For Foucault (1973) sociology was deeply implicated in the very episteme which had given rise to medicine. The discipline of medicine provided the tool whereby subjectivity could be experienced and enforced. Contemporary sociology is not against medicine or professional practice, but rather seeks to problematize the taken- for- granted categories or reality within which they operate and deploy power/knowledge. The relationship between sociology and medicine and practices has always had a major impact on the field of the sociology of health and illness. His work went further to review the changing relationship before moving on to discuss some key characteristic of a sociological account for modern medicine and the social functions of medical knowledge. Although it is inappropriate to label Foucaults work postmodern it has been an important influences upon postmodernists. Post Modernism This approach allows the analysis of the fabrication of health, illness and patient subjectivity and the effect of the inscription on the body. It is suggested that health care professionals need to be more reflexive about their own knowledge claims and to resist the discursive practices which disempower and reduce choice. There is sustained application of post-modernist ideas to the sociology of health and medicine, although there is certainly an interest among many to explore their relevance for the field. The objective of sociologists of postmodernity is to understand the nature of contemporary postmodern society. As a result of developments in medicine, the overall increase in levels of health, have created the belief that most people will live long healthy lives. There is an increasing emphasis on life planning and self-identityà ¢Ã¢â€š ¬Ã‚ ¦.as the constraints of life-threatening diseases early death and insecurity have given way to a more predictable life course Bury (1997). The experience of chronic illness therefore threatens much of what has come to be accepted as normal in contemporary society. Bury(1982) argued that chronic illness constitutes a major disruptive force in people lives undermining the taken-for-granted assumptions they had about the world and their place in it and forcing t hem to review their lives their own bodies and their own identities. He called this process biographical disruption. Narrative reconstruction is used by people to create a sense of coherence and order-why they got the disease. Interactionist Perspective Symbolic interactionism has probably been the most influential theoretical approach in the sociology of health and illness with studies focusing on the processes involved in people arriving at the decision to seek professional help, the interaction between the ill person and the medical professional in arriving at a definition of the illness and the impact on the person of being labeled as ill. This perspective rejects the notion that illness is a direct result of some form of disease instead they perceive it as a form of social deviance. What constitutes illness is a result of social definitions. Mechanic (1968) defines illness behaviour as the way in which symptoms are perceived evaluated and acted upon by a person who recognizes some pain discomfort and other signs of organic malfunction. Feminist Approach to Health These can include liberal feminism, socialist feminism and radical feminism. Divisions are apparent in the theoretical debates on feminism within the sociology of health and illness. All of them focuses in particular on inequalities of health between male and female and has sought explanations for these differences within the different role and economic positions of men and women. It tends to sought equality of numbers of men and women in the higher status medical professions and research has been undertaken to demonstrate the smaller number of women who occupy senior medical position and also the way in which nursing is regarded as lower-status, female profession. It also points to the lack of power that women have in their relations with the medical profession and demands a greater say in womens health particularly in childbirth and conception. Soialist feminist emphasizes that it is not possible to change the role of males and females within a capitalist patriarchal society as liberal feminist seek to do. Conclusion Health and illness in contemporary societies has been subjected of discuss from centuries back. Contemporary medicine includes unofficial, unorthodox, holistic and non conventional reflects both the range of models of health which underlie these differing medicines and the ability of the more powerful biomedical profession to have them defined as somehow subservient to (complementary) or less proven (alternative than biomedicine. Although there is general acceptance of the importance of social explanation in helping to understand health and illness within sociology, there is little consensus as to the exact mechanism which links social class, gender, ethnicity, and geography to different level of health with the explanations ranging from those which stresses the wider economic structure of society, to those which stress the individual life style choice. Finally the conceptualization of health and illness in contemporary society has brought out the idea that there are areas of knowledge which are natural and can only be understood through a sociological and physiological framework.

Sunday, January 19, 2020

Language and Cognition Essay

Language is very complex and the manner at which humans learn language is even more complex. Language is more than just words and with words there are also definitions this paper will explain what language and lexicon is. Language is connected to cognitive functions in so many ways that this is better explained throughout the paper. There are key features in language that is developed during childhood and continues to grow as children get bigger. Language has a structure and processing through four levels. These levels better help humans understand language and communicate to one another. The connections in language processing and cognitive psychology are better understood later on in this paper. First to start off with a better understanding of what language and lexicon is. When a duck quacks, a dog barks, a horse neighs, and a cow moos everyone knows that they are communicating, these sounds do not however make up language. According to (Merriam-Webster’s Third New Internati onal Dictionary Unabridged) language is an â€Å"audible, articulate, meaningful sound as produced by the action of the vocal organs†. Language and communication is structured, to communicate there must be arbitrary, considered generative and dynamic. Animal sounds are audible they are produced by an action of vocal organs but they are not structured. An animal’s noise is composed of a single sound. In addition to the human cognitive functions and language assimilation, is how the brain has a mental dictionary that holds all of symbols of words. According to (Merriam-Webster’s Third New International Dictionary Unabridged) lexicon is â€Å"a book containing an alphabetical or other systematic arrangement of the words in a language or of a considerable number of them and their definitions†. Lexicon’s record accumulated spelling and pronunciation; humans also recognize words by evaluating what he or she has perceived hearing with these recordings. Humans will compare animal communication sounds using the stored lexicon to decide if the sounds make up a known language. Caldwell-Harris (2008) notes â€Å"words represented with links to their typical linguistic contexts will help explain the ever present influence of context on word meaning† (p. 170). Therefore, there would be no meaning to a human and an animal to communicate between each other because there are not words or contexts to understand. Furthermore, an understanding of language is more than the definition and lexicon, but includes the key features of language. Humans are pre-programmed to learn language; there is also a critical period which is where someone can learn effortlessly. According to (Willingham, 2007, p. 423) â€Å"there is fairly strong evidence that our brains are prepared to learn language, and with relatively little prompting, will do so†. Children learn in stage starting with babbling and cooing. According to (Hollich, 2006, p. 10) â€Å"to learn a word, infants must represent both the acoustic form and then make the connection to an external, possibly unfamiliar, object†. As children are learning to pronounce vowels and consonants they put together words, as they do this they also look at objects to match with the words. Chrysikou, Novick, Trueswell, & Thompson-Schill (2011) note â€Å"specifically, an increase in the spontaneous use of inner verbal strategies during development may support aspects of top-down control in task-shifting, by selecting and maintaining task-relevant goals, remembering task order , or retrieving task-relevant information† (p. 254). With repetition the key features of language are learned, and humans begin to form structure and begin to use the key features of language. There are four key features of language phonemes, words, sentences, and text. These key features are the structure and processing used in cognitive psychology. When listening to the pronunciations a person learning the language also needs to know how to identify it. Cognitive process helps us to learn these different words and how to spell, speak, and the meaning of each word. According to (Willingham, 2008, P. 454) if the phoneme string matches an entry, the word has been identified, and the cognitive system has access to the other properties of the word, including the spelling, part of speech, and meaning. The individual sounds that make up the audible and written copy of words are known as phonemes. There are about 200 phonemes used worldwide, but only about 46 are used in the English language. Through the above mentioned lexicon, people are able to determine a spelling and pronunciation of each word. With this ability humans are able to make coherent sentences with noun phrase and verb phrases. When this is completed it is where the significant formation of actual text is possible. A person can know phonemes, words, and sentences but to really carry on a conversation a person must correctly understand the language this is text. A branch of psychology is cognitive psychology and this area explores the function of mental processes connected to attending, thinking, perceiving, language, and memory. The English language has different sounds for letters as well for example kit and skill, the k sound is different in both words but the letter is the same. Each language has their own pronunciations as well as meanings but they are all diverse. According to (Evans and Levinson, 2009, P. 431) â€Å"the crucial fact for understanding the place of language in human cognition is its diversity. For example, languages may have less than a dozen distinctive sounds, or they may have 12 dozen, and sign languages do not use sounds at all†. There are quite a few functions used in cognitively one of which is memory. Memory is a big part of language and understanding the meaning of words. Humans learn language by repetition and memory to recall definitions and perceptions of the different words in the world around them. In conclusion cognitive psychology and the process of language is connected more than one might believe. Understanding our world around us through experiences is not the only way our mind works. Through language and lexicon, a person recalls information he or she has learned from previous experiences to better understand the lexicon and remember it. The key features of language are that humans are programmed to learn language and understand it. While humans learn the language they move through the four levels of structure and processing to get to communication. Communication is not just understanding the words but also making clear sentences and text as learned in this paper. References: CALDWELL-HARRIS, C. (2008). Language research needs an â€Å"emotion revolution† and distributed models of the lexicon. Bilingualism, 11(2), 169-171. doi:10.1017/S1366728908003301 Chrysikou, E. G., Novick, J. M., Trueswell, J. C., & Thompson-Schill, S. L. (2011). The Other Side of Cognitive Control: Can a Lack of Cognitive Control Benefit Language and Cognition?. Topics In Cognitive Science, 3(2), 253-256. doi:10.1111/j.1756-8765.2011.01137.x Evans, N., & Levinson, S. C. (2009). The myth of language universals: Language diversity and its importance for cognitive science. Behavioral and Brain Sciences, 32(5),429-48;discussion 448-494. doi:10.1017/S0140525X0999094X Hollich, G. (2006). Combining techniques to reveal emergent effects in infants segmentation, word learning, and grammar. Language and Speech, 49, 3-19. http://search.proquest.com /docview/213732301?accountid=35812 Merriam-Webster’s Third New International Dictionary Unabridged [Accessed June 18, 2012]. Willingham, D.T. (2007). Cognitions: The thinking animal (3rd ed.). Upper Saddle River, NJ: Pearson/Allyn & Bacon.

Friday, January 10, 2020

Critical Appraisal

Introduction This essay will critically appraise a paper investigating the relationship between moderate alcohol intake during pregnancy and risk of foetal death written by Andersen et al. (2012). This was a cohort study that used the data from a sample of 91,843 Danish mothers. It was found that 55% of the cohort abstained completely during pregnancy, whilst the rest of the cohort reported consuming alcoholic drinks during this time. The authors reported that there was a substantially increased risk of either spontaneous abortion or stillbirth in women who consumed even moderately low amounts of alcohol (2-3.5 drinks per week) before their 16th week of pregnancy. However, alcohol consumption after 16 weeks appeared not to have an effect. The introduction of this paper is extremely short, although it does manage to summarise why the study was conducted and the aim of the research is clear. The authors highlight that previous research into the effects of moderate alcohol consumption on foetal death have produced conflicting results and that there appear to be geographical trends in the outcome of such studies. Although a lack of conclusive evidence is a solid basis on which to conduct a new study, the authors do not explicitly detail why the current study will be any different and how it will seek to overcome the limitations of previous research. The Critical Appraisal Skills Progamme (CASP, www.casp-uk.net) recommends approaching critical appraisals using three steps. The first step is to assess whether the study is valid by evaluating the methodological quality. The methodology of the current study is clearly laid out and replicable. Despite this, one criticism of the methodology is the use of self-reported alcohol consumption data. Self-reported data is vulnerable to social desirability bias by which participants may withhold or fabricate certain behaviours in order to fit in to what others expectations of them. Social desirability has been found to confound reports of other health related behaviours, such as diet (Klesges et al., 2004) and physical activity (Adams et al., 2005). Using the levels of evidence hierarchy (Foster, 2011), cohort studies lay below systematic reviews and randomised control studies in their ability to avoid bias. Therefore, the study’s design helps reduce the risk of other biases that could confound the results. The statistical analysis used was the hazard ratio. This analysis calculates the ratio of the hazard rate corresponding to the two conditions of an explanatory variable (Spruance et al., 2004). In the current study, it was found that women who drank even just low levels of alcohol during pregnancy had higher hazard rates of early foetal death than those women who abstained. This is a suitable statistical analysis that answers the research question at hand. The second step in the CASP recommendations for appraising evidence is to examine the results. It is important to consider how clinically important the results are and how much uncertainty surround them. Potentially, the current study has excellent clinical utility. Firstly, the sample size was large and as a result, the findings are likely to be very representative of the population as a whole. There is some cultural bias to be aware of as the sample was collected exclusively from a Danish sample. Therefore, the results may not be generalisble to women in other countries. For example, in the UK, alcohol consumption has been found to be much higher, especially among females in their teen years (Mukherjee et al., 2005). The last step suggested by CASP is to assess whether the results are useful. The current results may certainly be useful in the area of health policy development. The knowledge that even low alcohol consumption within the first trimester of pregnancy can increase the risk of foetal death strengthens current Government guidelines that recommend that women abstain completely from alcohol during pregnancy. In the United Kingdom, the Chief Medical Officer currently advises that women should avoid alcohol altogether but that if they must drink, to consume no more than 1-2 units once or twice a week. However, the current paper suggests that just two drinks per week could increase a woman’s risk of losing the baby. Nevertheless, the conclusions drawn by the study are based on the assumption that alcohol consumption contributed to the increased risk of foetal death and should be interpreted with caution. The study did not collect data on various other variables that may have contribut ed to the increased risk, such as illegal drug use during pregnancy has been associated with foetal death (Wolfe et al., 2005). Furthermore, consumption of large quantities of caffeine (Wisborg et al., 2003) has been found to be associated with a higher risk of early foetal death. The current study collected information on coffee consumption and it was found that 32.6% of women consumed between one and seven cups of coffee during their pregnancy. Therefore, coffee consumption and not just alcohol may have had an impact on the results. In the discussion, the authors acknowledge the large number of confounding variables that may have impacted upon the study. The discussion of the study does discuss the potential usefulness of the results. However, the authors state in the introduction that discrepancy amongst previous research was a driving force behind the study but fail to discuss why or how the current study may have alleviated this issue. In conclusion, this is a reasonably strong piece of research that could contribute considerably to health policy. However, it is flawed in some key areas and so the results should be interpreted with caution. For example, if the study is to be replicated, future researchers may consider additional outcome measures that could identify participants at risk of social desirability bias. Nevertheless, the finding that even very low consumption of alcohol before the 16th week of pregnancy may contribute to early foetal death suggests that this should be further investigated as health policy may subsequently consider recommending women abstain completely from alcohol until after their 16th week. References Adams, S.A., Matthews, C.E., Ebbeling, C.B., Moore, C.G., Cunningham, J.E., Fulton, J. and Herbert, J.R. (2005) The effect of social desirability and social approval on self reports of physical activity. American Journal of Epidemiology, 161(4), pp. 389-398. Andersen, A.N., Andersen, P.K., Olsen, J., Gronbaek, M. and Strandberg-Larsen, K. (2012) Moderate alcohol intake during pregnancy and risk of fetal death. International Journal of Epidemiology, 41, pp. 405-413. Foster, N. (2011) Making sense of the evidential hierarchy. In: Carmen, A. (Ed), Assessing Evidence to Improve Population Health and Wellbeing. Exeter: Learning Matters Ltd. Klesges, L.M., Baranowski, T., Beech, B., Cullen, K., Murray, D.M., Rochon, J. and Pratt, C. (2004) Social desirability bias in self-reported dietary, physical activity and weight concerns measures in 8-to-10-year-old African-American girls: results from the Girls health Enrichment Multisite Studies (GEMS). Preventative Medicine, 38, pp. 78-87. Mukherjee, R.A.S., Hollins, S., Abou-Saleh, M.T. and Turk, J. (2005) Low level alcohol consumption and the fetus. British Medical Journal, 330(7488), pp. 375-376. Spruance, L.S., Reid, J.E., Grace, M. and Samore, M. (2004) Hazard ratio in clinical trials. Antimicrobial Agents and Chemotherapy, 48(8), pp. 2787-2792. Wisborg, K., Kesmodel, U., Bech, B.H., Hedegaard, M. and Henriksen, T.B. (2003) Maternal consumption of coffee during pregnancy and stillbirth and infant death in first year of life: prospective study. British Medical Journal, 326, pp. 420. Wolfe, E.L., Davis, T., Guydish, J. and Delucchi, K.L. (2005) Mortality risk associated with perinatal drug and alcohol use in California. Journal of Perinatlogy, 25, pp. 93-100. Critical Appraisal Critical appraisal is the use of explicit, transparent methods to assess the data in published research, applying the rules of evidence to factors such as internal validity, adherence to reporting standards, conclusions and generalizability.[1][2] Critical appraisal methods form a central part of the systematic review process.[3] They are used in evidence-based healthcare training to assist clinical decision-making, and are increasingly used in evidence-based social care and education provision. when an entrepreneur is think about setting up in business it is important to think carefully about what is needed to make the idea a success, how the business will compete against other firms and how much money is needed to run it, these items would usually be included in a business plan. * The nature of the business it history and its legal structure * The product it offers, what make it different from anyone else, why customers would buy it and how it is protected from the competition. * The nature of the market and the firm’s customer base . * The objectives of the business( set-out target that entrepreneur would like to achieve ) * The strategy ( this set out how the objective is going to be achieved * Approach to marketing * The founder and employee * The firm’s operations ( where it is based, the production facilities it requires, the capital it has) * A forecast of sale over a period in the future. Idea generation (ideation) is critical to the design and marketing of new products, to mar-keting strategy, and to the creation of effective advertising copy. In new product development, for example, idea generation is a key component of the front end of the process, often called the â€Å"fuzzy front end† and recognized as one of the highest leverage points for a firm (Dahan and Hauser 2001). Ideation is the creative process of generating, developing, and communicating new ideas, where an idea is understood as a basic element of thought that can be either visual, concrete, or abstract.[1] Ideation is all stages of a thought cycle, from innovation, to development, to actualization.[2] As such, it is an essential part of the design process, both in education and practice.[3]

Thursday, January 2, 2020

The Percentage Of Public Elementary And Secondary School...

A statement of the problem The percentage of public elementary and secondary school students in the United States who were identified as English language learners (ELL) in the 1999-2000 school year was 6.7% of the total school population (U.S. Department of Education, 2000). The increase is in mainly in the Hispanic subpopulation and Hispanic students traditionally perform poorly on national assessments. The No Child Left Behind legislation requires that â€Å"all children will have a fair, equal, and significant opportunity to receive a high-quality education and reach, at a minimum, proficiency† on standardized assessments (Section 1001, p. 15). As ELL student populations increase so does the pressure on teachers and schools to increase the numbers of ELL students who meet state-governed reading proficiency levels. A review of the literature The researchers’ in this study conclude that ELL students participating in secondary-tier interventions using curricula with a direct instruction approach and delivered in small groups presented greater outcomes in student progress on DIBELS assessments and for the Woodcock Reading Mastery test. The researchers cite other reading studies that have used these same assessment methods as giving validity to their use. Their study outcomes further suggest that direct instruction using evidence-based reading practice in small groups of 3-5 students is a teaching method that should be employed by teachers of ELL students in order to increaseShow MoreRelatedThe Importance Of Indiana Content Standard For District Level Educators810 Words   |  4 Pages Title 1 Funding Mr. Katz failed to recognize the importance of Indiana Content Standard for District Level Educators 5.5: â€Å"Ensuring all students full and equitable access to educational programs, curricula, and available supports,† as he has proposed to transfer Title 1 dollars to the Katz Program. The Katz Program focuses on students in Kindergarten who have not been identified as needing additional accommodations through the child find process. 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