Nursing and nursing theoretical models 4Module General sociology
Academic Year 2023/2024 - Teacher: Roberto VIGNERAExpected Learning Outcomes
Course Structure
Required Prerequisites
Attendance of Lessons
Detailed Course Content
Textbook Information
Text 1: Vignera R., Protagonisti e interpreti della sociologia sanitaria, FrancoAngeli, Milano, 2005.
Text 2: Giarelli G. Venneri E., Sociologia della salute e della medicina - Manuale per le professioni mediche, sanitarie e sociali, FrancoAngeli, Milano, 2014.
Text 3: Lecture notes by the teacher.
Course Planning
Subjects | Text References | |
---|---|---|
1 | If we could see inside others hearts life. The fundamental concepts of sociological analysis. Social action, relationship, interaction. Status and roles. Rules and models of behavior. | Text 3 |
2 | The fundamental concepts of sociological analysis. The institutions. The groups. | Text 3 |
3 | Medicine and society. In the heart of the social system. The socio-cultural components of Health-Illness related behavior. HBM - HRA. The four models of helping and coping; Medical model and moral model. | Text 1: Preface; first part, chap. I |
4 | The Parsonsian theorization. Somatic disease and mental illness. Roles and tasks. The pathogenic strains between the personality system and the social system. The crisis of the motivational balance. The role of the patient and its institutionalization. | Text 1: first part, chap. III |
5 | Illness and deviance; Sickness and secondary gain. The therapeutic process as a form of resocialization in the dynamics of the doctor-patient system. The role of pattern variables. The doctor-patient relationship for functional imperatives. | Text 1: first part, chap. III |
6 | The criticisms of the Parsonsian perspective. The topic of mental illness. Adaptation Vs Integration. Chronic degenerative disease. Psychiatry and antipsychiatry. | Text 1: first part, chap. IV |
7 | The sociology of medicine in the debate on the redefinition of welfare. The tragic choices in the health sector. The corporateization of health care and the overcoming of the pure medical model. | Text 1: first part, chap. IV |
Learning Assessment
Learning Assessment Procedures
Examples of frequently asked questions and / or exercises
Several examples of socio-cultural modeling of therapeutic choices;
Epidemiology and health sociology: the distinctive features;
Religious ethics and health-illness related behavior;
Ethnic groups and health-illness related behavior;
Social stratification and health-illness related behavior;
Technical culture, profane culture and health-illness related behavior: Freidson's theory;
Selective processes in the culturalization of health-illness related behavior: the contribution of Irving Zola;
Models of health-illness related behavior: HBM;
The critical points of HBM and the definition of the Health Risk Appraisal;
The
socio-relational components related to health-illness related behavior
and their relevance in formal and informal treatment contexts;
The four models of Helping and Coping;
The complex adaptation of objective and subjective criteria to define health behavior;
Social problems and health-illness related behavior: The precedents in US practical sociology;
Parsons: health-illness related behavior within the general system of action and at the heart of the social system;
Personality, organism and social system: the fundamental coordinates for the analysis of health-illness related behavior;
Role and task: the fundamental coordinates for the definition of mental illness and somatic illness;
The
critical integration of the motivations of social actors with the
regulatory cultural criteria relating to role obligations: the roots of
mental illness;
The regressive, pre-adult characters of the pathological condition;
Pathology and deviance: common and differential traits;
The patient's role and his institutionalized expectations;
The role of doctor and the purposes of the therapeutic process: the abandonment of regressive addiction;
The doctor-patient social system articulated by functional imperatives;
Adaptation Vs Integration: Twaddle's Critique of Parsons;
The critical reference to chronic degenerative pathology: Mechanic's critique;
Illich: clinical and cultural iatrogenesis;
The deinstitutionalization of deviance and mental illness: Thomas Szasz's proposal;
The redefinition of welfare policies and their impact on medical and health issues: the tragic choices;
The reconfiguration of the Helping and Coping models: towards the overcoming of the pure medical model;
Predictive medicine and its dilemmas;
The professionalization of medical practice: the distinctive features and its temporal coordinates;
The process of rationalization of medical practice and its margins of discrepancy;
The eternal fascination of the medicine of particularistic transactions, of privileges and exceptions;
The medicine of modernity and medical dominance;
The redefinition of the theoretical and operational canons of medical practice: evidence-based medicine; The search for new forms of exchange between doctors and patients.