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Conflicting models of selfhood have become central to debates over modern medicine. Yet we still lack a clear historical account of how this psychological sensibility came to be established.Psychology and Medicine in Modern Britain will remedy this situation by demonstrating that there is nothing inevitable about the current connection between health, identity and personal history. It traces the changing conception of the psyche in Britain over the last two centuries and it demonstrates how these changes were rooted in transformed patterns of medical care. The shifts from private medicine through to National Insurance and the National Health Service fostered different kinds of relationship between doctor and patient and different understandings of psychological distress. Psychology and Medicine in Modern Britain examines these transformations and, in so doing, provides new critical insights into our modern sense of identity and changing notions of health that will be of great value to anyone interested in the modern history of British medicine.
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Above all, this work is about patients and their points of view. It concentrates on patients' 'voicings', which are important in order to make the cancer experience understandable and 'open' in the current cultural and societal setting. When following this thesis one should bear in mind that it is the work of a folklorist who is specialised in illness narratives and traditional traits occurring in narrative representations. Particularly in the written narratives, the natural world and the glimpses of tradition become bound together with one general aim - to tackle the illness and mediate its meanings.
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This handbook signals a paradigm shift in health research. Population-based disciplines have employed large national samples to examine how sociodemographic factors contour rates of morbidity and mortality. Behavioral and psychosocial disciplines have studied the factors that influence these domains using small, nonrepresentative samples in experimental or longitudinal contexts. Biomedical disciplines, drawing on diverse fields, have examined mechanistic processes implicated in disease outcomes. The collection of chapters in this handbook embraces all such prior approaches and, via targeted questions, illustrates how they can be woven together. Diverse contributions showcase how social structural influences work together with psychosocial influences or experiential factors to impact differing health outcomes, including profiles of biological risk across distinct physiological systems. These varied biopsychosocial advances have grown up around the Midlife in the United States (MIDUS) national study of health, begun over 20 years ago and now encompassing over 12,000 Americans followed through time. The overarching principle behind the MIDUS enterprise is that deeper understanding of why some individuals remain healthy and well as they move across the decades of adult life, while others succumb to differing varieties of disease, dysfunction, or disability, requires a commitment to comprehensiveness that attends to the interplay of multiple interacting influences. Put another way, all of the disciplines mentioned have reliably documented influences on health, but in and of themselves, each is inherently limited because it neglects factors known to matter for health outside the discipline’s purview. Integrative health science is the alternative seeking to overcome these limitations.
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Health behavior --- Medicine and psychology --- Economic aspects
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Body image --- Medicine and psychology --- Sick --- Psychology
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Social networks --- Mental health --- Medicine and psychology
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