12 Matching Annotations
  1. Dec 2022
    1. I came here after recalling a critique by Bessel van der Kolk's "The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma" regarding the disease model and it's negative impact on adequately helping people with trauma. van der Kolk's critique was similar to Marc Lewis' critique of the disease model as it applies to addiction from "The Biology of Desire: Why Addiction Is Not a Disease". This made me wonder what the term "disease" actually means and whether or not some general consensus existed within the medical community. This article suggests there is no such consensus.

      This article is by Jackie Leach Scully who holds a "PhD in cellular pathology, University of Cambridge; BA (Hons) in biochemistry, University of Oxford; MA in psychoanalytic studies, Sheffield University".

      Scully does several insightful things in this paper the following are the ones that were most salient to me upon the first read: - distinguishes "disease" from "disability" - contrasts the "social model" and "medical model" perspectives on "disability" - The "medical model" referred to here is probably what Lewis & van der Kolk are critiquing as the "disease model".<br /> - Are the "medical" and "disease" model different? - the social model seems to have arisen as a response to the inadequacy of the medical model

          - "The social model's fundamental criticism of the medical model is that it wrongly locates 'the problem' of disability in biological constraints, considering it only from the point of view of the individual and neglecting the social and systemic frameworks that contribute to it. The social model distinguishes between impairment (the biological substrate, such as impaired hearing) and the disabled experience. In this view the presence of impaired hearing is one thing, while the absence of subtitling on TV is quite another, and it is the refusal of society to make the necessary accommodations that is the real site of disability. A social model does not ignore biology, but contends that societal, economic and environmental factors are at least as important in producing disability."
      
      • brings up a subtle point that there are two jumps "from gene to phenotype, and from phenotype to experience" and that some of the arguments mentioned "suggest that the 'harm' of the impairment is not straightforwardly related to phenotype. What ought to concern us about disease and disability is the disadvantage, pain or suffering involved, and in a sense the impairment is always a kind of surrogate marker for this experience."
  2. Sep 2022
  3. Feb 2022
    1. Nursing professionals are facing with severe sleep problems during the covid 19 pandemic time. Nurses were asked to work in an environment that had a more increased level of risk than ever before. Depression and anxiety from the workplace could affect the confidence of healthcare workers in themselves as well as general trust in the healthcare system. This will lead to their turnover intention which may undermine the efforts of the governments to control the COVID-19 pandemic. The rising concern may change the working schedules of healthcare workers, offering more occupational healthcare support.

  4. Jan 2022
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  11. Apr 2017
    1. As Martha Stoddard Holmes suggests, nineteenth-century thinkers were among the first to see disability as a cause of individual suffering, which has the problematic consequence of minimizing “the importance of the material circumstances that surround all disabilities” while maximizing “the importance of personal agency while minimizing the need for social change” (Fictions of Affliction 28-9).

      This part of the article stands out to me for a number of reasons. First, the idea that people with physical and mental disabilities prior to the nineteenth century suffered in a difference sense compared to what they deal with now. Prior to this point, this introduction points out the stereotypes that people with disabilities had in the eighteenth century. Though this is something that is still socially dealt with now, we've taken further measures to help people who deal with specific setbacks that emphasis the overall point on maximizing "the importance of personal agency," and minimizing social change. Overall, this article interests me because it allows me to think deeper about how disabilities have always existed, though they've been handles in a variety of different ways as well as reflect it to how it's handled regarding circumstances we've learned including the role of the doctor and what they can do to help and the resources we had access to then versus now.