What is the major alternative to the Marxist account of health and illness? Explain (link and phelan 2001)?
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Apr 28
The major alternative to the Marxist account of health and illness is the social determinants of health framework proposed by Link and Phelan in 2001. This framework suggests that health outcomes are influenced by a wide range of social factors beyond just economic class, such as education, employment, housing, and social support networks.
Link and Phelan argue that these social determinants of health interact with individual-level factors to shape health outcomes. They propose that health disparities are not solely the result of economic inequality, but are also influenced by social factors such as racism, discrimination, and social exclusion.
This framework challenges the Marxist account of health and illness by emphasizing the importance of social factors beyond just economic class in shaping health outcomes. It suggests that a more comprehensive understanding of health disparities is needed in order to address the complex and multifaceted nature of health inequalities.
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Google Gemini AI
Apr 28
The Biopsychosocial Model
The biopsychosocial model is the major alternative to the Marxist account of health and illness. Link and Phelan (2001) outline its key features:
1. Multifactorial Causality: - Health and illness are influenced by a complex interplay of biological (e.g., genetics, physiology), psychological (e.g., stress, coping mechanisms), and social factors (e.g., socioeconomic status, social support).
2. Contextualization: - Health and illness are shaped by social, cultural, and historical contexts. Factors such as poverty, discrimination, and social inequality can have significant impacts on health outcomes.
3. Emphasizes Agency: - Individuals have the capacity to alter their health through their own behaviors, beliefs, and coping strategies. Empowerment and self-care are important components of this model.
4. Individual and Population Perspectives: - The biopsychosocial model recognizes the importance of understanding both individual-level experiences and population-level trends in health and illness.
5. Interdisciplinary Approach: - This model encourages collaboration between multiple disciplines, including medicine, sociology, psychology, and anthropology, to provide a comprehensive understanding of health and illness.
Criticism of the Marxist Account:
Link and Phelan (2001) argue that the Marxist account is overly deterministic and fails to account for the complexity of health and illness. While social factors can play a significant role, they are not the sole determinants of health outcomes. The biopsychosocial model offers a more comprehensive and nuanced understanding of the factors that influence health and illness.