This document discusses the application of psychological theories in health and social care, including lifespan development, social and biological factors influencing human behavior, and the importance of social roles in healthcare settings.
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Health Psychology for Health and Social Care
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Table of Contents INTRODUCTION...........................................................................................................................1 TASK 1............................................................................................................................................1 1.1 Compare different psychological theories of lifespan development................................1 1.2 Explain how psychological theories and concepts are related to specific life stages.......3 TASK 2............................................................................................................................................4 2.1 Explain social and biological factors that influence human behaviour............................4 2.2 Analyse the importance of social roles in the context of health and social care settings.5 TASK 3............................................................................................................................................6 3.1 Analyse the application of psychological theories to individuals experiencing elevated levels of stress.........................................................................................................................6 3.2 Analyse how psychological theories relate to behaviour disturbance..............................7 3.3 Analyse how psychological theory informs understanding of mental health disorders...7 3.4 Evaluate the application of psychological principles to affecting behaviour change in health and social care settings................................................................................................8 3.5 Analyse how psychological theories can enhance understanding of relationships in health and social care........................................................................................................................9 CONCLUSION................................................................................................................................9 REFERENCES..............................................................................................................................10
INTRODUCTION Health psychology refers to set of psychological and behavioural procedures in health, illness and healthcare. It includes the psychological and emotional aspects related to a sick individual for supporting them in order to overcome with relevant problems. It is necessary to make patient emotionally and morally strong which impact positively on treatment outcomes (Haslamand et. al., 2018). In context of this report, it is based on psychology for health and social & biological determinants of human behaviour. It includes a case study of David Game College for long hours working of nursing staff facilitate fatigue and elevated levels of stress. This assignment will focus on comparison among various psychological theories and their specific life stages. It will also include social & biological factors influencing human behaviour along with significance of social roles in health and social care settings. The application of psychological theories and their influence to analyse behaviour disturbance and mental health disorders are given below. TASK 1 1.1 Compare different psychological theories of lifespan development. Psychology refers to study of behaviour and mind of an individual in terms of their mental and emotional state which reflects in their behaviour. It is consider as behavioural health discipline which is known as key for bio psychological practice to understand the concept of health and illness. However, psychological plays an important role to promote healthy behaviour in order to prevent the diseases along with improving patient’s quality of life (Anisman,2016). Psychology is relevant to health & social care because it is favourable to understand human mind and specific decision making, ideas, thought and emotions to promote healthy habit to improve their health condition. The issue of nature vs. nurture in lifespan development because nature is all about inherited aspects which impact on development of an individual whereas nurture means external factors contributingindevelopmentincludingproductofexposure,lifeexperiencesinlearning. Psychologicaltheoriesareusefultounderstandaboutfuturebehaviourswhichfacilitate development during the life span. Life span development stages Infancy: This includes age from birth to 2 years when bond develops between child and their primary care givers. 1
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Childhood: It contains age of 2 to 10 years when individual become independent to learn and doing things from their parents. Adolescence: It includes 10 to 20 years of age which puberty marks start and person seeks their independence. Early adulthood: This involves 20 to 40 years of age when an individual establish their personal and financial independence (Hewstone,2017). Middle age: It consist age between 40 to 65 years which is the period of involving in social and personal responsibilities. Older age: This includes age over 65 years that is a period of considerable adjustment to changes in one’s life and self-perceptions. Comparison Erikson theory of life span development StagesPsychosocial crisis or tasksVirtual development Infant to 18 monthsTrust vs. mistrustHope 18 months to 3 yearsAutonomy vs. shame/doubtWill 3 to 5 yearsInitiative vs. guiltPurpose 5 to 13 yearsIndustry vs. inferiorityCompetency 13 to 21 yearsIdentity vs. confusionFidelity 21 to 39 yearsIntimacy vs. isolationLove 40 to 65 yearsGenerativity vs. stagnationCare 65 years and olderIntegrity vs. despairWisdom Piaget theory of development StageRange of ageVirtual development Sensorimotor0 to 2 years oldIt includes the development of coordinationofsensewith motor responses. Preoperational2 to 7 years oldItconsistthedevelopingof symbolic thinking and use of propersyntaxalongwith 2
developing conservation. Concrete operational7 to 11 years oldAn individual can understand the time, quantity and space applied. Formal operational11 years old and olderItinvolvesdevelopmentof theoretical,hypotheticaland counterfactual thinking. 1.2 Explain how psychological theories and concepts are related to specific life stages. Psychological theories and concepts are related to specific life stages as it helps to understand about developmental aspects of an individual. It is favourable to understand about different aspects of development in every stage of life following the increment in age (Chatterjeeand Noble, 2016). However, it starts from infancy and then developing at different stages of age. Thus, some of psychological theories relevant to particular life stages are mentioned here. Freud theory of life span development Oral stage: The mouth stage of baby when they can only sucking, swallowing etc. Anal stage: It means anus that consist withholding or expelling faeces. Phallic stage: This includes penis and clitoris when masturbation begins in adults. Latent stage: It involves the stage of an individual when little or more sexual motivation is present. Genital stage: It means penis or vagina which indicates about stage of sexual intercourse. Havighurst developmental stages Age RangeDevelopmental tasks Infancy and early childhood (0 to 5 years) Learn to walk, use of toilet, talk and form relations with other people. Middle childhood (6 to 12 years) Learn about reading, conscience & values and independence (Wang,2016). Adolescence (13 to 17 years) Itincludesestablishingemotional independence,learningskillsrequiredfor productive occupation and gender based social 3
role. Early adulthood (18 to 35 years) It consist choose a life partner and make family and take care of a home. Middle age (36 to 60 years) It involves maintaining standard of living and focusing on social responsibilities. Later maturity (Over 60 years old) It includes adjusting health retirement, meeting social obligations and loss of spouse. The stage wise approaches are important because it is favourable to understand the behavioural aspects of an individual which facilitate to predict about their future decisions. It includes making an appropriate understanding about behavioural aspects of a child which area helpful to predict later development in terms of personality, behaviour, educational attainment. TASK 2 2.1 Explain social and biological factors that influence human behaviour. There are different kinds of factors which are responsible for influencing human behaviour that impact on health of an individual. It includes number of social factors such as socialisation, family, education, culture, media, environment, effects of discrimination and social exclusion. On the other hand, number ofbiological factors impact human behaviour thatincludes genetics, traits, and blueprints; neuro-degenerative disorders e.g. Parkinson’s, Alzheimer’s.Basically, it has been analysed that Bowlby research states that attachment of child with parents provides security and attachment is adaptive as it improves infant’s chance of survival. Lack of early attachment impactnegatively on laterbehaviour as a person will not gain feel of their responsibilities about their parents, siblings and other relatives (Smalle,Warrenand Barefoot, 2016). However, lack of education, discrimination, culture & social exclusion impact negatively on life of people because they did not get desired resources to fulfil their basic needs. It will influence the quality of life and health of people. As per Marmot’s report 2018, it has been evaluated that people live in poor neighbourhood in country are discriminated which create health inequalities among citizens. It is necessary to avoid factors based for inequality to improve health and maintain equality in the nation. 4
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Conformity is effects of influencing thoughts & behaviours of others whereas obedience is social influence to authority through which behaviour of an individual can be influenced in positive direction in enhance their health condition. They have positive effects on healthcare settings to facilitate desired behaviour of patient to increase their recovery. Howeverit vital for health professionals to understand cultural diversity as they have to work with effective cooperation of colleagues belongs to different cultures along with dealing with patients of differentiated cultures. It is required for them to understand this aspect in terms of norms, beliefs, religion, verbal and no-verbal communication to analyse actual health problems to deliver appropriate as well as equal care services for their wellbeing (Walchand et. al., 2016). Genetic endowment predisposespeopleregardingseveralneurologicaldisorderslikeParkinson’sdisease, schizophrenia, Alzheimer’s disease. It is required to compare identical or no-identical twins because identical twins has exactly similar genes and characteristics including disorders which are present in both individuals whereas, it is not necessary in non-identical twins that similar disorder is present in them. 2.2 Analyse the importance of social roles in the context of health and social care settings. Social roles are important to understand actions of each other which facilitate make relation between patient and healthcare professionals. It is favourable to provide appropriate care facilities as per actual medical needs of an individual for their wellbeing. However, social roles includes development of social roles, concept of conformity, social context of behaviour, social group membership, relationships (to include symbiotic interactionism) and development of self- concept e.g. Mead and Cooley. It involves that society contribute to health & social care settings in order to make them wellbeing. However, people live in society can motivate patient internally whichstrengthentheiremotionalandmoralfactorfacilitatingincreasedrecoveryofan individual. Social role can be defined s associated behaviours, rights and beliefs of people in particular social situation. Health belief model is helpful for healthcare professionals to predict behaviour by considering its factors like risk susceptibility, risk severity, benefits to action, barriers to action, self-efficacy and cues of action (Pohlingand et. al., 2016). As per Parson’s 1951 sick role theory, it is necessary to understand rights and responsibilities of ill people to deliver appropriate care facilities to them. However, it is required to consider sick-role behaviour, perception and interpretation of symptoms along with factor of use/misuse of health and social care services. It 5
also consist compliance with treatments, emotional adjustment to ill health and coping strategies including user of service, survivor, organisational & institutionalisation. Lack of compliance of medical instructions impact negatively on patients health condition which reduce goodwill of National Health Service. Moreover, it is essential for care professionals to understand life-span development of self-image and self-esteem to deal with mental patient. People having low self- concept bear more risk of suffering from psychological disorder, drug addictions etc. Care professional should motivate patient to easily heal their disease by providing benefits and process of treatment process to assure them about their wellbeing. TASK 3 3.1 Analyse the application of psychological theories to individuals experiencing elevated levels of stress. Stress can be defined as a feeling of emotional and physical tension which is generally consider as part of life. It is observed that every person has low or high level of stress due to different causes. In context of given case scenario, Aetiology of stress consist number of factors such as being unhappy in own job, having heavy workload or too much responsibility, working long hours, having poor management, unclear expectations of work, no involvement in decision making process and risk of termination (Johnston,Benyaminiand Karademas,2016). It consist other work place stress causes like being insecure about chance of advancement, having to give speeches in front of colleagues and facing discrimination or harassment of work. Other life stress causes involves death of loved one, divorce, loss of job, increased financial obligations, getting married, moving to new home, chronic injury or illness, emotional issues, taking care of sick person and traumatic event. As per statistics of WHO, stress data is 77% in U.S. in which 73% experience psychological symptoms on regular basis. The extra workload on care professionals reduces their concentration as well as clinical outcomes by developing increased risk of drug errors or other mistakes by them. It will increase in patient population with complicated condition with several health issues such as high blood, pressure, heart attack, stroke, diabetes type 2 (Andrew,Tiggemannand Clark, 2016). However, there are different types of strategies that can be used to manage stress among staff such as cognitive behavioural therapy, effective management of work pressure, healthy eating habits, and regular physical exercise and so on. 6
3.2 Analyse how psychological theories relate to behaviour disturbance. Behavioural disturbance can be defined as a condition in which an individual’s behaviour get disrupted due to specific cause. Aetiology of behavioural disturbance consist number of factors such as genetic inheritance and presence of various psychological issues likeattention deficit disorders, autistic spectrum disorders, behaviours associated with addiction etc. However, theory of mind is considered as an important social cognitive skill to analyse about mental states like emotions, desires, beliefs and knowledge. Considering the use of psychological theories, it has been analysed that actual mental state van be understand by care professionals in order to establish more effective as well as efficient care plan for welfare of an individual. It includes the association of cognitive behavioural theory which is applicable in context of patient suffering from autism to enhance their medical condition(Santiago-Delefosseand et. al., 2016). In respect of addictions, psychodynamic theory and attachment theory plays an important role to understand actual situation of addicted patient along with providing appropriate care. The psychologist prefers to use 10-point severity metric in order to map the autistic condition of people. My work experience with patients of autistic condition is quite challenging because it is required always remain careful while dealing with them. 3.3 Analyse how psychological theory informs understanding of mental health disorders. Mental health disorders are related to psychological disturbances and behavioural impairment. It includes the situation when the ay of feeling thinking and decision making. However, there are different kinds of psychological theories are favourable for psychologist to understand about differentmentalhealthdisorders.Itinvolvespersonalitytheories,behaviouraltheories, humanistic theory, mini theories, biological perspective theory, cognitive perspective theory and many more. It has been analysed that these theories provide support to psychiatrist to understand actual behaviour of patient by evaluating their thoughts, beliefs and ideas. However, it is beneficial to deliver more effective psychological and medicinal interventions in order to improve the mental health condition of individual. As per given case scenario of Freda, her condition including lack of motivation and tiredness is due to menopause, excess workload of newspaper and death of her. It is not much complicated psychological problem but required some of dosage of serotonin to maintain patient mood in 7
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appropriatemanner.Meanwhile,cognitivebehaviouraltherapyandinvolvementinother activities like exercise classes are helpful to enhance the motivation in Freda’s life. However, other mental health disorders likeneurosis; psychosis including depression, schizophrenia and eating disorders considering anorexia, bulimia requires psychological therapy and medications for wellbeing of patient. DSM 2013 refuses to differentiate between losses of loved one and other stressors while diagnosing about specific mental disorder. The genetics provide internal body ability to fight with psychological issue and environmental factors also helps to stabilise the mood of patient. Meanwhile, the personality and family support to fast recovery in mental health conditions whereas presence of stress complicates the problem. 3.4 Evaluate the application of psychological principles to affecting behaviour change in health and social care settings. Psychological principles refer to factors which impact behaviour facilitating for changing it in healthandsocialcaresettings.Itincludesthecriterionofhealthpromotion,cognitive dissonance, coping strategies etc. in order to change negative behaviour of patient to facilitate their psychological wellness respectively. However, it consist number of principles such as health promotion including various models and concepts linked to specific psychological theory. Meanwhile, it consist effective care strategies, coping strategies and avoidance therapy like cognitive dissonance, denial, projection, perception & compensation for loss of identity. It is necessary to focus on advocacy policies based on normalisation theory, aggression and abuse policies to deal with patient properly(Torremansand Fawcett,2017). ABC model of attitude change includes antecedent, beliefs and consequences of specific case according to which effective strategies can be applied for welfare of an individual.It includes effectivehealthpromotionthroughwhichcareprofessionalscanmakepeopleawareby providing informationabouteffectiveprecautionsandhealthyhabitsinorder to prevent occurrenceofpsychologicalproblems.However,learningandcognitivetheorieshasan important to understand beliefs and behaviour of citizens of specific place to organise effective health promotion campaign and health behaviour change. Moreover, attitude must be change in care settings to deal with different patient with patience and positive behaviour which make patient emotionally stable. It is favourable to analyse actual problem of an individual to deliver appropriate care services for their better health. 8
3.5 Analyse how psychological theories can enhance understanding of relationships in health and social care. The psychological theories are effective to improve relations in health and social care such as between service users & families or friends, clients & care workers, team of care professionals and service users. It is necessary to carry out more effective as well as efficient communication with patient in order to establish mutual understanding with them to make healthy relationship. However, it is necessary to for care professionals to make healthy relationship with mental health patients and make them feel comfortable which impact positive on their condition. Meanwhile, it has been analysed that work in partnership is necessary with establishing efficient cooperation with each other and share every detail about patient to deliver potential medical facilities to facilitate their recovery. Moreover, it is essential to consider codes of conduct and principles of practices in terms of providing better care for appropriate health of patient. CONCLUSION From the above assignment, it has been concluded that heath psychology can be defined as psychological and emotional aspects related to a sick individual for supporting them in order to overcome with relevant problems. It includes the utilisation of various kinds of psychological theories in order to understand the actual behaviour problems of patient in terms of delivering effective care services. However, it consist the actual causes of stress and other mental health disorders in respect of providing appropriate dosage of medicines and psychological therapies. Moreover, it is favourable for care professionals to consider desired principles of practice to provide effective care for wellbeing of service users. 9
REFERENCES Books and journals Haslam, C. and et. al., 2018.The new psychology of health: Unlocking the social cure. Routledge. Anisman, H., 2016.Health psychology. Sage. Hewstone, M. ed., 2017.European review of social psychology(Vol. 25). Routledge. Chatterjee, H. and Noble, G., 2016.Museums, health and well-being. Routledge. Wang, X., 2016. Subjective well-being associated with size of social network and social support of elderly.Journal of health psychology,21(6), pp.1037-1042. Smalley, K.B., Warren, J.C. and Barefoot, K.N., 2016. Differences in health risk behaviors across understudied LGBT subgroups.Health Psychology,35(2), p.103. Walch, S.E. and et. al., 2016. Discrimination, internalized homophobia, and concealment in sexual minority physical and mental health.Psychology of Sexual Orientation and Gender Diversity,3(1), p.37. Pohling, R. and et. al., 2016. Work-related factors of presenteeism: The mediating role of mental and physical health.Journal of occupational health psychology,21(2), p.220. Johnston,M., Benyamini,Y. andKarademas,E.C.,2016.Measurementissuesinhealth psychology.Assessment in health psychology, pp.320-334. Andrew, R., Tiggemann, M. and Clark, L., 2016. Positive body image and young women’s health: Implications for sun protection, cancer screening, weight loss and alcohol consumption behaviours.Journal of Health Psychology,21(1), pp.28-39. Santiago-Delefosse, M. and et. al., 2016. Quality of qualitative research in the health sciences: Analysisofthecommoncriteriapresentin58assessmentguidelinesbyexpert users.Social Science & Medicine,148, pp.142-151. Torremans, P. and Fawcett, J., 2017.Cheshire, North & Fawcett: Private International Law. Oxford University Press (OUP). 10