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Samenvatting collegestof - TDC
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Alle aantekeningen en PP slides (Engels) Artikelen, genummerd met kernpunten (Nederlands)
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HC1 (10-09-'21) theorizing diversities in carediversities: social groups differ on the basis of gender, sex, sexuality, ethnicity, culture, religion, age &
(dis)abilities
inequalities: social groups are (un)equally treated in terms of mental health, education and policy
importance
1. clinical: protocols, individual treatment, stereotypes and sensitivity
2. policy/education: equitability of schools, health care system, society
equity = everyone gets the resources to reach the same place
identity: the reflective
social identity: identification with larger groups of people who share characteristics
- belonging to a group is a basic need.
- social identitites are also of importance with regard to health and (mental) health care
disabilit spread: seeing only one aspect of someone's identity (e.g. disability) and generalse that aspect,
in such way that that 'becomes' the entire person.
intersectionality: analytical framework for understanding how various aspects of a person's identity
combine to create different modes of discrimination and privilege.
treatment succes:
40% characteristics of clients and their daily world
30% relationship client-caretaker
15% expectations/views of parents
15% treatment/method
inequalities shape personal's ideal as well as social identity it is also a great importance to pay attention
to diversity
article HC1
1.
-LGB adults are at risk of impaired health and do less well on school: low self
esteem, depression, substance (ab)use, unsafe seks
-hypothesis:
, - SSA adolescents have lower quality of social network true, also more
depression, low self-esteem. Study did not find anything on lower GPA scores
(other studies did).
- relationship with class mentor might affect adolescents functioning and
well-being.
- average coming out is at 17.
2.
2x zoveel vrouwen dan mannen (volwassen) zin depressief, in kindertijd
bestaat dit verschil niet. Onstaat tussen 13 tot 15.
Dit verschil ontstaat door verschillende factoren: herhaaldelijke coping,
afhankelijkheid van relaties, hormonen, ontevredenheid lichaam, cognitieve
kwetsbaarheid, negatieve levenservaringen, seksueel misbruik.
Depressie kan zorgen voor meer negatieve ervaringen doordat een persoon
aandacht bij de verkeerden zoekt.
Deelnemers hoog in cognitieve kwetsbaarheid met meer stressvolle
levenservaringen hebben een verhoogde kans op depressie.
Studies slagen niet bij cijfers voor 11 cognitieve stijl niet niet vast
Er zitten 3 componenten in het model: genetische invloeden, hormonen in de
puberteit, en puberale timing. Sociale factoren en negatieve
levensgebeurtenissen die werken met de kwetsbaarheden die in een sociale
en interpersoonlijke vorm komen.
HC 2 24-09-‘21
Examples of health differences:
Seks à women more depressed, less autistic, less addiction, less special education and more
panic disorders
Homoseksuals à more depressed, more suicide (attempts), less good health, more addiction
Class à people form lower class live about 6 years shorter, 20 years less in good health
Etnicity à due to family factors (raising and function of family), SES and health of the child are
children of marrocan, surinam-hindustan or turkish background a lower health score when
looked at european or surinam-creole children
Er zijn verschillen in representatie in de mentale gezondheidszorg, dit kan komen door de situatie waarin
verschillende etniciteiten zich verkeren/verkeerden (oorlog, onstabiele gezinnen, lage SES), of de juiste
weg naar de mentale zorg gevonden kan worden en hoe de cultuur kijkt naar europese mentale zorg.
Schizofrenics (psychosis)
More often amongst people from non-western countries, urban population, low IQ, hearing
impaired, sexually abused
Explanations à competition/stress, feeling a failure, feeling social outcast
, Marrocan-dutch 5x more prevalence of schizofrenics à culturally sensitive questionnaire is fixed
à difference disappeard
Depression and anxiety
· De wit (2008) à zie samenvatting SCC
· % voorkomen depressie of angst stoornis : 6,6% NL, 18,7 turks-NL (hoger bij vrouwen), 9,8%
marrokaans-NL (hoger in mannen), 1,2% surinaams-antilliaans
· Verklaringen: SES, leeftijd, gender, selectieve migratie, migratie-historie, migratie-status, sociale
steun, gebeurtenissen in het leven, discriminatie, coping stijlen.
· Depressie is 2x meer voorkomend bij vrouwen dan bij mannen vanaf de adolescentie
· Verklaringen: biologische kwetsbaarheid (genen en hormonen), temperament,
cognitieve kwetsbaarheid (negatieve stijl, objectificeren van lichamen, geroddel),
negatieve levensgebeurtenissen (verkrachting)
Lagen analyse van diversiteiten
Structureel (sociale context, bronnen en locatie in de maatschappij)
Symbolisch (culturele contect, waarden, stereotyperingen)
Individueel (biologisch, ervaringen)
micro
Meso
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