Week 2 - Introduction to Medical Models

Session 1 – Medical Pluralism

  1. Free Writing Task and Lecture Questions 
  2. Session summary and reflection 
  3. Learning Outcome – Medical Pluralism 

Free Writing Task and Lecture Question

To do: write for 5 minutes completing this sentence:

“When I am sick I… and then…”

When I am sick I assess my symptoms. I see what possible medications I can take at home. I take the medications and see for how long these symptoms last. If these symptoms prolong then I go to the doctor and explain my whole process. If I have a severe headache I will take Panadol.  I will see if this headache continues for a day or two even after taking Panadol. If it does I go to the doctor. If it goes away, I take note of it and if later I have other symptoms and it does not go away with my above mentioned process I will mention the headache and the new symptoms to my doctor. 

Time taken 5 min 12 seconds 

 

a.     How would analyse the things you wrote about?

  •  I  wrote  my thought process. I mentioned what I would do and if it failed what else I would do.

b.     Can you Identify themes in your writing?

  •  Freedom
  •  Self-resilience 
  •  Critical thinking 

c.     What does this story tell about you help-seeking behaviour 

  • I am a more free and independent help seeker. I try my best to solve my own problems before seeking help. This may also be a downfall because I try to self-diagnose before consulting a doctor and may miss a serious condition.

What do you do when you experience misfortune

a.     If you were in a car accident, where would you go?

            •  I would contact my parents or siblings

b.     If you were too scared to drive a car again, would you ask for help?

            • When I had a car accident I was terrified to get back on the road but I mustered up courage and just did it anyways. It took me some time to get my confidence back but I did it and I didn’t ask for any help. There is nothing wrong with asking for help but personally I am used to dealing with my own problem and it makes me stronger as a person.

c.     If you needed help recovering motor functions after the accident, who would be the best person to help you?

            •  Again, I am used to dealing with things on my own. I am sure my parents or sibling would be of great help but at the end of the day I wouldn’t burden them with it.

d. If you had persistent pain after many years from that accident and pain killers don’t work, who would you consult?

            •  I would consult a specialist or a physical therapist. 

How many forms of care can you think of?

  •  Physical Self-Care
  •  Social Self-Care
  •  Mental Self-Care
  •  Spiritual Self-Care
  •  Emotional Self-Care

Session summary and reflection

Many factors that affect health choice

  •  Economic circumstances
  •  Culture and belief
  •  Education 
  •  Environmental circumstances 
  •  Access to care
  •  Political views
  •  Social views

Choice of treatment is influenced by:

  •  Characteristics of Patient/household
  •  Characteristic of health service
  •  Characteristic of illness

Different forms of care

  •  Biomedicine
  •  Homeopathy
  •  Chiropractic
  •  Ethnobotany
  •  Herbalism
  •  Osteopathy 

Medical pluralism is an approach to treatment that employs more than one medical system for one or more conditions at once. 

Relation of healing of different sectors

  • Popular – Caring
  • Folk – Restoring
  • Professional  – Fixing
 

Learning Outcome - Medical Pluralism

  •  Define Medical Pluralism and discuss the significance of this concept in the South African health landscape.
    •  Medical pluralism is an approach to treatment that employs more than one medical system for one or more conditions at once.
      •  It is very significant in South Africa as many people seek for different types of health
  •  Describe and discuss Kleinman’s model of the three sectors of health in relation to the concept of medical pluralism.
    •  Popular – Caring
      •  First thing one does when seeking help
    •  Folk – Restoring
      •  Seeking spiritual or traditional help
    •  Professional  – Fixing
      •  Seeking medical help