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| Preface | p. ix |
| Perspectives on the Sociology of Health, Healing, and Illness | |
| A Brief Introduction to the Sociology of Health, Healing, and Illness | p. 1 |
| Definition of Medical Sociology | p. 1 |
| Historical Development of Medical Sociology | p. 2 |
| Sociology's Contribution to Understanding Health, Healing, and Illness | p. 6 |
| The Role of the Medical Sociologist in the Twenty-First Century | ... MORE |
| Summary | p. 10 |
| Health on the Internet | p. 10 |
| Key Concepts and Terms | p. 10 |
| Discussion Question | p. 10 |
| References | p. 11 |
| The Development of Scientific Medicine | p. 12 |
| A Brief History of Medicine | p. 13 |
| Early Humans | p. 13 |
| The Egyptian Civilization | p. 14 |
| Greek and Roman Societies | p. 14 |
| The Medieval Era | p. 18 |
| Medicine in the Renaissance | p. 19 |
| Medicine from 1600 to 1900 | p. 20 |
| The Ascendancy of Medical Authority in America | p. 23 |
| Perspectives on the Ascendancy of Medical Authority | p. 29 |
| Summary | p. 31 |
| Health on the Internet | p. 31 |
| Key Concepts and Terms | p. 32 |
| Discussion Question | p. 32 |
| References | p. 32 |
| The Influence of the Social Environment on Health and Illness | |
| Social Epidemiology | p. 34 |
| The Work of the Epidemiologist | p. 34 |
| The Epidemiological Transition | p. 36 |
| Life Expectancy and Mortality | p. 40 |
| Infant Mortality | p. 46 |
| Maternal Mortality | p. 50 |
| Morbidity | p. 50 |
| Disability | p. 55 |
| Summary | p. 56 |
| Health on the Internet | p. 56 |
| Key Concepts and Terms | p. 56 |
| Discussion Case | p. 57 |
| References | p. 57 |
| Society, Disease, and Illness | p. 60 |
| The Interrelationship of Fundamental Causes and Proximate Risk Factors: The Case of Developing Countries | p. 62 |
| The Influence of Genetic Transmission on Disease and Illness | p. 63 |
| Cardiovascular Diseases | p. 65 |
| Cancer | p. 70 |
| HIV/AIDS | p. 74 |
| Alzheimer's Disease | p. 79 |
| Mental Illness | p. 81 |
| Summary | p. 84 |
| Health on the Internet | p. 85 |
| Key Concepts and Terms | p. 85 |
| Discussion Case | p. 85 |
| References | p. 86 |
| Social Stress | p. 89 |
| Definition of Stress | p. 89 |
| Historical Development of the Stress Concept | p. 90 |
| A Model of Social Stress | p. 91 |
| Stressors | p. 91 |
| Appraisal of Stressors | p. 97 |
| Mediators of Stress: Coping and Social Support | p. 97 |
| Stress Outcomes | p. 101 |
| The Role of Social Class, Race, and Gender in Social Stress | p. 102 |
| Summary | p. 107 |
| Health on the Internet | p. 108 |
| Key Concepts and Terms | p. 108 |
| Discussion Case | p. 108 |
| References | p. 109 |
| Health and Illness behavior | |
| Health Behavior | p. 112 |
| The Concept of Health | p. 112 |
| Health Behavior | p. 114 |
| Describing Individual Health Behaviors | p. 114 |
| Explaining Health Behavior | p. 120 |
| Summary | p. 127 |
| Health on the Internet | p. 127 |
| Key Concepts and Terms | p. 128 |
| Discussion Cases | p. 128 |
| References | p. 129 |
| Experiencing Illness and Disability | p. 132 |
| Stages of Illness Experience | p. 132 |
| Symptom Experience | p. 132 |
| Assumption of the Sick Role; Illness as Deviance | p. 135 |
| Medical Care Contact/Self-Care | p. 140 |
| Dependent-Patient Role | p. 148 |
| Recovery and Rehabilitation | p. 149 |
| Experiencing Chronic Illness, Impairment, and Disability | p. 149 |
| Summary | p. 153 |
| Health on the Internet | p. 154 |
| Key Concepts and Terms | p. 154 |
| Discussion Question | p. 154 |
| References | p. 155 |
| Health Care Practitioners and Their Relationship with Patients | |
| Physicians and the Profession of Medicine | p. 157 |
| The Profession of Medicine | p. 157 |
| The Social Control of Medicine | p. 163 |
| The Number, Composition, and Distribution of Physicians in the United States | p. 169 |
| Female Physicians | p. 171 |
| Physician Satisfaction and Dissatisfaction | p. 174 |
| Physician Impairment: Stresses and Strains of the Physician Role | p. 176 |
| Summary | p. 177 |
| Health on the Internet | p. 178 |
| Key Concepts and Terms | p. 178 |
| Discussion Case | p. 178 |
| References | p. 179 |
| Medical Education and the Socialization of Physicians | p. 182 |
| The History of Medical Education | p. 182 |
| Modern Medical Education | p. 184 |
| The Medical School Experience: Attitude and Value Acquisition | p. 192 |
| The Medical School Experience: Stress | p. 195 |
| The Medical School Experience: Career Choices | p. 197 |
| Future Directions in U.S. Medical Education | p. 198 |
| Summary | p. 199 |
| Health on the Internet | p. 199 |
| Key Concepts and Terms | p. 199 |
| Discussion Case | p. 200 |
| References | p. 200 |
| Nurses, Mid-Level Health Care Practitioners, and Allied Health Workers | p. 203 |
| Evolution of Nonphysician Health Care Practitioners | p. 203 |
| Nurses and the Field of Nursing | p. 206 |
| Mid-Level Health Care Practitioners | p. 214 |
| Allied Health Workers | p. 217 |
| The Health Care Team | p. 218 |
| Relationships among Health Care Workers | p. 219 |
| The Changing Environment among Health Care Workers | p. 222 |
| Summary | p. 222 |
| Health on the Internet | p. 223 |
| Key Concepts and Terms | p. 223 |
| Discussion Question | p. 223 |
| References | p. 224 |
| Complementary and Alternative Medicine | p. 226 |
| The Meaning of Complementary and Alternative Medicine (CAM) | p. 226 |
| Scientific Medicine and Alternative Healing | p. 227 |
| Complementary and Alternative Healers | p. 228 |
| Chiropractic | p. 232 |
| Acupuncture | p. 236 |
| Spiritual Healing and Christian Science | p. 239 |
| Ethnic Folk Healing | p. 244 |
| Summary | p. 248 |
| Health on the Internet | p. 248 |
| Key Concepts and Terms | p. 249 |
| Discussion Case | p. 249 |
| References | p. 249 |
| The Physician-Patient Relationship: Background and Models | p. 252 |
| Models of the Physician-Patient Relationship | p. 252 |
| Key Dimensions of the Physician-Patient Relationship | p. 254 |
| The Influence of Social Class, Race, and Symptomology on the Physician-Patient Relationship | p. 263 |
| The Influence of Gender on the Physician-Patient Relationship | p. 264 |
| Patient Satisfaction with Physicians | p. 268 |
| Patient Compliance with Medical Regimens | p. 270 |
| Summary | p. 272 |
| Health on the Internet | p. 273 |
| Key Concepts and Terms | p. 273 |
| Discussion Case | p. 273 |
| References | p. 274 |
| Professional and Ethical Obligations of Physicians in the Physician-Patient Relationship | p. 277 |
| Truth-telling as an Issue | p. 277 |
| Confidentiality as an Issue | p. 281 |
| Obligation to Treat AIDS Patients | p. 286 |
| Summary | p. 290 |
| Health on the Internet | p. 291 |
| Key Concepts and Terms | p. 291 |
| Discussion Cases | p. 291 |
| References | p. 292 |
| The Health Care System | |
| The Health Care System of the United States | p. 295 |
| Rating the United States Health Care System | p. 295 |
| The United States Health Care System | p. 296 |
| Health Care Expenditures | p. 297 |
| Explanations for Rapidly Increasing Health Care Costs | p. 304 |
| America's Uninsured Population | p. 307 |
| Cost Containment: Limited Prospective Budgeting, Rationing, and Managed Care | p. 309 |
| The Politics of Health Care Reform | p. 314 |
| Summary | p. 319 |
| Health on the Internet | p. 319 |
| Key Concepts and Terms | p. 320 |
| Discussion Cases | p. 320 |
| References | p. 320 |
| Health Care Delivery | p. 323 |
| The Emergence of Freestanding Ambulatory Care Sites | p. 323 |
| The Flourishing of Managed Care Systems: HMOs and PPOs | p. 327 |
| Emergence of the Modern Hospital | p. 332 |
| Home Health Care | p. 343 |
| Summary | p. 344 |
| Health Care on the Internet | p. 344 |
| Key Concepts and Terms | p. 344 |
| Discussion Case | p. 345 |
| References | p. 345 |
| The Social Implications of Advanced Health Care Technology | p. 347 |
| Health Care Technology | p. 348 |
| The Right to Refuse or Demand Advanced Health Care Technology | p. 353 |
| Organ Donation and Transplantation | p. 361 |
| Assisted Procreation | p. 365 |
| Summary | p. 370 |
| Health on the Internet | p. 370 |
| Key Concepts and Terms | p. 370 |
| Discussion Case | p. 371 |
| References | p. 371 |
| Comparative Health Care Systems | p. 373 |
| Major Influences on Health Care Systems | p. 373 |
| Health Care Services in Developing and Industrialized Countries | p. 375 |
| Types of Health Care Systems | p. 375 |
| China | p. 377 |
| Russia | p. 380 |
| Canada | p. 383 |
| Great Britain | p. 388 |
| Common Challenges to Health Care Systems Around the World | p. 390 |
| Summary | p. 391 |
| Health on the Internet | p. 391 |
| Key Concepts and Terms | p. 391 |
| Discussion Questions | p. 392 |
| References | p. 392 |
| Photo Credits | p. 394 |
| Name Index | p. 395 |
| Subject Index | p. 401 |
| Table of Contents provided by Ingram. All Rights Reserved. |