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Showing papers in "Social Science & Medicine in 1974"


Journal ArticleDOI
TL;DR: Studies of patients' “compliance” with doctors' instructions have generally used an ideal image of the patient as a passive, obedient and unquestioning recipient of medical instructions, which is seen as irrational in the light of medical rationality.

369 citations



Journal ArticleDOI
TL;DR: Examination of the literature pertaining to the processes of communication associated with malignant disease in the hospital setting finds several ways in which new evidence may be sought are suggested.

162 citations


Journal ArticleDOI
TL;DR: The authors conclude (section 9) that causation of disease by psychosocial stimuli is unproven but at a high level of suspicion and evaluation of such health actions in terms of efficiency, safety and cost should be mandatory to establish scientific principles.

148 citations


Journal ArticleDOI
TL;DR: It is argued that thealth and illness can be conceptualized in a specifically sociological frame of reference, with respect to biophysical changes in the organic states of individualis, and presented of a model focusing on the process of status designation with special attention to the circumstances under which individuals are defined as well or ill.

87 citations


Journal ArticleDOI
TL;DR: The prestige structure of the profession was found to be highly related to basic models of the doctor-patient relationship in terms of the control over patient outcomes but not at all related to a specialty's ability to carve out a clear domain of work.

83 citations


Journal ArticleDOI

64 citations


Journal ArticleDOI
TL;DR: The consequences of premature social aging in Parkinsonism for patients' attitudes toward themselves and their outlook on life are examined.

47 citations


Journal ArticleDOI
TL;DR: A framework for further study is developed which focuses upon modernization as the key predictor of use of health services in developing countries as well as the applicability of analyses of determinants of utilization in developed countries to the situation of developing countries such as Tunisia.

42 citations


Journal ArticleDOI
TL;DR: All three student groups for whom data were collected in each year of their program showed a pattern of increasing ATSIM scores over their stay at university; this contrasts with other studies of medical and dental students, which have shown a deterioration in such attitudes.

39 citations


Journal ArticleDOI
TL;DR: A survey of health in new residential areas reveals comparatively good health among wives in a commuter area, and a redeveloped central urban area produces a high level of neurosis among wives living in houses and behaviour problems among children in high-rise flats.

Journal ArticleDOI
TL;DR: In spite of a greater proportion of patients dying in hospital, 69 per cent of the last month of life of the patients taken as a whole was spent at home, indicating where the main burden of care lay.

Journal ArticleDOI
TL;DR: This study compared a group of rural residents to a similar tribal group that had migrated to an urban area and also sought to measure each urban individual's adaptation to urban life, which was related to certain physiological measurements.

Journal ArticleDOI
TL;DR: The experiences had in delivering health services to pastoral Tuareg and Maure nomads living in the West African sahel are presented and a demonstration of the complete separation of health service delivery and tax collection is demonstrated.

Journal ArticleDOI
TL;DR: The increasing prevalence of emerging programs in family health care and the growing popularity of family medicine as an area of commitment for physicians in the United States invites a careful look at the nature of this new area of specialization and at the assumptions which are implied by this development.

Journal ArticleDOI
TL;DR: Data from rural, Illinois heads of households is used to give a plausible interpretation to items previously used in field studies of mental illness, and the importance of status variables and physiological malaise as factors in producing psychological stress is considered.

Journal ArticleDOI
TL;DR: An examination of the psycho-sociol perspectives relevant to the study of family health and a discussion of the importance of the subject supported by a condensed review of recent evidence are examined.


Journal ArticleDOI
C.W. Aakster1
TL;DR: The results are taken as support of the hypothesis that illnesses are the more or less automatic result of a failure to adjust to stress, which is related to macro-social structures and processes.

Journal ArticleDOI
TL;DR: An in-depth analysis of the total cultural situation in southern Haiti indicated that the clinic's lack of knowledge about the local culture and consequent failure to operate within it was a major source of the problem.

Journal ArticleDOI
TL;DR: It is concluded that oral and written complaints should be treated equally seriously and that the increasingly hierarchical administrative arrangements of the National Health Service will inhibit the free flow of complaints and suggestions.


Journal ArticleDOI
TL;DR: In order to teach the interactional, family-systems perspective, it is necessary to convey an epistemology different from the one trainees normally arrive with, which requires not only curriculum but also institutional structures congruent with the alternative approach.

Journal ArticleDOI
TL;DR: It is suggested that life in the community to some extent prevents the development of the secondary handicap of a chronic psychotic which is generally termed institutionalism.

Journal ArticleDOI
Joel E. Cohen1
TL;DR: According to the data in conjunction with substantial assumptions, the elimination of mortality due to schistosomiasis would have increased the expectation of life at birth of Zanzibar males in 1960 by approx.

Journal ArticleDOI
TL;DR: Comparisons of the findings of the epidemiological analyses of family factors and more intensive single case studies indicate that the important causal connections between the early environment and adult mental illness are not detected by the crude statistical approach.


Journal ArticleDOI
TL;DR: An important aspect of the study is to examine differences in prevalence, and determine differences in correlates of disability according to the definition used.

Journal ArticleDOI
TL;DR: Some potential linkages between elements of migrants' adaptation experiences and observed health consequences are suggested, and several factors which appeared to influence this process are described.

Journal ArticleDOI
TL;DR: An epidemiologic study of the frequency and correlates of help-seeking behaviour among Australian university students reporting by questionnaire an emotional or mental illness, finding female students and Arts students were more likely to seek help for emotional illness and Lonely males were less likely to seeking help.