Acute Illness Behavior

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Acute Illness Behavior

• Illness Behavior Paradigm

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I. Primary Process Coping definition

• A. Coping definition from Murphy
• 1.Mobilization of resources to sustain or restore
  situational participation and to intervene in the
  symptomatic experience

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II. Role Relationship Parsons sick role

• A. Exemption p
• B. Not Responsible p
• C. Define illness as undesirable o
• D. Seek technically competent help o
• E. Alternative Roles are attenuated

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III. Lay Others Lay Referral

• A. Freidsons Lay Referral schema
• B. Figure

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IV. Physician Relationship

• A. Szasz and Hollender Types
• 1. Guidance-Cooperation Acute Illness Behavior
• 2. Mutual-Participation Chronic IB HB
• 3. Passivity-Activity Life Threatening IB

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V. Emergence and Change from Davis

• A. Freidsons schema from Tables

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VI. Acute Illness Behavior

• A. Acute illness behavior means physician
  consultation and this occurs in the
  situational perspective when

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• 1. Containment and adaptation are not
  successful because signs and symptoms are not
  controlled by self-care resources or prior
  medical regimens

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• 2. A stable, predictable relationship with
  signs and symptoms cannot be established or
  maintained
• a. Stop them
• b. Bring under control
• c. Modify course
• d. Establish predictable relationship

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• 3. Signs and symptoms are perceived to be beyond
  lay competence or experience
• 4. Signs and symptoms are worrisome, frightening
  or overwhelming and/or
• 5. Signs and symptoms are jeopardizing or
  disrupting to valued situational participation

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• 6. Drifts into therapeutic situations where the
  dominant focus is sign and symptoms coping

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• A. Shift in situation types
• 1. More breaks or Type 3
• 2. More Type 4 or therapeutic
• 3. Greater compromise of Type 1 and 2 or
  less Type 2

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VII. Structural Models

• A. Anderson The Behavioral Model of Health
  Services Utilization

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• B. Ady and Anderson The Health Systems Model

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VIII. Social Psychological Models

• A. Mechanic Theory of Help Seeking
• 1. Visibility and Recognition of S S
• 2. Perception of S S as dangerous
• 3. Extent of S S disruption

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• 4. Frequency and Persistence of S S
• 5. Tolerance for S S
• 6. Available information, knowledge and
  cultural assumptions
• 7. Basic needs that lead to denial
• 8. Competing needs

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• 9. Competing interpretations
• 10. Availability of treatment resources,
  physical proximity and psychological
  and financial costs of taking action

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IX. Health Belief Model
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X. Mead and Leventhal

• A. Self-Regulation Phases in Coping

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• B. Phases in Coping and Interventions

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XI. Acute Illness Behavior Summary
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