CHAPTER 9
MENTAL & PHYSICAL HEALTH:
STRESS, CHANGE, & ADAPTATIONS
PHYSICAL HEALTH
Defining Illness
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The common assumption is that the differences
between women and men are due to hormones.
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Consequences
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Medicine tends to define women's normal hormonal
fluctuations as forms of disease.
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Men's hormonal fluctuations are described
as normal.
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Physicians often fail to recognize problems
in women that they are quick to see in men.
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Medicine vacillates between the view that
women have more medical problems and need more medical care than men AND
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the view that women are hypochondriacs whose
complaints can be treated with tranquilizers.
PHYSICAL ILLNESS IN WOMEN
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Breast Cancer
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Congestive Heart Disease
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Scoliosis
PHYSICAL ILLNESS IN MEN
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The Myth
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The Truth
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MEN...in Western, industrialized countries
live between seven and eight years less than women.
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...are much more likely to die in motor vehicle
and work-related accidents than women.
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...are three times as likely to commit
suicide.
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...are five times as likely to die from homicide.
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...die from ailments that are widely considered
to be preventable.
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...are more likely to exhibit problems with
alcohol and illicit drug abuse.
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...are less likely to consult medical or mental
health services for health-related assistance.
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Causal Explanations
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Biological Explanations
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The Y Problem
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Prenatal Problems
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Environmental Explanations
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Psychosocial Explanations
Consequences of the Male Gender Role
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Poor diet
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Ignore physical health symptoms
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Engage in compulsive, smoking, eating, or
caffeine consumption
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Little social support
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Denial of Feminine Behaviors
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Male stereotype is defined in terms of "not
feminine."
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"woman=hypochondriac"
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Alcohol and Drug Abuse
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Connected to rituals
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Spiraling pattern of addiction
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Values Toward Sexuality
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Ultimate Masculine Rite of Passage
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Risky Behaviors
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In Conclusion
MENTAL HEALTH
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Women's Mental Health
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Eating Disorders
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Anorexia Nervosa
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Definition
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Diagnostic Symptoms
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Loss of 20% of body weight
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Amenorrhoea
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Thinning hair
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Dry, flaking skin
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Constipation
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Lanugo
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Lowered body temperature
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Etc.
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Who
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Why
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How
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Outcome
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Bulimia
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Theories and Current Thinking
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Biological Causes
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Psychoanalytic Theory
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Learning Theory
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Current Thinking
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Factors
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Predisposing
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Precipitating
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Sustaining
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Obesity
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"Normal" Desire for Thinness
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50% of college men are of normal weight
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Of these 25% perceive themselves as underweight
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25% perceive themselves as overweight
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Want to GAIN an average of 2.9 pounds
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40% of college women are of normal weight
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0% perceive themselves as underweight
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60% perceive themselves as overweight
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Want to LOSE an average of 8.4 pounds
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Slightly Overweight
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Men want to lose 5.5 pounds
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Women want to lose 24 pounds
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Even slightly underweight women want to lose
1.4 pounds
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Prejudice and Discrimination
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Children
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Adult Women
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Adult Men
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Health
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DEPRESSION
Clinical Interviews
Confounding Variables
Stereotypes
Alcoholism
Possible Causes
Social Rejection
Gender Roles
Marital Roles
Role Conflict/Strain
Cross-Cultural Studies
Developed Countries
Undeveloped Countries
Are we asking the wrong questions?
Depression or DepressionS
Variability in Treatment Outcomes
Maybe we should be asking
Are the symptoms the same for men and women?
Are the risk factors the same?
Are there differences in depression at different
developmental stages?
SUICIDE
Rates
Men complete suicide 2.3 times more often
than women
Women attempt suicide 2.3 times more often
than men
If completions and attempts are combined there
is no difference in rates
Lethality of Method
Guns versus Pills
Consequences of Locating Suicide in the Male
Sphere
Leads to wrong recommendations
Proscribes how and what is studied
MULTIPLE PERSONALITY DISORDER
Culture-bound Syndrome
Spanos, N. P. (1994). Multiple identity enactments
and multiple personality disorder: A sociocognitive perspective. Psychological
Bulletin, 116, 143-165.
Men's Mental Health
Stress
Immune System Reactions
Types of Challenges
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