A Critical Analysis of the Medical Model as used in the Study of Pregnancy and Childbirth

One key concept in medical sociology/anthropology for the analysis of approaches to health and illness is the medical model. However, this medical model is not only applied at the analytical level, i.e. as a sociological tool, but it also appeals to health service providers at a practical level as a model of working practice. This paper challenges the uncritical use of the medical model by practitioners and social scientists alike. The purpose of this paper is to separate and analyse the three different levels of understanding expressed in any model of childbirth, whether medical or social: (1) the practical; (2) the ideological and (3) the analytical level. Social scientists are advised to reflect on the question: 'At what level am I using the medical model as a theoretical concept in my work?' This is necessary not only to avoid further confusion, but also to ensure that our sociological tools maintain their ability to analyse the social world appropriately, without becoming 'blunt' due to the uncritical use

The new medical model: a renewed challenge for biomedicine

Over the past 25 years, several new “medicines” have come screeching onto health care’s various platforms, including narrative medicine, personalized medicine, precision medicine and person-centred medicine. Philosopher Miriam Solomon calls the first three of these movements different “ways of knowing” or “methods,” and argues that they are each a response to shortcomings of methods that came before them. They should also be understood as reactions to the current dominant model of medicine. In this article, I will describe our dominant model, which I call “the new medical model.” I will argue that several towering problems in modern medicine can be traced to its philosophical foundations, which calls for philosophical analysis

A Critical Analysis of the Medical Model As Used in the Study of Pregnancy and Childbirth

One key concept in medical sociology/anthropology for the analysis of approaches to health and illness is the medical model. However, this medical model is not only applied at the analytical level, i.e. as a sociological tool, but it also appeals to health service providers at a practical level as a model of working practice. This paper challenges the uncritical use of the medical model by practitioners and social scientists alike. The purpose of this paper is to separate and analyse the three different levels of understanding expressed in any model of childbirth, whether medical or social: (1) the practical; (2) the ideological and (3) the analytical level. Social scientists are advised to reflect on the question: 'At what level am I using the medical model as a theoretical concept in my work?' This is necessary not only to avoid further confusion, but also to ensure that our sociological tools maintain their ability to analyse the social world appropriately, without becoming 'blunt' due to the uncritical use.Medical Sociology, Childbirth, Medical Model, Social Model, Midwifery, Pregnancy, Child Birth, Risk, Medicalisation.

Cognitive representations of disability behaviours in people with mobility limitations : consistency with theoretical constructs

Disability is conceptualised as behaviour by psychological theory and as a result of bodily impairment by medical models. However, how people with disabilities conceptualise those disabilities is unclear. The purpose of this study was to examine disability representations in people with mobility disabilities. Thirteen people with mobility disabilities completed personal repertory grids (using the method of triads) applied to activities used to measure disabilities. Ten judges with expertise in health psychology then examined the correspondence between the elicited disability constructs and psychological and medical models of disability. Participants with mobility disabilities generated 73 personal constructs ofdisability. These constructs were judged consistent with the content of two psychological models, namely the theory of planned behaviour and social cognitive theory and with the main medical model of disability, the International Classification of Functioning Disability and Health.Individuals with activity limitations conceptualise activities in a manner that is compatible with both psychological and medical models. This ensures adequate communication in contexts where the medical model is relevant, e.g. clinical contexts, as well as in everyday conversation about activities and behaviours. Finally, integrated models of disability may be of value for theory driven interdisciplinary approaches to disability and rehabilitation

“I’d Rather Be Dead Than Disabled”—The Ableist Conflation and the Meanings of Disability

Despite being assailed for decades by disability activists and disability studies scholars spanning the humanities and social sciences, the medical model of disability—which conceptualizes disability as an individual tragedy or misfortune due to genetic or environmental insult—still today structures many cases of patient–practitioner communication. Synthesizing and recasting work done across critical disability studies and philosophy of disability, I argue that the reason the medical model of disability remains so gallingly entrenched is due to what I call the “ableist conflation” of disability with pain and suffering. In an effort to better equip healthcare practitioners and those invested in health communication to challenge disability stigma, discrimination, and oppression, I lay out the logic of the ableist conflation and interrogate examples of its use. I argue that insofar as the semiosis of pain and suffering is structured by the lived experience of unwelcome bodily transition or variation, experiences of pain inform the ableist conflation by preemptively tying such variability and its attendant disequilibrium to disability. I conclude by discussing how philosophy of disability and critical disability studies might better inform health communication concerning disability, offering a number of conceptual distinctions toward that end

Autism = Death: The social and medical impact of a catastrophic medical model of autistic spectrum disorders

This discussion interrogates the continuing impact of the pervasive and persistent usage of debilitating metaphors perpetuating ‘historical’ superstitions, myths and beliefs surrounding disability. This article examines the real-life consequences of the power exercised through the deployment of derogatory metaphors and their very real effects on care and treatment decisions. The article illuminates how diagnostic categories and their associative metaphors work to situate boundaries of normality with pathologising difference. It concludes by demonstrating the catastrophic effect of the metaphoric dehumanisation of autistics that has recently culminated in murder being euphemistically referred to and condoned as ‘mercy killing’

On the very idea of a recovery model for mental health

Both in the UK and internationally, the ‘recovery model’ has been promoted to guide mental healthcare in reaction against what is perceived to be an overly narrow traditional bio-medical model. It has also begun to have an influence in thinking more broadly about mental health both for individuals and for communities and in the latter case has been linked to policies to promote social inclusion. In this widening application, however, there is a risk that the model becomes too broad to count as a model and thus to compete with other models such as a bio-medical model of health or illness. In this short paper we sketch some of the competing views of illness and health in order to locate and articulate a possible recovery model for mental health. We suggest that a distinct recovery model could be based on a view that places values at the centre of an analysis of mental health. Our aim, however, is to clarify the options rather than defend the model that emerges. We do, however, caution against one possible version of a recovery model. Thus if a recovery model were to be defended along the line we sketch we think that it would be better to construe the values involved on eudaimonic rather than hedonic lines

Fingernail Injuries and NASA's Integrated Medical Model

The goal of space medicine is to optimize both crew health and performance. Currently, expert opinion is primarily relied upon for decision-making regarding medical equipment and supplies flown in space. Evidence-based decisions are preferred due to mass and volume limitations and the expense of space flight. The Integrated Medical Model (IMM) is an attempt to move us in that direction

Mental Health Nurse Prescribing: Challenges in Theory and Practice

This article addresses the historical context of mental health nursing and its relationship to nurse prescribing.; examines some of the theoretical and philosophical forces that have molded modern mental health nursing, discussing the tensions between the medical model and the psychosocial models favoured by many mental health nurse academics and practitioners over the last forty years; and finally discusses the issues and challenges around commencing prescribing in practice, especially when nurse prescribing is not integral to the practitioner’s role. The article intends to examine the theoretical basis for mental health nurse prescribing, to discuss some of the theoretical tensions which are implicit; and describes briefly the author’s own experience as a recently qualified nurse prescriber

Recovery from psychosis : physical health, antipsychotic medication and the daily dilemmas for mental health nurses

This paper considers some of the dilemmas experienced by Mental Health Nurses everyday when faced with the seemingly conflicting relationships that exist between recovery, antipsychotics and the physical health of people experiencing psychosis. We examine the role of antipsychotics in the process of recovery from psychosis and argue that Mental Health Nursing’s laudable shift away from the medical model towards the concept of self-defined personal recovery should not result in overlooking the importance of physical health and medication management. Mental Health Nurses have a responsibility to help services users make an informed choice about treatment; this exchange of information should be based on the best available evidence rather than philosophical values or personal opinion