Australia\u27s health 2000 : the seventh biennial report of the Australian Institute of Health and Welfare

Australia\u27s Health 2000 is the seventh biennial health report of the Australian Institute of Health and Welfare. It is the nation\u27s authoritative source of information on patterns of health and illness, determinants of health, the supply and use of health services, and health services costs and performance.This 2000 edition serves as a summary of Australia\u27s health record at the end of the twentieth century. In addition, a special chapter is presented on changes in Australia\u27s disease profile over the last 100 years.Australia\u27s Health 2000 is an essential reference and information source for all Australians with an interest in health

Ayurvedic Psychology: Ancient Wisdom Meets Modern Science

Ayurveda is a holistic medical system based on ancient Indian texts that utilizes natural treatments, botanical medicines, and lifestyle and dietary practices to promote healing of the body, mind, senses, and spirit. Interest in Ayurveda has grown in the United States over the last two decades, as consumers, therapists, scientists, and health regulators have recognized its holistic and preventative benefits. According to Ayurveda, every human being is composed of a unique proportion of these elemental energies, a foundational theory in Ayurveda known as tridosha. The three doshas (vata, pitta, kapha) represent three psychobiological constitutional types that govern all human characteristics, activities, and patterns of health and illness. Preliminary genomic research suggests there may correlations between the doshas and certain genetic patterns. Other early research applying doshic theory to various populations shows similar promise. Ayurvedic treatments are also being tested for efficacy both in medical and psychological applications, but it is often examined in ways that isolate individual therapeutic substances or treatments in a way that is antithetical to the holistic approach of Ayurveda. This approach might be more fruitfully paired with a holistic approach to psychology such as that offered by transpersonal psychology

The ecology of suffering: developmental disorders of structured stress, emotion, and chronic inflammation

'Punctuated equilibrium' models of cognitive process, adapted from the Large Deviations Program of probability theory, are applied to the interaction between immune function and emotion in the context of culturally structured psychosocial stress. The analysis suggests: (1) Chronic inflammatory diseases should be comorbid and synergistic with characteristic emotional dysfunction, and may form a collection of joint disorders most effectively treated at the individual level using multifactorial 'mind/body' strategies. (2) Culturally constructed psychosocial stress can literally write an image of itself onto the punctuated etiology and progression of such composite disorders, beginning a trajectory to disease in utero or early childhood, and continuing throughout the life course, suggesting that, when moderated by 'social exposures', these are developmental disorders. (3) At the community level of organization, strategies for prevention and control of the spectrum of emotional/inflammatory developmental disorders must include redress of cross-sectional and logitudinal (i.e. historical) patterns of inequality and injustice which generate structured psychosocial stress. Evidence further suggests that within 'Westernized' or 'market economy' societies, such stress will inevitably entrain high as well as lower stutus subopulations into a unified ecology of suffering

Family health narratives : midlife women’s concepts of vulnerability to illness

Perceptions of vulnerability to illness are strongly influenced by the salience given to personal experience of illness in the family. This article proposes that this salience is created through autobiographical narrative, both as individual life story and collectively shaped family history. The paper focuses on responses related to health in the family drawn from semi-structured interviews with women in a qualitative study exploring midlife women’s health. Uncertainty about the future was a major emergent theme. Most respondents were worried about a specified condition such as heart disease or breast cancer. Many women were uncertain about whether illness in the family was inherited. Some felt certain that illness in the family meant that they were more vulnerable to illness or that their relatives’ ageing would be mirrored in their own inevitable decline, while a few expressed cautious optimism about the future. In order to elucidate these responses, we focused on narratives in which family members’ appearance was discussed and compared to that of others in the family. The visualisation of both kinship and the effects of illness, led to strong similarities being seen as grounds for worry. This led to some women distancing themselves from the legacies of illness in their families. Women tended to look at the whole family as the context for their perceptions of vulnerability, developing complex patterns of resemblance or difference within their families

Social networks : the future for health care delivery

With the rapid growth of online social networking for health, health care systems are experiencing an inescapable increase in complexity. This is not necessarily a drawback; self-organising, adaptive networks could become central to future health care delivery. This paper considers whether social networks composed of patients and their social circles can compete with, or complement, professional networks in assembling health-related information of value for improving health and health care. Using the framework of analysis of a two-sided network – patients and providers – with multiple platforms for interaction, we argue that the structure and dynamics of such a network has implications for future health care. Patients are using social networking to access and contribute health information. Among those living with chronic illness and disability and engaging with social networks, there is considerable expertise in assessing, combining and exploiting information. Social networking is providing a new landscape for patients to assemble health information, relatively free from the constraints of traditional health care. However, health information from social networks currently complements traditional sources rather than substituting for them. Networking among health care provider organisations is enabling greater exploitation of health information for health care planning. The platforms of interaction are also changing. Patient-doctor encounters are now more permeable to influence from social networks and professional networks. Diffuse and temporary platforms of interaction enable discourse between patients and professionals, and include platforms controlled by patients. We argue that social networking has the potential to change patterns of health inequalities and access to health care, alter the stability of health care provision and lead to a reformulation of the role of health professionals. Further research is needed to understand how network structure combined with its dynamics will affect the flow of information and potentially the allocation of health care resources

Relating realist metatheory to issues of gender and mental health

This paper seeks to advance the debate that considers critical realism as an alternative approach for understanding gender and mental health and its relatedness to mental health research and practice. The knowledge base of how ‘sex’ and ‘gender’affect mental health and illness is expanding. However, the way we conceptualize gender is significant and challenging as quite often our ability to think about ‘gender’as independent of ‘sex’ is not common. The influences and interplay of how sex (biological) and gender (social) affect mental health and illness requires consideration. Critical realism suggests a shared ontology and epistemology for the natural and social sciences. While much of the debate surrounding gender is guided within a constructivist discourse, an exploration of the concept ‘gender’ is reflected on and some key realist propositions are considered for mental health research and practice. This is achieved through the works of some key realist theorists. Critical realism offers potential for research and practice in relation to gender and mental health because it facilitates changes in our understanding, while simultaneously, not discarding that which is already known. In so doing, it allows the biological (sex) and social (gender) domains of knowledge for mental health and illness to coexist,without either being reduced to or defined by the other. Arguably, greater depth and explanations for gender and mental health issues are presented within a realist metatheory