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Health Psychology 21 830 424 Spring, 2014 Professor Kent Harber

Health Psychology 21 830 424 Spring, 2014 Professor Kent Harber. Readings and Materials. Text: Health Psychology, 7 th Ed., Taylor, S.E. NJ Books, 167 University Ave. Reader: Affordable Copies, 55 Halsey St. PowerPoint Slides:

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Health Psychology 21 830 424 Spring, 2014 Professor Kent Harber

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  1. Health Psychology 21 830 424 Spring, 2014 Professor Kent Harber

  2. Readings and Materials Text: Health Psychology, 7th Ed., Taylor, S.E. NJ Books, 167 University Ave. Reader: Affordable Copies, 55 Halsey St. PowerPoint Slides: nwkpsych.rutgers.edu/~kharber/healthpsychology/

  3. Health Psychology Defined “Health psychology is devoted to understanding psychological influences on how people stay healthy, why they become ill, and how they respond when they get ill”. Taylor, p. 3

  4. What are “Psychological Influences”? Emotions Social Relations Thoughts Stress Control over thoughts and feelings Personality/Temperament Habits of action Communication What is “Health”? Disease free Symptom free Injury free Physical well-being Mental well-being

  5. World Health Organization (WHO) Definition of Health “A complete state of physical, mental, and social well being and not merely the absence of disease or infirmity”.

  6. Mind-Body Problem Are mind and body separate things? Are they one united thing?

  7. History of Health

  8. Bodies are Beautiful, Sexy, Lovely, Scary, Creepy, Ugly Nasty Things!!!

  9. Pre-Science World: Wonders and Terrors

  10. We Are So Beyond Superstition

  11. Limitations on Pre-Science Understanding of Health Pre-science medicine lacked basic tools for seeing, recording, measuring.

  12. Trephination

  13. International Trephination Advocacy Group (ITAG) The hypothesis here at ITAG has been that making a opening in the skull favorably alters movement of blood through the brain and improves brain functions which are more important than ever before in history to adapt to an ever more rapidly changing world.

  14. Stone Age Migraine Primitive patient: Doc, I get these horrendous headaches. First I see flashing lights, then I hear this pounding, then it feels like a mastodon is standing on my skull. Primitive MD: Hmmm. Let’s see. Yep, that sounds like a classic case of acute evil spirits. Primitive Patient: Is this serious? Primitive MD: Very serious. Fortunately, we have just the remedy for this condition. We’ll poke a small hole in the back of your head, and release the evil spirits. You’ll be your old self. This is called “trephining” Primitive Patient: And is this covered by my insurance?

  15. Humoral System Body contains four circulating fluids: Blood Yellow Bile Black Bile Phlegm Illness: Humors are out of balance. TX: Return balance of humors; bleeding Personality linked to humors. Phlegmatic Mild, calm, thoughtful Sanguine (blood) Warm, passionate, cheerful Bilious (bile) Ill-tempered, crabby

  16. Med. Procedures Based on Humoral System: Leeches, Bleeding, and Blistering

  17. Power of the Placebo Placebos have: a. Lowered blood sugar in diabetics b. Shrunken tumors in cancer patients c. Relieved post-operative pain d. Reduced cholesterol and mortality among cardiac patients. e. Leads to withdrawal symptoms of chemical dependence.

  18. Age of Enlightenment and Tools for Seeing

  19. Separation of Powers and the Power of Separations Separate Domains of Learning: Sciences, philosophy, theology Separation of Church and State Separation of Powers (US Constitution): Executive, Legislative, Judiciary Separations of Mind and Body De Carte: Dualism, mind and body are separate Spinoza: Emotions are irrational, keep separate from reason

  20. Placebo in Drug Trials Placebo can account for more than 30% of analgesic efficacy

  21. Biomedical Model Vs. Biopsychosocial Model

  22. Topics Covered in This Class 1. Introduction 2. Physiological Systems (two classes) 3. Symptoms 4. Pain (two classes) 5. Stress (two classes) 6. Psychoneuroimmunology 7. Denial, optimism, pessimism, and coping 8. Hostility, negative affect, and depression 9. Adjustment to negative events 10. Coping through personal disclosure

  23. Topics Covered in This Class (cont.) 11. Collective coping 12. Social relations and health 13. Negative social support 14. Stigma and illness 15. Being a patient 16. The patient/provider relationship 17. Management of chronic illness 18. Hypertension, heart disease, stroke, and diabetes 19. AIDS and cancer 20. Mortality and body attitudes 21. Health-enhancing behaviors (two classes)

  24. Grading a. Mid-term 40% b. Final 45% c. Project 15% NOTE: Syllabus error—no extra credit for “participation”. Sorry!

  25. House Rules 1. Show up on time—15 + min late = absent 2. Cell phones, electronics off at start of class 3. No texting during class—ever 4. Texting during test—automatic F 5. Drinks OK, food not OK.

  26. Tips on Succeeding in This Class 1. Take notes. Don’t be a passive listener. 2. Read with your pen. Don’t just highlight, make margin notes for main points. 3. Attend class 4. Download Powerpoint slides 5. I’m a nice guy, but a tough grader. Study for exams!

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