Recap:
Main Lessons
From Tenth Stop in Your Learning Journey
Ageing & Health
The School of Health Sciences, Ngee Ann Polytechnic, Singapore
Your Learning Points
We have come to the end of this semester. Within this learning journey, you have explored both Psychology and Sociology to try and understand how our thoughts and society both plays a tremendous role in shaping our behaviour and life course. As all of you are prepping to become future "life-savers" as a healthcare professional, the understanding of how your future patients think about their health and illness(Psychology) and how their social environment may affect their health decisions are crucial to help them fight off medical challenges.
The Sociology of Ageing
As we age, our social status will change. The social network that we have establish may be damaged either through the loss of members (death) or the change in social status (retirement, children growing up and having their own life). These changes would affect the way an elderly individuals feel or think about themselves and by extension their health behaviour.
Disengagement Theory (Cumming & Henry, 1961)
The Disengagement Theory is a set of theory that suggested that as social beings get older, they prepare for their end-of-life by actively disengaging from their society. Johnson & Mulcher (2013), in their review described this theory as "a systematic way of understanding the social withdrawal accompanying age-related personal declines" but they also noted the theory's main weaknesses which were that it was not supported by evidence and did not into account individual elderly' behavioural variability. This social theory arose during the 60s where there were far more younger people than older people. It is now debunked and not seen as a credible theory.
Activity Theory (Lemon, Bengtson, & Peterson, 1972)
These two theories takes a more active view of ageing. Instead of the more negative view of "waiting to die" as posited by the Disengagement Theory, these two theories look at how the elderly has control over their life course. The Activity Theory postulate that the more activity the elderly has, the better adjusted they will be with ageing and will thus result in healthy lifestyle due to positive thoughts (Lemon, Bengtson, & Peterson, 1972).
Continuation Theory (Atchley, 1989)
The Continuation Theory looks at how elderly who manage to continue to play their social roles or find ways to re-construct their social roles to adapt to their changing social status may experience a healthier psychology than those who could not (Atchley, 1989). This theory is linked to the Activity Theory because a continuation of social roles would meant that the elders would have a more activity filled life. Social Inclusion (being a part of society) is therefore seen as a basic human rights that should be accorded to the older individuals in the society.
Civic Engagement Theory (Hinterlong & Williamson, 2006/2007; Morrow-Howell, 2011)
Johnson & Mutchler (2013) noted in their article on Positive Gerotology that there are at least two benefits of an active civic life for the elderly:
personal benefits realised by the participant, such as strengthened social networks and cognitive stimulation
gains realised by communities via the contributions of civically engaged older participants
This theory goes one step further in arguing that an active civic engagement by older people should be encouraged or facilitated by society. This way both the elderly and society will benefit. In the case of healthcare, the healthcare costs of the society may be reduced due to healthier active elderly members of the society.
Ageing & the Transtheoretical Model of Behavioural Change
The Transtheoretical Model of Behavioural Change is fairly useful model of looking at the process of planning behavioural change in stages. This will then make a complicated effort easier to navigate and implemented. This framework would also allow us to identify where our patients are at in their journey of behaviour change. Knowing which stage of the TTM the patients are at may help us to understand what is needed to figure out where they are "stuck" at that stage so that we can find out why they are stuck there. This may allow us to come up with solutions to figure out how to push the patients along towards a higher cance of successful behavioural change that leads to better health decision or behaviour.
Last Words...
We will leave the always excellent Nicole Sweeney from CrashCourse YouTube channel to summarise how Sociology healps us to understand the health behaviours of our patients and ourselves.
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The original video lecture can be found in its original link in YouTube via this link: https://youtu.be/8NGlENS1qgo
Sweeney, N., & CrashCourse, (2018, January 30). Socialization: Health & Medicine: Crash Course Sociology #42. Retrieved February 26, 2020, from https://youtu.be/8NGlENS1qgo