Medicine & Health in Modern Society

Transcription

1 Medicine & Health in Modern Society Sociology 225, Fall 2016 Wednesday, Friday: 4:05-5:25pm McGill University Currie 408/9 Instructor: Sarah Berry Teaching Assistant: Kimberly Seida Instructor Office: Social Studies of Medicine building, 3647 Peel Instructor Office Hours: by appointment TA Office Hours: TBA TA Office: Leacock Room 822A Course Description This course provides an introduction to the sociology of health, illness, and medicine in Canada. Students will explore theoretical and methodological approaches to these intersecting areas, and examine the social contexts within which individuals experience and interpret health, illness and medical care. Topics will include HIV/AIDS, breast cancer, mental health, and health care systems. Throughout the course, students will be encouraged to consider the diverse processes though which socio-cultural understandings of sex, gender, racialization, ethnicity, and socioeconomic status among other factors - affect experiences of health, illness, and medical care. Course Requirements: 1) Exams: There will be two exams: one midterm during the semester, and one final exam that will be scheduled during the final exam period in December. Students will be expected to attend the exams on the scheduled dates and times. The midterm exam will take place during the regular lecture period on Wednesday, October 19 th. The midterm exam will consist of multiple choice questions only, and will be worth 30% of your final course grade. The final exam (date to be set by the University) will primarily cover course content after the midterm, but may also include any theories covered during the semester, and will be worth 30% of the final course grade. The final exam will consist of a blend of multiple choice and short essay questions. (30% Midterm + 30% Final Exam = 60% of final course grade). 2) Paper: Each student is required to write one 8-page paper on a topic covered in lectures or presented in the readings. You will be expected to demonstrate an understanding of the course materials, and to use one of the theoretical approaches discussed in the introductory lectures to explore your topic. Detailed guidelines for the paper will be posted on the mycourses website. A paper proposal worth 10% is due no later than Wednesday, November 2 nd, via mycourses. More details about the paper will be discussed during the semester, and guidelines will be posted on mycourses. The final paper is due no later than Monday, December 5 th. The final paper is worth 30%. (10% Proposal + 30% paper = 40% of final course grade). No late paper proposals or papers will be accepted. 3) Participation and Attendance: Regular attendance at lectures, and participation during class discussions is strongly encouraged. Lectures will not be recorded. If you miss a class, you should contact a classmate to obtain lecture notes before meeting with the instructor or TA to ask questions about missed content. 1

2 4) Conferences: Exam reviews will be held during conference sections and films may be shown during these times (see schedule for film dates and exam review sessions). There will be no formal conferences held during the semester, and you do not need to register for the conference sections. If you are unable to attend the scheduled film screenings, you may borrow the films from the library to view them. If you miss the exam review sessions, notes from the sessions will be posted on mycourses. Conference time slots will be discussed in class. Summary of SOCI 225 important dates & deadlines for exams & assignments Date/Deadline % final course grade Midterm exam (M/C only) Wednesday, October 19 th 30% Paper Proposal Wednesday, November 2 nd 10% Final Paper Monday, December 5 th 30% Final Exam (M/C & S answer) TBA (Dec th, Set by University) 30% Required Readings: There is no required textbook for this course. All required readings will be available via mycourses. MyCourses/WEBCT: The SOCI 225 mycourses website will be updated regularly with important announcements and information about the course. It is very important that you know how to access the site, and that you do so regularly. ***Please Note: While it is unlikely that this syllabus will change substantially, it is possible that minor revisions may be made. While changes will be announced in class, it is your responsibility to keep up to date with the syllabus and the course materials. *** Accommodations for Religious Holy Days or Sickness No late assignments will be accepted for this course, and no make-up exams will be offered. Exceptions to these rules will only be granted in cases where sickness or religious holy days pose conflicts, and such exceptions will abide by McGill policies on these matters. In the case of religious holy days, students must inform the instructor at least two weeks prior to each conflict. Students unable to write a class exam or submit an assignment due to medical/personal reasons must notify the instructor as soon as possible, and submit appropriate documentation no later than one week after the date of the exam or deadline of the assignment. Academic Integrity and Grading Policy: McGill University values academic integrity. Therefore, all students must understand the meaning and consequences of cheating, plagiarism and other academic offences under the Code of Student Conduct and Disciplinary Procedures (see for more information).(approved by Senate on 29 January 2003) L'université McGill attache une haute importance à l honnêteté académique. Il incombe par conséquent à tous les étudiants de comprendre ce que l'on entend par tricherie, plagiat et autres infractions académiques, ainsi que les conséquences que peuvent avoir de telles actions, selon le Code de conduite de l'étudiant et des procédures disciplinaires (pour de plus amples renseignements, veuillez consulter le site 2

3 In accord with McGill University s Charter of Students Rights, students in this course have the right to submit in English or in French any written work that is to be graded. (approved by Senate on 21 January see also the section in this document on Assignments and evaluation.) Conformément à la Charte des droits de l étudiant de l Université McGill, chaque étudiant a le droit de soumettre en français ou en anglais tout travail écrit devant être noté (sauf dans le cas des cours dont l un des objets est la maîtrise d une langue). Week 1: Introduction Sept 7: Course Overview & Introductory Lecture: What is Health? Sept 9: Introduction to Theorizing about Health: a case study & discussion (Kimberly Seida) Chapter 1: Imagining Health Problems as Social Issues in Second Opinion Shapin, Steve. (2006). Sick City: Maps and mortality in the time of cholera. The New Yorker. 2 December Week 2: Thinking Sociologically about Health, Illness, and Medicine Sept 14: Historical Perspectives on Medicine, Health, and Illness: Miasma Theory Sept 16: Biomedical Model & Germ Theory vs. Social Determinants of Health & Illness McKinlay, J.B. & McKinlay, S.M. (1997). The Questionable Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century. The Milbank Memorial Fund Quarterly: Health and Society 55 (3): Link, Bruce G. and Jo Phelan. (1995) Social Conditions as Fundamental Causes of Disease. Journal of Health and Social Behavior Extra issue: McKinlay, John B. (1994). A Case for Refocusing Upstream: The Political Economy of Illness in Conrad, P. (ed). The Sociology of Health & Illness: Critical Perspectives, 7th edition. New York: Worth Publishers. pp Week 3: Sociological & Social Theoretical Perspectives on Health, Illness, and Medicine Sept 21: Classical Sociological Theorizing about Health, Illness, and Medicine Sept 23: Contemporary Social Theory & Health: Identity & Embodiment (Part 1 of 4) Chapter 2: Theorizing Health: Major Theoretical Perspectives in Health Sociology in Second Opinion (pp ) Bird, C.E. & Rieker, P. F. (1999). Gender Matters: an integrated model for understanding men s and women s health. Social Science & Medicine 48: Springer, K.W., Hankivsky, O., & Bates, L. M. (2012). Gender & health: relational, intersectional, and biosocial approaches. Social Science & Medicine 74:

4 Week 4: Social Theoretical Perspectives on Health, Illness, and Medicine Sept 28: Contemporary Social Theory & Health: Identity & Embodiment (Part 2 of 4) Sept 30: Contemporary Social Theory & Health: Identity & Embodiment (Part 3 of 4) Conference: And The Band Played On (film) Feinberg, L. (2001). Trans Health Crisis: For Us It s Life and Death. American Journal of Public Health 91 (6): Russell, S. T., & Fish, J. N. (2016). Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. Annual Review of Clinical Psychology, 12, Week 5: Social Theoretical Perspectives on Health, Illness, and Medicine October 5: Contemporary Social Theory & Health: Identity & Embodiment (Part 4 of 4) October 7: Contemporary Social Theory & Health: Power Relations & Complex Systems (Part 1 of 3) Gravlee, C.C. (2009). How Race Becomes Biology: Embodiment of Social Inequality. American Journal of Physical Anthropology, 139, Krieger, N. (2012). Methods for the Scientific Study of Discrimination and Health: An Ecosocial Approach. American Journal of Public Health, 102(5), Jenkins EK. (2014). The politics of knowledge: implications for understanding and addressing mental health and illness. Nursing Inquiry 21: Week 6: Social Theoretical Perspectives on Health, Illness, and Medicine October 12: Contemporary Social Theory & Health: Power Relations & Complex Systems (Part 2 of 3) October 14: Contemporary Social Theory & Health: Power Relations & Complex Systems (Part 3 of 3) Diez Roux, A.V. (2007). Integrating social and biologic factors in health research: a systems view. Ann Epidemiol 17 (7): Landecker, H. & Panofsky, A. (2013). From Social Structure to Gene Regulation, and Back: Environmental Epigenetics for Sociology. Annual Review of Sociology 39: Rose, N. & Abi-Rached, J.M. (2013). Introduction in Neuro: The New Brain Sciences and the Management of the Mind. New Jersey: Princeton University Press. Pp Week 7: Socioeconomic Status, Income Inequality & Health Oct 19: Midterm Exam: (in-class; covers all content from Sept 7 Oct. 14) Oct 21: Socioeconomic Status, Income Inequality & Health Seabrook, J.A. & Avison, W.R. (2012). Socioeconomic Status and Cumulative Disadvantage Processes across the Life Course: Implications for Health Outcomes. Canadian Review of Sociology 49 (1):

5 Week 8: Environment(s) & Health Oct 26: Environments & Health Oct 28: Occupations, Work, and Health Required reading: Mitchell, K., & D'Onofrio, Z. (2016). Environmental injustice and racism in Canada: The first step is admitting we have a problem. Journal of Environmental Law and Practice, 29: Mittelstaedt, Martin. (2004). Dying for a Living. The Globe & Mail. 13 March, Week 9: Homelessness, Poverty, Substance Use & Marginality Nov 2: Homelessness, Poverty, Substance Use & Marginality (***Paper Proposal due today***) Nov 4: Homelessness in Montréal, Québec: A Case Study Raphael (2002). Poverty, Income inequality, and Health in Canada. CJS Foundation for Research & Education. Gold, Fiona. (2009). Street Nursing. American Journal of Nursing, 109 (7): Marshall, B.D.L., Milloy, M-J., Wood, E., Montaner, J.S.G., Kerr, T. (2011). Reduction in overdose mortality after the opening of North America s first medically supervised safer injecting facility: a retrospective population-based study. The Lancet 377 (9775): Week 10: Mental Health & Illness Nov 9: Mental Health & Illness: Theories of Causation & Treatment (Part 1 of 2) Nov 11: Mental Health & Illness: Stigma (Part 2 of 2) Kirsch, I. (2014). Antidepressants and the Placebo Effect. Zeitschrift Fur Psychologie, 222(3), Rusch, N., Todd, A., Bodenhausen, G.V. & Corrigan, P.W. (2010). Biogenetic models of psychopathology, implicit guilt, and mental illness stigma. Psychiatry Research 179: Week 11: Media and Health; Food & Health Nov. 16: Media & Health Nov. 18: Food & Health Moynihan, R., Heath, XX. & Henry, XX. (2002). Selling Sickness: The Pharmaceutical Industry & Disease Mongering. BMJ 324: King, S. (2004). Pink Ribbons Inc: Breast Cancer Activism and the Politics of Philanthropy. International Journal of Qualitative Studies in Education 17, 4: Julier, Alice. (2008). The Political Economy of Obesity in Van Esterik & Counihan (eds) Food and Culture: A Reader. New York: Oxford. 5

6 Week 12: Health Care Systems; Division of Labour in Health Care & Medicine Nov. 23: Health Care Systems: Global & Canadian Perspectives Nov 25: Health Care Systems: Division of Labour (Medicine & Nursing) Conference: The Business of Being Born (film) Anonymous (2007). World s Best Medical Care? New York Times, 12 August. Starr, Paul. The Growth of Medical Authority in Brown, P. (ed), Perspectives in Medical Sociology, 4th edition. Long Grove, IL: Waveland Press. pp Zola, Irving K. (2005). Medicine as an Institution of Social Control in Conrad, P. (ed), The Sociology of Health & Illness: Critical Perspectives. pp Week 13: Division of Labour in Health & Medicine (Midwifery); Aging & End of Life Nov 30: Midwifery, Childbirth, and Postpartum Care (Part 1) Dec 2: Midwifery, Childbirth, and Postpartum Care (Part 2) Conference: Final Exam Review Johnson, T.R., et al (2007). Dutch Women s Perceptions of Childbirth in the Netherlands. MCN The American Journal of Maternal Child Nursing 32 (3): MacDonald, Margaret (2006). Gender Expectations: Natural Bodies and Natural Births in the New Midwifery in Canada. Medical Anthropology Quarterly 20 (2): Monday, December 5 th : Final Papers Due today via mycourses (no later than 11:59 pm) 6