Teresa Flower; Week 4 MED1022; MotM
Culture can be religion, ethnicity. Subculture is adolescents etc. Low SES causes increased burden of disease, decreased access to health care; smoking declining in Western countries but rising in developing world (exploitation). Breastfeeding depends on age and education. Aboriginal antenatal death rate high, were moved to hospitals which improved rates but women delayed admission, had fewer antenatal visits and were cut off from their support network, decreased breast feeding rates, growth failure common after weaning, bottlefed babies have slower weight gain and higher illness rates, suboptimal growth patterns, increased risk of death.
Aboriginal lens contains self determination principles, holistic definition of health that acknowledges connection to land and spirit, community ownership and localised decision making, recognition of historical, social and cultural context of the community.
John Bowlby is psychiatrist/psychoanalyst who focuses on maternal deprivation, attachment, separation and loss. Infant and child should have warm, intimate, continuous relationship with mother where both find satisfaction and enjoyment; secure base theory is secure attachment shown in distress. Separation and insensitive parenting leads to disruption of attachment.
Mary Ainsworth- strange situation experiment; secure (comforted on return, continues to explore), avoidant (little distress on departure, little response on return), ambivalence (distress on departure but warms to carer, little response on return), disorganised (stereotypical behaviours).
Winnicott is on object relation, holding environment is mother and baby dyad, transitional object (blanket/teddy bear) can be 'good enough' mother (must gradually fail to satisfy infant needs).
Family functioning can be linked to treatment of chronic disease; better GI control seen in high cohesion families.
Binge drinking can affect size of hypothalamus (memory). School based programs reduce risk taking behaviour, as do life skills programs in early high school, persists to adulthood.