Multicultural Health: Ch. 3

**Many religions will approve of abortion under certain circumstances:

- the health of the mother will be at risk if the pregnancy is cont - the child may be born with a disability that will cause suffering - the pregnancy resulted from rape or incest

**Major facets of worldview:

- time orientation - personal space - social organization

**Four components of social organization hat have an immense impact in healthcare are:

1. Individualism vs. collectivism 2. Fate vs. free will 3. Communication 4. Family relationships

**Worldview

A set of cultural assumptions and beliefs that express how people see, interpret, and explain their experience. It helps us make sense of our lives. Closely linked to cultural and religious beliefs Culture built upon worldviews Has profound health care implications

*Collectivist believe that ___:

Achievement is a product of society

*Ahimsa:

Acts that are destructive of life are morally condemned which is the western principle of the sanctity of life

*Examples of collectivist cultures:

Amish, Chinese, Mexicans, and Vietnamese

**When people with a ___ ___ of the mind and body being separate was shared by providers and most pts, this shared belief often contributed to substantial pt stress and alienation

Biomedical worldview

**Locus of control:

Both fate and free will refer to the beliefs that people hold about their ability to change and maneuver the course of their lives and relationships

*In ___ cultures, disagreeing or saying "no" to a health care professional is considered rude; therefore when a health care professional asks if the pt understands, the pt may answer "yes" even though understanding has not really occurred

Collectivist

*Social organization refers to ___:

Dominant patterns of social interactions

*The ___ ___ and standards regarding pain and illness affect the behaviors of the individual

Dominant values

**Individualism

Each person is seen as a social unit, and each person has primary responsibility for him or herself

**People who believe that their health is outside of their control have an ___:

External locus of control (fate belief)

*Proxemics

Includes interpersonal distance and boundaries

*In ___ cultures, direct questioning, sharing personal issues, and asking personal questions are typical

Individualistic

*People from ___ cultures make their health care decisions independently whereas individual in ___ cultures involve their families in the decision-making process

Individualistic; collectivist

**People who believe that they have control over their health have an ___:

Internal locus of control (free will belief)

**Collectivism

People are socialized to view themselves as part of a larger group, such as a family, a community, or a tribe, so the group is the social unit, and dependence and connections with the group is valued

*Temporal relationships

Refers to people's feelings worldview in terms of time. These perceptions of time vary among cultures

**___ plays a role in how people respond to illness

Stigma

*Fate:

The degree to which people believe they are subject to events outside their control

**Free will:

The degree to which people believe they are the masters of their own lives

**___ is our perception of how the world works which includes issues such as moral and ethical reasoning, social relationships, and communication to name a few

Worldview