Health Psychology History and Tasks

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FEDERICO VILLARREAL NATIONAL UNIVERSITY

FACULTY OF PSYCHOLOGY

Dr. WENCESLAO FLORES


GIRALDO

THE PSYCHOLOGY OF HEALTH


INTEREST IN HEALTH
Psychologists have been interested in health issues since the
early years of the 20th century (Rodin & Stone, 1987; Stone,
1977).
Some psychologists (Stanley Hall in 1904 or William James in
1922) addressed health issues in their writings.
YO. Historical background
T he term and the name of "health psychology" as a singular activity, arises in
the American Psychological Association (APA).
In 1969, W. Schofield published an article in the journal American Psychologist ,
stating that only about 9%. Of 4,700 articles published between 1966 and 1967 in
the Psychological Abstract referred to topics not traditionally included within
the field of mental health; underlines the little presence of psychology in the
field of health services, "in number and technology" compared to that of other
health professionals.
@ The APA organized a working group on health research in 1973,
coordinated by Schofield.

Conclusion: American psychologists have not been interested in


the problems of health and illness as fruitful areas for both basic
and applied research activity; They have not realized the benefits
of health maintenance, disease prevention and the care delivery
system.
CREATION OF DIVISION 38 OF THE APA
In 1978 , coordinated meetings held by Weiss, Matarazzo and
Stone, members of the Section, the Network and others, raised a
petition to achieve Division status at the APA meeting that year in
Toronto, and the constitution was approved. of the Division of
Health Psychology (Division 38), whose fundamental objectives
are the following:
OBJECTIVES OF APA DIVISION 38
1. Promote the contributions of psychology as a discipline interested
in understanding health and illness through basic and clinical
research;
2. Encourage the integration of biomedical information about health
and disease with current psychological knowledge;
3. Inform the scientific and professional community, as well as the
general public, of the main results of research and the activities and
services in this area.
4. Facilitate and promote the training of professionals and the creation
of specialized services in health psychology.
CONSTITUTED HEALTH PSYCHOLOGY

In September 1979, Joseph Matarazzo delivers the presidential


address of the Division of Health Psychology at the American
Psychological Association meeting in New York.
Likewise, Stone, Cohen and Adler published the first book with the
title Health Psychology.
In January 1982, the first issue of the health psychology magazine
(Health Psychology) appeared.
PRACTICES TO TRAIN CUTTING-EDGE PEOPLE - II

In 1983, the First North American Conference took place (which


was also the first to be held worldwide) on the formation and
training of health psychologists, giving a set of guidelines for the
training of specialists in Health Psychology, and Postgraduate
programs will be developed in this field.

® In July 1983, the XIX Congress of the Inter-American Society of


Psychology was held in Quito, creating a Working Group on
Health Psychology and Behavioral Medicine, thus beginning in
Latin America.
FACTORS THAT PROMOTED THE CREATION OF
THE PSYCHOLOGY OF HEALTH

® Change in the conception of the terms of


health and having good health
® Questioning the biomedical model
® The change in disease patterns

® Economic issues
® Behavioral technology
First International Symposium on Health Psychology

In 1984, sponsored by the Inter-American Society of Psychology, the


National Group of Psychology and the Cuban Society of Psychology of the
Cuban Health, WHO and PAHO, First Symposium was held
International Health Psychology in Havana – Cuba.
The topics addressed were:
1. Reproduction, sexuality and sexual roles.
2. Psychology and collective health.
3. Stress and social support.
4. Psychological care for chronically ill patients.
5. Prenatal care.
6. Drug and alcohol addiction
7. Psychological pathologies and their social dimension.
8. Health services.
HEALTH PSYCHOLOGY IN PERU
In Peru, various Universities, including UNMSM, UNFV and the
Women's University, have modified their master's degree programs,
and there are majors in Clinical and Health Psychology.
In addition, various Faculties and Schools of Psychology have
included the Health Psychology course in their curricular plan. The
San Martín de Porres University has created the second specialty in
Health Psychology.
CONCEPTS OF HEALTH PSYCHOLOGY

The World Health Organization (WHO, 1964) defines health as: "a
state of complete physical, mental and social well-being and not
merely the absence of disease or infirmity." This definition highlights
the biopsychosocial nature of health and shows that health is more
than the absence of disease.
Sarafino (1990), Field of psychology introduced in the late 1970s to
examine the causes of disease and study ways to promote and
maintain health, prevent and treat disease, and improve the
healthcare system .
DELIMITATION OF THE PS FIELD. OF THE HEALTH
Simón (1993), confluence of the specific contributions of the various
areas of psychological knowledge (clinical psychology, basic
psychology, social psychology, psychobiology), both to the promotion
and maintenance of health and to the prevention and treatment of
disease.

Marks (1995), the application of psychology to health, health problems


and health care for its promotion, maintenance and restoration.

Taylor (1995), field of psychology dedicated to understanding the


psychological influences on how people stay healthy, why they become
ill, and how they respond when they are ill.
DELIMITATION OF THE PS FIELD. OF THE HEALTH
DELIMITATION OF THE PS FIELD. OF THE
HEALTH

1. Behavioral medicine:
70s, defined by its Conference Foundational of Yale (1977) As the
interdisciplinary field referring to the development and
integration of the
knowledge and techniques of biomedical and behavioral sciences relevant to
health and disease, and the application of that knowledge and techniques to
prevention, diagnosis, treatment and rehabilitation. The term behavioral
medicine is an interdisciplinary field of research, education and practice,
referring to physical health/disease, which brings together elements from
behavioral science, such as psychology and sociology, or anthropology, and
health education, but also epidemiology, physiology, pharmacology, nutrition,
neuroanatomy, endocrinology, immunology, dentistry, internal medicine,
nursing, social work and public health among others, to collaborate in health
care and in the treatment and prevention of diseases. .
DELIMITATION OF THE PS FIELD. OF THE HEALTH
2. CLINICAL PSYCHOLOGY:
Set of actions on subjects who present psychological problems or disorders. It
is the establishment of a relationship between the psychologist and his patient
with a dimension of support and help, through knowledge and psychological
performance.
APA: It is applied psychology that aims to determine the capabilities and
characteristics of the individual's behavior by resorting to methods of
measurement, analysis and observation, and that, based on an integration of
these results with the data obtained through the physical examination and social
stories, offers suggestions for the appropriate adaptation of the subject.
It is applied to the traditional field of psychological intervention: emotional
disorders (mainly anxiety and depression). It is the traditional field of
psychological disorders, which coincides with psychiatric disorders. In addition,
intervention in other mental problems should be included, such as
schizophrenia, rehabilitation of chronic patients, etc.
DELIMITATION OF THE PS FIELD. OF THE HEALTH
3.Community psychology:
Understanding, explaining and solving problems from a
supra-individual (social-community) point of view, focusing
their actions preferably on change and improvement of the
environment.
It emerges as an alternative to clinical psychology, oriented
towards the understanding and resolution of certain
problems or pathologies with a strong socio-environmental
component (drug addiction, marginalization, crime,
prostitution, etc.) with the approach at supra-individual or
community levels, with the aim of the improvement of
environments and social resources and the increase of
personal skills and competencies in pursuit of a better
quality of life in the community .
4. Health Psychology:
“It is the sum of the specific professional, scientific
and educational contributions of psychology as a
discipline, for the promotion and maintenance of
health, the prevention and treatment of disease, the
identification of the etiological and diagnostic
correlates of health, disease and the associated
dysfunction, in addition to the improvement of the
health system and the formulation of a health
policy. "
Matarazzo (1980)
CHARACTERISTICS OF HEALTH PSYCHOLOGY
1. It orients its actions towards the individual as well as the set of
institutions and forces that are related to health. (Stone, 1983)
2. It is fundamentally inclined towards health promotion and disease
prevention.
3. It is interested in promoting research aimed at understanding how
behavioral factors contribute to health and developing appropriate
strategies for their evaluation and control or modification.
4. He is interested in analyzing and improving health policies and the health
care system.
SCOPE OF APPLICATION OF HEALTH PSYCHOLOGY
GROUP 1: PROMOTION AND IMPROVEMENT OF HEALTH.
• Health education
• Control of motivational and emotional attitudes
• Generation of healthy habits and lifestyles
• Learning basic skills and abilities
• Actions towards environmental health.
GROUP 2: PREVENTION
• Control of attitudinal, motivational and affective-emotional risk
variables
• Modification of risk behaviors and habits
• Modification of pathogenic or unhealthy conditions in the
environment.
• Early detection and intervention in the face of problems and reduction
of the sequelae or consequences of the disease
• Relapse prevention.
SCOPE OF APPLICATION OF HEALTH PSYCHOLOGY
GROUP 3: EVALUATION, TREATMENT AND REHABILITATION OF DISORDERS
• Cardiovascular disorders
• From the central nervous system
• Neuromuscular
• Gastrointestinal
• sexual
• Food
• Addictives, etc.
GROUP 4: ANALYSIS AND IMPROVEMENT OF THE HEALTH SYSTEM AND CARE
• Enhancement of care by other health professionals.
• Preparation of patients for hospitalization and surgical interventions
• Improvement in the professional-user relationship in the health system
• Improvement to medical treatments
GROUP 5: TRAINING
• Training actions for professionals and paraprofessionals
• Health management tasks.
AREA TASKS EXAMPLES OF ACTIVITIES

Basic investigation • Study of affective-emotional factors in organs and body


Applied research systems
INVESTIGATION • Investigation of the ways in which stress acts on
immunity
• Development of a program for the behavioral evaluation
of myopia
• Development of a program for the prevention of
schizophrenia.
• Evaluation of physiological dysfunctions
Assessment
• Program evaluation

Health promotion • Information programs


• Improving environmental health
Disease prevention Treatment and • Myopia prevention programs
rehabilitation • Stress prevention programs
• Physical exercise programs for obese people
APPLIED
Advice and advice • Rehabilitation programs for spinal cord injuries
• Design of health promotion programs
Analysis and improvement of the • Advice and supervision of professionals
system and healthcare • Preparation for surgical interventions
• Improved adherence to medical treatments

• Training • Training programs for doctors


• Paraprofessional training programs
• Hospital Management
• Management
• Resource management

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