HSS 3103 Lecture 6: Adults with Illness

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General adaption process to illness (cid:1) (cid:1) (cid:1: stage of. Stage (cid:1) depression first, then denial, then acceptance) can also be revisited. *process is not linear; situations varies on individual differences (i. e parent w terminal illness may talk about will; shows acceptance. General adaptation process to disability congenital easier to adapt to vs acquired disability (cid:1) Engel (1960) poses a model of adaptation for chronic conditions consistent with the grieving process: highlights notions of shock, disbelief, gaining awareness, restitution, resolution or loss, and identity change. Initial diagnosis can trigger one sequence and a series of emotions, but the reappearance of symptoms or the development of new symptoms or problems can trigger additional cycles (cid:1) Responses anxiety, anger, depression, and recurrent feelings of (cid:1) helplessness, hopelessness, and powerlessness. Learned helplessness: perceived and induced by person experiencing illness and occurs when they realize that despite their best efforts, nothing will help their situation: extended exposure to threat/harm reduce coping ability.

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