Unit 14
Unit 14
Unit 14
14.0 Objectives
14.1 Introduction
14.2 Application of Social Psychology to Health
14.2.2 The Social Influences on Health
14.2.2 Social Norms and Social Support
14.3 Application of Social Psychology to Mental Health and Wellbeing
12.3.1 Social Structure and Mental Health
12.3.2 Social Stigma and Mental Health
14.4 Application of Social Psychology in Promoting Health and Healthy
Behaviours
14.5 Let us Sum up
14.6 References
14.7 Key Words
14.8 Answers to check your progress
14.9 Unit end Questions
14.0 OBJECTIVES
After reading this Unit, you will be able to:
- discuss the role of social frameworks in health relatedbehaviours;
- examine the influence of social relationships and behaviours in individual
mental health; and
- derive ideas to plan interventions to promote healthy behaviours.
14.1 INTRODUCTION
Today we notice huge changes that have occurred in peoples lives. The way
we eat, exercise, the food we consume, the lifestyles we adopt has
tremendously changed. There are high numbers with regards to malnutrition,
smoking, alcohol consumption and an overall unhealthy lifestyle. As much as
technology and the internet are a boon to our generations, it is also proving to
*Dr. Tina D‟Cunha, SEN Inclusion Learning Mentor and Key worker.
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Applications of Social
be a challenge in our physical activities and consumption behaviours in Psychology to Health,
general. This, in turn, threatens our physical and mental health in way we Mental Health and
Wellbeing
most often cannot see.
In the earlier units you have read on the influence of our social world in
various aspects of our lives. In the current chapter we will highlight the role
of social psychology and its application in health and mental health areas.
Thus, health can be explained in terms of presence of wellbeing and not the
absence of illnesses.
As the concept of health is clear, let us now focus on how principles of social
psychology play a role in health.
Most often one of the core challenges faced in the health sector is behavior
change in the target population. As seen in previous unit, each community or
social group has its implicit and explicit social norms and frameworks and
these explain the values, beliefs and behaviours of communities. The
ideologies of a close knit rural community is more based on their reliance on
nature and natural remedies for cure as compared to the people living in more
individual setups in cities relying on science and doctors for medical
treatment. These ways of life could also determine how health policies and
behavior changes will be accepted and practiced by communities.
Alongside, the role of social support is also gaining a lot of attention in health
related research. We are aware that people are always surrounded by others in
their own networks. Research (Antonucci, 2001) indicates that family and
friends are especially effective in providing and receiving social support. The
same researcher in 1990 had also found that women provide more support,
have more frequent contact with networks, are more satisfied having friends
around and have more multifaceted social networks compared to men.
Berkman and Glass (2000) indicated a conceptual model of the role of social
support on health. They suggested that the effect of social support is a
multilevel process starting with the larger social context that shape our social
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Application of networks. These social networks, in turn, influence our health through social
Social Psychology-II
support and social influence.
Gallant et. al. (2007) highlight that physical activity is easier when an
individual has a friend or relative to exercise with. These occasions also
provide opportunities for companionship and recreation.
These findings indicate that health does have a strong connection with a
persons social network. Lifestyles are usually a consequence of socially
constructed choices and hence interventions can focus on social norms and
social networks aiming to facilitate healthy behavior.
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The concept of wellbeing can be related with the concepts of mental health,
life satisfaction, and happiness. It mainly refers to the subjective feelings that
include and evaluation of cognitive and affective life aspects that get affected
directly or indirectly by disease and illness. It includes an evaluation of sense
of happiness, contentment and belongingness as well as achievement and of
being without distress and discomfort (Dalal and Misra, 2006). Wellbeing
can be categorised as subjective wellbeing and objective wellbeing.
“Subjective well-being consists of three interrelated components: life
satisfaction, pleasant affect, and unpleasant affect. Affect refers to pleasant
and unpleasant moods and emotions, whereas life satisfaction refers to a
cognitive sense of satisfaction with life” (Diener and Suh, 1997, page 200).
And objective wellbeing denotes whether the basic needs to the individuals
are met or not and it is measures using objective measures like mortality rate
etc. Wellbeing can also be categorised in to emotional wellbeing, physical
wellbeing, social wellbeing, workplace wellbeing and societal wellbeing
(Davis, 2019).
Does social structure have any influence on our physical wellbeing and
mental health? We are aware of the role of social support and now we will
delve into the influence of social structure. There is a relationship between
aspects of social structure like socio-economic-status, gender, race,
occupation and an individual‟s behavior patterns. In this section we will
focus on 3 social structural variables:
- Social position and mental health: One‟s mental health is determined by
a wide range of factors including personal factors like genetics, lifestyle,
education as well as social factors like family structure, peers etc. There
has been recognition of the importance of socio-economic determinants of
mental health as well as the socio-economic inequalities in mental health.
According to the World Health Organization there is a universal
association between poverty and mental health. Picket et. al. (2006)
indicate that greater the gap between the rich and the poor, the greater the
differences in mental health. For example, one possible indicator for such
inequality could be self assessment for one‟s health for which education
plays a crucial role.
The effects of these stressors can usually be buffered along ones life by
providing love, support and stable relationships with others. Encouraging
positive beliefs related to optimism, self esteem and a sense of control
can help in managing the effects of social stressors on mental health.
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Applications of Social
14.3.2 Social Stigma and Mental Health Psychology to Health,
Mental Health and
WHO indicates that mental and behavioural health conditions affect a Wellbeing
considerable number of the world population. There are several reasons for
these, a few of which we have discussed in the previous section. It has also
been noted that there are two critical explanations for this.
- Those with mental health conditions may be so disabled by their condition
that they may not be able to seek treatment.
- These people may not be able to identify their own condition and therefor
do not seek services available.
Besides these a key factor of social stigma may also interfere in the lives of
individuals with mental health concerns. Social stigma is a structural aspect
in society which means that it is a belief held by a large section of society and
where stigmatised persons are considered less equal or part of an inferior
group. Stigma is embedded in the social framework and creates inferiority.
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Application of An important way to do away with stigmatisation is by educating individuals
Social Psychology-II
that have an opportunity to make a difference – through social work
education. Policy makers can also advocate to include strategies to mitigate
stigma.
Mental health concerns are present across the world. The number of persons
affected could continue to grow. Individuals who receive treatment do not
always continue to remains in care once they begin. The WHO (2001) has
suggested that stigma could be one of the largest barriers to following of
treatment for patients.
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Individuals often know that consumption of junk food can have a negative
impact on one‟s health. But they still consume junk food on regular basis.
The same is true with smoking as well and various other health behaviours. It
can be said that healthy practices, lifestyle and attitudes can go a long way in
ensuring positive health and wellbeing of an individual. Thus, in order to
promote health we need to focus on the relationship between health
behaviour and health related attitudes.
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Applications of Social
Some of the beliefs that are relevant in the context of relationship between Psychology to Health,
health behaviours and health related attitudes (Sears, Peplau and Taylor, Mental Health and
Wellbeing
1991) are:
- Values with regard to general health, that is the interest and concern that
the individual has with regard to the health.
- Danger and threats to health, denoting the severity of the disease/ disorder
and its threat
- Individual vulnerability to the disease or disorder, denoting how
vulnerable he/ she thinks he/ she is to the disease or disorder.
- Individual‟s self efficacy (confidence about one‟s ability) for dealing the
the threat of the disease or disorder.
- Response efficacy denoting whether the efforts taken by the individual for
dealing with the illness will lead to outcomes desired by him/ her.
When our objective is promoting health, one of the important aspects that we
need to focus on is awareness. That is how aware the people are with regard
to health related issues. What is their knowledge, attitude and practices? This
is important because, based on thissuitable intervention or awareness
programme can be developed and implemented. However, before that is
done, we also need suitable tools to measure the health related knowledge,
attitude and practices amongst the individuals. One such scale is Health
Modernity Scale by A. K. Singh. Health Modernity can be defined as
“Scientifically correct information, attitudes and behaviour in relation to
physical and mental health, diet and nutrition, family planning and child-care
including breast feeding, personal hygiene and environmental sanitation and
such other issues which are essential pre-requisites for healthy living and,
therefore, for human and social development” (A. K. Singh, 1983). The scale
constitutes ten dimensions, namely, Physical Health, Mental Health,
Nutrition and Diet, Family Planning, Child Care, Breast Feeding, Mental
Retardation, Attitudes towards Females, Cancer, and AIDS. With the help
such scales and other tools misconception and ignorance can be identified
and accordingly a suitable intervention strategy or awareness programmes
can be developed. Further, while dealing with any issue or problem, we need
to deal with it at different levels, like, individual level, family level,
community level, national and international level. So that the issue/problem
is dealt with at every level.
In this context we also need to focus on few models that can be utilised to
bring about health related changes in health relatedbehaviour. Some of these
models are discussed as follows:
- Health Belief Model: According to this model the health relatedbehaviour
displayed by an individual will depend on:
Researchers and health care professionals highlight healthy habits that define
healthy lifestyles. These include a healthy diet (intake of vegetables, fruits,
wholegrain, healthy fats and avoiding unhealthy processed foods, transfats
etc.), physical activity (atleast 30 minutes per day of moderate to vigorous
activity), healthy body weight (maintaining a normal BMI), no smoking and
moderate alcohol intake among others. Healthy habits make a huge difference
to ones life.
Overall, no matter what age or culture we belong to, we must eat healthy and
have habits that sustain good health. Eating healthy meals, staying physically
active, prioritising happiness, nurturing your social network, being more
conscientious and having good sleep habits are keys to good health and
wellbeing.
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In the current chapter we have highlighted the role of social psychology and
its aspects in our Health and Mental health areas. Various influences on
health are discussed with an emphasis on social support as a key factor.
Our health does also have a strong connection with a persons social network.
Lifestyles are usually a consequence of socially constructed choices and
hence interventions can focus on social norms and social networks aiming to
facilitate healthy behavior.
No matter what age or culture we belong to, we must eat healthy and have
habits that sustain good health. Eating healthy meals, staying physically
active, prioritizing happiness, nurturing your social network, being more
conscientious and having good sleep habits are keys to good health and
wellbeing.
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Application of
Social Psychology-II 14.6 REFERENCES
Allgöwer, A., Wardle, J., Steptoe, A. (2001). Depressive symptoms, social
support, and personal health behaviors in young men and women. Health
Psychology, 20(3), 223-227.
Bartholomew, L. K., Parcel, G. S., Kok, G., Gottlieb, N. H., and Fernández,
M. E. (2011). Planning health promotion programs: An Intervention Mapping
approach (3rd ed.). San Francisco: Jossey-Bass.
Campbell, M. K., Motsinger, B. M., Ingram, A., Jewell, D., Makarushka, C.,
Beatty, B. Dodds, J., McClelland, J., Demissie, S., Demark-Wahnefried, W.
(2000). The North Carolina Black Churches United for Better Health Project:
Intervention and process evaluation. Health Education and Behavior, 27(2),
241-53.
Kok,G., Schaalma, H., De Vries, H., Parcel, G., and Paulussen, T. (1996).
Social psychology and health education. In W. Stroebe and M. Hewstone
(Eds.), European Review of Social Psychology (Vol. 7, pp. 241-282).
Chichester, UK: John Wiley and Sons Ltd.
Picket, K., Oliver, J., Wilkinson, R. (2006). Income inequality and the
prevalence of mental illness: a preliminary international analysis. Journal of
Epidemiology and Community Health, 60, 646-647.
10.1136/jech.2006.046631.
Shaikh, A. R., Yaroch, A. L., Nebeling, L., Yeh, M. C., Resnicow, K. (2008).
Psychosocial predictors of fruit and vegetable consumption in adults a review
of the literature. American Journal of Preventive Medicine,34(6), 535-543.
Self stigma: Self stigma is stigma internalised by the person about his/her
condition.
Traumatic life events and gender discrimination, are two social stress
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Application of 2) What is self stigma?
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Applications of Social
SUGGESTED READINGS Psychology to Health,
Mental Health and
Baron, R.A. and Byrne Donn (2006) Social Psychology, New Delhi: Prentice Wellbeing
Hall of India, 10th Edition.
Osakamp, and Schultz, P.W. (1998). Applied Social psychology (2nd ed).
California: SAGE.
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Application of Sandage, S. J., Worthington, E. L. J., Hight, T. L., & Berry, J. W. (2000).
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Seekingforgiveness: Theoretical context and an initial empirical study.
Journal of Psychology and Theology, 28, 21–35.
Schneider, F.W., Gruman, A., Coults, L .M. (Eds.). (2012). Applied social
psychology: Understanding and addressing social and practical problems.
New Delhi: Sage
publications.
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