The Complexity Of Sociological Concept Of Health And Illness

In 1946 the World Health Organisation (WHO) defined health as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity”. This definition integrates the main concepts of health and identifies that health can be viewed differently by individuals and groups (Bowden, 2006). Health and well-being are the result of a combination of physical, social, intellectual and emotional factors (Dunkley, 2000a).

As stated by the World Health Organization (WHO), ‘health’ is defined as “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (WHO, 1948). The health and wellbeing of individuals is generally determined by their circumstances and environment, a phenomenon referred to as the social determinants of health. WHO describes the social determinants of health as:

Naidoo and Wills(2001, p.47) “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ - WHO (1946).” This definition falls into a holistic way of defining health, which believes that there are more areas to look at when thinking of health than just simply the absence of a disease. It considers the cause of why someone is ill and not just simply about ’fixing it’.

But over the past few decades, the definititon and concept of health has evolved to encompass more elements than just the physical well-being of a person. This is partly attributed to various researches and studies that have taken place around the world in the last 60 years. Already in 1948, the World Health Organization declared that health is “a state of complete physical, mental and social well being and not

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” (World Health Organisation, 2011)

The definition of health is fluid, ever changing and carries different meanings across individuals, societies and cultures. Although it is difficult

Firstly, looking at the positive definition of health, it is a positive concept, highlighting social and personal resources together with physical capacities. According to the World

Throughout society there are many different sociological approaches to health and ill health. Within society there are many different perspectives towards whom the responsibility for health falls upon and also what defines people as ill? Your health is defined by the general condition of your body and mind. An illness is defined by an impairment of normal physical or mental function. To help explain the different sociological approaches to health and ill health I will be referring to the case study of Aziz and Tamsela. Aziz and Tamsela have four young children; Tamsela’s elderly parents also live with them in their three bedroomed houses in a deprived and depressing area of London. Their house is in desperate need of repair; it is damp and

“Don’t treat the disease, treat the patient” [9]. The concept of health has seemed to become complex in definition over the centuries as science improves. “Health is a complete state of physical, mental and social well-being and not merely the absence of disease and infirmity.”-World Health Definition of Health (1948) [9]

In modern society there is a general consensus that ‘good health’ is something that everyone wants to experience and that each individual knows what this involves. Because there are so many different definitions of health and ill health it can become a very complicated concept. Walsh (2011) states that “In sociological terms ‘health’ and ‘illness’ are contested concepts. This means that the general meaning of these words should not be taken for granted.

It is fairly difficult to define health as there are no agreements between scholars. This is why many sociologists focus their research on the different issues and problems of ill health.

The World Health Organisation defined health: “State of complete physical and social well-being and not merely the absence of disease and infirmity” (WHO, 1946 p.100). Many factors influence health such as family traits, behaviours, access to quality healthcare and environment (quality of air, bad/good water and housing conditions) (WHO, 1946). The holistic view of health combines the mind (mental), body (physical), emotional and spiritual elements to a person (Ewes & Simnett, 2003).

Illich (1990) even went as to say that themedical proffesion (including pharmaceutical companies and medical equipment suppliers) have a vested interest in illness so they create illnesses which have to be treated by doctors and drugs etc. this means conditions that used to be seen as natural, such as dying or unhappiness have now undergone a social iatrogenesis (doctor caused illness) whereby people cannot handle their own health anymore. postmodernists dislike this use of medical discourse because one theory has more prestige that it should be considered the truth.

According to Floyd, Mimms and Yelding (2008) Webster’s Dictionary defines health as “the condition of being sound in body, mind and spirit… freedom from physical disease or pain.” This definition has very much taken the holistic view. Wellbeing is a term in which reflects on the positive emphasis on health and can be broken down into six aspects know as environmental, physical, social, emotional, mental and spiritual. To achieve a high balance of wellbeing it is vital that a person is able to balance and take care of each aspect effectively. Underdown (2007) implies that in 1948 the World Health Organization (WHO) defines health as ‘a state of complete physical, mental and social well-being and not just the absence of disease or infirmity.’ This definition took a holistic view as it mentions mental and social wellbeing and it was supported as it focused on a person being healthy rather than not being ill. However, this definition has been widely criticized. Seedhouse (1986) believed that for someone to be in perfect state of health is unachievable and unrealistic.

(WHO, 1948) describes health as ‘a state of complete physical, mental and social well-being and not merely the absence of disease of infirmity’? There are other dimensions of health such as physical health, mental health and emotional health which can be broken down and looked at individually.