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1、Chapter3:PrincipalTheoriesofSocialMedicineHuazhongUniversityofScienceandTechnologyTongjiMedicalCollegeFacultyofSocialMedicineContentsprefaceDefiningHealthandMedicineSociologicalPerspectivesonHealthandMedicineSocialCapitalandHealthPart1PrefaceSection1.1ASto
2、ryofSocialMedicineSeventeen-year-oldJimDavis(apseudonym)wascheckedintotherehabcentertwodaysagebythisparents.Today,heiscurledintoafetalpositiononthebedinhisroom,hisbodyconvulsing.Periodically,hegetsupscreamingandtearsthesheetsoffhisbedorthrowsachairagainstt
3、hewall.Jimisgoingthroughwithdrawal,butfromwhat?Isheaddictedtoheroin,perhaps,orcocaine,alcohol,orevennicotine?No,Jim’spsychologistexplainsthatJimisanInternetaddict.Ahighschoolseniorand,untilrecently,honorsstudent,Jimspendsmorethansixhoursadayon-line.Hequitl
4、ong-distancerunningandwithdrewfromotherextracurricularactivitiestohavemoretimefortheInternet.Thenhebeganskippingclassesandcallinginsicktohispart-timeemployer.Hisparentsinsistedthathecutdownhistimeon-line,butJimcouldn'tseemtodoit.WhentheyremovedJim’scompute
5、rfromhisroom,heatfirstbecomedepressed,butthenhewentintoarage,threateningtokillhimselfifhisparentsdidnotreturnhiscomputer.This’swhenthedecidedtoseekprofessionalhelp,whicheventuallyledtoJim’sadmissiontoarehabilitationcenterthatusuallytreatsdrugandalcoholabus
6、ers.CliniciansreportthattheyareseeinganincreasingnumberofpeoplewithInternetaddiction,acompulsivedisordersimilartouncontrollablegambling,bingeeating,anddrugandalcoholabuse.Butsociologistsseethesereportasthelatestexampleofmedicalization,theprocessofdefininga
7、behaviororconditionasanillnessinneedofmedicaltreatment.Sociologistsbelievethatillnessisnotsimplyabiologicalorphysiologicalcondition.Rather,illnessissociallyconstructed.Whatgetsdefinedasillnesshasasmuchtodowithasociety’scultureaswithobjectivesymptoms.Sectio
8、n1.2RelationsofConceptandTheoryThestructureofatheory:concept,variable,proposition,hypothesis.ConceptAbstractofphenomenaRelationsofconceptandtheory:conceptisasectionoftheory;atheoryismadeupofagroupoflogic-rela