Developmental Levels in Adult’s Conceptions of Health and Disease
Palabras clave:
Adult’s conceptions of health and disease, Socio-cognitive developmentResumen
A socio-cognitive developmental perspective suggests that conceptions regarding health and disease processes may present different levels of openness, flexibility, inclusiveness and differentiation, and thus can be ordered into different levels. We present a qualitative study on lay significations regarding health and disease processes, endorsed by 67 adults. The results show that these adults have different socio-cognitive developmental competences related to health and disease processes. For each dimension of significations of health and disease, it is possible to sequence lay person’s conceptions developmentally. Each level is distinct qualitatively, including responses characterized by a higher degree of differentiation, integration and complexity than the previous level. Finally, the implications of this approach to clinical and educational methods are discussed.
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Barros, L. (1992). Intervenção desenvolvimentista com pais
de bebés em risco. Doctoral Dissertation, Universidade de Lisboa,
Lisboa.
Basseches, M. (1984). Dialectical thinking and adult
development. New Jersey: Ablex.
Bibace, R., & Walsh, M. (1979). Developmental stages in
children’s conceptions of illness. In G. C. Stone, F. Cohen & N.
E. Adler (Eds.), Health psychology (pp. 285-301). San Francisco:
Jossey-Bass.
Bibace, R., Schmidt, L., & Walsh, M. (1994). Children’s
perceptions of illness. In G. Penny, P. Bennett & M. Herbert (Eds.),
Health psychology: A lifespan perspective (pp. 13-30). London:
Harwood Academic.
Broughton, J. (1980). Genetic metaphysics: The developmental
psychology of mind-body concepts. In R. Rieber (Ed.), Body and
mind (pp. 177-221). New York: Academic Press.
Burbach, D. J., & Peterson, L. (1986). Children’s concepts
of physical illness: A review and critique of the cognitivedevelopmental
literature. Health Psychology, 5, 307-325.
Cameron, L. D., & Leventhal, H. (2003). The self-regulation of
health and illness behaviour. London: Routledge.
Cohen, F., & R. Lazarus (1979). Coping with the stresses of
illness. In G. C. Stone, F. Cohen & N. E. Adler (Eds.), Health
psychology (pp. 217-254). San Francisco: Jossey-Bass.
Coyne, J., & Holroyd, K. (1982). Stress, coping and illness:
A transactional perspective. In T. Millon, C. Green & R. Meagher
(Eds.), Handbook of clinical health psychology (pp. 103-127). New
York: Plenum.
Fradique, F. (1993). Programa desenvolvimentista para
a prevenção da depressão pós-parto. Doctoral Dissertation,
Universidade de Lisboa, Lisboa.
Ivey, A. E. (1986). Developmental therapy: Theory into
practice. San Francisco: Jossey Bass.
Ivey, A. E., & Gonçalves, O. F. (1988) Developmental therapy:
Integrating developmental processes into the clinical practice.
Journal of Counseling and Development, 66, 406-413.
Joyce-Moniz, L. (1989) Structures, dialectics, and regulation
in applied constructivism: From developmental psychopathology
to individual drama therapy. In O. Gonçalves (Ed.), Advances in
the cognitive therapies: The constructive-developmental approach
(pp. 45-89). Porto: Apport.
Joyce-Moniz, L. (1993). Psicopatologia do desenvolvimento
do adolescente e do adulto Lisboa: McGraw-Hill.
Joyce-Moniz, L., & Reis, J. (1991). Desenvolvimento e
dialéctica de significações de doença e confronto em Psicologia da
Saúde. Psychologica, 6, 105-127.
Kegan, R. (1994). In over our heads. The mental demands of
modern life. Cambridge: Harvard University.
King, P., & Kitchener, K. (1994). Developing reflective
judgment. San Francisco: Jossey Bass.
Kohlberg, L. (1969). Stage and sequence: The cognitivedevelopmental
approach to socialization. In D. Goslin (Ed.),
Handbook of socialization theory and research (pp. 347-480).
Chicago: Rand McNally.
Leventhal, H., Nerenz, D., & Steele, D. (1984). Illness
representations and coping with health threats. In A. Baum, S.
Taylor & J. Singer (Eds.), Handbook of clinical health psychology
(pp 219-252). New York: Plenum Press.
Loevinger, J. (1966). The meaning and measurement of ego
development. American Psychologist, 21, 195-206.
Perrin, E., & Gerrity, P. (1981). There’s a demon in your
belly: Children’s understanding of illness. Pediatrics, 67, 841-
849.
Piaget, J. (1926). La représentation du monde chez l’énfant.
Paris: PUF.
Piaget, J. (1970). Genetic epistemology. New York: Columbia
University.
Reis, J. C. (1992). Metodologia construtivista e
desenvolvimentista para prevenção de reacções emocionais
excessivas em pacientes de cirurgia cardíaca. Doctoral Dissertation,
Universidade de Lisboa, Lisboa.
Reis, J. C. (1994). Importância do método clínico ou de
exploração crítica no estudo da personalidade. Intervenção Social,
10, 9-23.
Reis. J. C. (1998). O Sorriso de Hipócrates: a integração
biopsicossocial dos processos de saúde e doença. Lisboa: Vega.
Reis, J. C. (2005). O que é a saúde? Significações pessoais,
modelos científicos e educação para a saúde. Lisboa: Vega.
Reis, J. C. (2007). Contribuições da psicologia para os
processos preventivos e de promoção da saúde. In J. C. Teixeira
(Ed.), Psicologia da saúde: contextos e áreas de intervenção (pp.
101-128). Climepsi Editores: Lisboa
Reis, J. C., & Fradique, F. (2000). Socio-cognitive development
of subjective representations about health and disease: Implications
to health education (Report: Praxis/PCSH/C/PSI/89/96). Lisboa:
Fundação para a Ciência e Tecnologia.
Reis, J. C., & Fradique, F. (2002). Desenvolvimento
sociocognitivo de significações leigas em adultos: causas e
prevenção das doenças. Análise Psicológica, 1, 5-26.
Rigazio-DiGilio, A., & Ivey, A. E. (1990). Developmental
therapy and depressive disorders: Measuring cognitive levels
through patient natural language. Professional Psychology:
Research and Practice, 21, 470-475.
Rosenstock, I. M. (1966). Why people use health services.
Milbank Memorial Fund Quarterly, 44, 94-127.
Selman, R. (1980). The growth of interpersonal understanding.
New York: Academic Press.
Skelton, J., & Croyle, R. (1991). Mental representations in
health and illness. New York: Springer-Verlag.
Travado, L., & Reis, J. (2000) What do they think about their
illness? Breast cancer client´s conceptions about their illness and
recovery [Abstract]. Psycho-Oncology, 9, Sep-Oct.
Turk, D., & Meichenbaum, D. (1991). Adherence to self-care
regimens. The patient’s perspective. In J. J. Sweet, R. H. Rozensky
& S. M. Tovian (Eds.), Handbook of clinical psychology in medical
settings (pp. 249-266). New York: Plenum.
de bebés em risco. Doctoral Dissertation, Universidade de Lisboa,
Lisboa.
Basseches, M. (1984). Dialectical thinking and adult
development. New Jersey: Ablex.
Bibace, R., & Walsh, M. (1979). Developmental stages in
children’s conceptions of illness. In G. C. Stone, F. Cohen & N.
E. Adler (Eds.), Health psychology (pp. 285-301). San Francisco:
Jossey-Bass.
Bibace, R., Schmidt, L., & Walsh, M. (1994). Children’s
perceptions of illness. In G. Penny, P. Bennett & M. Herbert (Eds.),
Health psychology: A lifespan perspective (pp. 13-30). London:
Harwood Academic.
Broughton, J. (1980). Genetic metaphysics: The developmental
psychology of mind-body concepts. In R. Rieber (Ed.), Body and
mind (pp. 177-221). New York: Academic Press.
Burbach, D. J., & Peterson, L. (1986). Children’s concepts
of physical illness: A review and critique of the cognitivedevelopmental
literature. Health Psychology, 5, 307-325.
Cameron, L. D., & Leventhal, H. (2003). The self-regulation of
health and illness behaviour. London: Routledge.
Cohen, F., & R. Lazarus (1979). Coping with the stresses of
illness. In G. C. Stone, F. Cohen & N. E. Adler (Eds.), Health
psychology (pp. 217-254). San Francisco: Jossey-Bass.
Coyne, J., & Holroyd, K. (1982). Stress, coping and illness:
A transactional perspective. In T. Millon, C. Green & R. Meagher
(Eds.), Handbook of clinical health psychology (pp. 103-127). New
York: Plenum.
Fradique, F. (1993). Programa desenvolvimentista para
a prevenção da depressão pós-parto. Doctoral Dissertation,
Universidade de Lisboa, Lisboa.
Ivey, A. E. (1986). Developmental therapy: Theory into
practice. San Francisco: Jossey Bass.
Ivey, A. E., & Gonçalves, O. F. (1988) Developmental therapy:
Integrating developmental processes into the clinical practice.
Journal of Counseling and Development, 66, 406-413.
Joyce-Moniz, L. (1989) Structures, dialectics, and regulation
in applied constructivism: From developmental psychopathology
to individual drama therapy. In O. Gonçalves (Ed.), Advances in
the cognitive therapies: The constructive-developmental approach
(pp. 45-89). Porto: Apport.
Joyce-Moniz, L. (1993). Psicopatologia do desenvolvimento
do adolescente e do adulto Lisboa: McGraw-Hill.
Joyce-Moniz, L., & Reis, J. (1991). Desenvolvimento e
dialéctica de significações de doença e confronto em Psicologia da
Saúde. Psychologica, 6, 105-127.
Kegan, R. (1994). In over our heads. The mental demands of
modern life. Cambridge: Harvard University.
King, P., & Kitchener, K. (1994). Developing reflective
judgment. San Francisco: Jossey Bass.
Kohlberg, L. (1969). Stage and sequence: The cognitivedevelopmental
approach to socialization. In D. Goslin (Ed.),
Handbook of socialization theory and research (pp. 347-480).
Chicago: Rand McNally.
Leventhal, H., Nerenz, D., & Steele, D. (1984). Illness
representations and coping with health threats. In A. Baum, S.
Taylor & J. Singer (Eds.), Handbook of clinical health psychology
(pp 219-252). New York: Plenum Press.
Loevinger, J. (1966). The meaning and measurement of ego
development. American Psychologist, 21, 195-206.
Perrin, E., & Gerrity, P. (1981). There’s a demon in your
belly: Children’s understanding of illness. Pediatrics, 67, 841-
849.
Piaget, J. (1926). La représentation du monde chez l’énfant.
Paris: PUF.
Piaget, J. (1970). Genetic epistemology. New York: Columbia
University.
Reis, J. C. (1992). Metodologia construtivista e
desenvolvimentista para prevenção de reacções emocionais
excessivas em pacientes de cirurgia cardíaca. Doctoral Dissertation,
Universidade de Lisboa, Lisboa.
Reis, J. C. (1994). Importância do método clínico ou de
exploração crítica no estudo da personalidade. Intervenção Social,
10, 9-23.
Reis. J. C. (1998). O Sorriso de Hipócrates: a integração
biopsicossocial dos processos de saúde e doença. Lisboa: Vega.
Reis, J. C. (2005). O que é a saúde? Significações pessoais,
modelos científicos e educação para a saúde. Lisboa: Vega.
Reis, J. C. (2007). Contribuições da psicologia para os
processos preventivos e de promoção da saúde. In J. C. Teixeira
(Ed.), Psicologia da saúde: contextos e áreas de intervenção (pp.
101-128). Climepsi Editores: Lisboa
Reis, J. C., & Fradique, F. (2000). Socio-cognitive development
of subjective representations about health and disease: Implications
to health education (Report: Praxis/PCSH/C/PSI/89/96). Lisboa:
Fundação para a Ciência e Tecnologia.
Reis, J. C., & Fradique, F. (2002). Desenvolvimento
sociocognitivo de significações leigas em adultos: causas e
prevenção das doenças. Análise Psicológica, 1, 5-26.
Rigazio-DiGilio, A., & Ivey, A. E. (1990). Developmental
therapy and depressive disorders: Measuring cognitive levels
through patient natural language. Professional Psychology:
Research and Practice, 21, 470-475.
Rosenstock, I. M. (1966). Why people use health services.
Milbank Memorial Fund Quarterly, 44, 94-127.
Selman, R. (1980). The growth of interpersonal understanding.
New York: Academic Press.
Skelton, J., & Croyle, R. (1991). Mental representations in
health and illness. New York: Springer-Verlag.
Travado, L., & Reis, J. (2000) What do they think about their
illness? Breast cancer client´s conceptions about their illness and
recovery [Abstract]. Psycho-Oncology, 9, Sep-Oct.
Turk, D., & Meichenbaum, D. (1991). Adherence to self-care
regimens. The patient’s perspective. In J. J. Sweet, R. H. Rozensky
& S. M. Tovian (Eds.), Handbook of clinical psychology in medical
settings (pp. 249-266). New York: Plenum.
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Publicado
2010-12-07
Cómo citar
C. Reis, J., & Reis, J. (2010). Developmental Levels in Adult’s Conceptions of Health and Disease. Psicologia: Teoria E Pesquisa, 26(3), 492–504. Recuperado a partir de https://periodicos.unb.br/index.php/revistaptp/article/view/17471
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