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An investigation into the phenomena and practices of spiritual ...

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eports that <strong>the</strong> English believed that <strong>the</strong> „happy man would not get <strong>the</strong> plague‟. ManyBlack people had similar thoughts about living in an alien country (Britain) where <strong>the</strong>people are unfriendly <strong>and</strong> <strong>the</strong>y believe this contributes to <strong>the</strong>ir illness. Such a communityapproach highlights <strong>the</strong> <strong>the</strong>ory-practice gap identified by Bunton <strong>and</strong> Mcdonald (1993),The Health <strong>of</strong> <strong>the</strong> Nation (Department <strong>of</strong> health 1992) <strong>and</strong> Our Healthier Nation(Department <strong>of</strong> Health1999). Their inability to find housing on arrival in <strong>the</strong> country was apermanent dent to <strong>the</strong>ir mental health <strong>and</strong> many have not recovered from <strong>the</strong> culture shockthat <strong>the</strong>y experienced in <strong>the</strong> early days. Rose (1999) suggested <strong>the</strong>y had not moved to <strong>the</strong>state <strong>of</strong> independence discussed by Alder (1975) where <strong>the</strong> social psychological <strong>and</strong>cultural differences <strong>and</strong> similarities are valued as significant <strong>and</strong> can be enjoyed, thusallowing individuals to develop emotionally <strong>and</strong> move from fear <strong>of</strong> <strong>the</strong> unknown to a fullrange <strong>of</strong> emotions such as trust, humour <strong>and</strong> love. Consequently, <strong>the</strong>y have stayed within<strong>the</strong>ir own community <strong>and</strong> that <strong>of</strong> <strong>the</strong> church where <strong>the</strong>y have leaders or someone that <strong>the</strong>ycan rely on to be <strong>the</strong>re even if <strong>the</strong>y do choose not to share <strong>the</strong>ir difficulties directly with <strong>the</strong>leader or leaders. Some rely on <strong>the</strong> church environment to renew <strong>the</strong>ir self-esteem so that<strong>the</strong>y can function on a day to day basis in a society that is alien.2.2.4 Models <strong>and</strong> Theories <strong>of</strong> IllnessAlthough introduced originally only as an example to illustrate his <strong>the</strong>ory <strong>of</strong> social order,<strong>and</strong> although, like functionalist <strong>the</strong>ory as a whole, it has been criticised almost to death,Parsons‟ (1975, 1951) <strong>the</strong>ory <strong>of</strong> „<strong>the</strong> sic‟ st<strong>and</strong>s at <strong>the</strong> root <strong>of</strong> sociological <strong>the</strong>ories <strong>of</strong>illness over <strong>the</strong> past seventy years. Leaving aside all questions <strong>of</strong> what might actually bewrong with people, namely <strong>the</strong>ir diseases, he identified sickness as a period <strong>of</strong> legitimateabsence from formal work. He suggested that it was <strong>the</strong> need to regulate this in an efficientway that produced <strong>the</strong> great flowering <strong>of</strong> medicine in industrial society. The importantquestion was how we can differentiate legitimate sickness from mere malingering, <strong>and</strong> this30

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