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Encyclopedia of Health and Medicine

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HUMAN RELATIONS<br />

The area <strong>of</strong> human relations covers the interactions between people as those interactions affect overall health, specific<br />

health conditions, <strong>and</strong> QUALITY OF LIFE. Practitioners who provide services within human relations may be psychologists,<br />

social workers, mental health nurse practitioners (MHNPs), pr<strong>of</strong>essional counselors, school counselors, <strong>and</strong> organizational<br />

development specialists.<br />

This section, “Human Relations,” presents an<br />

overview discussion <strong>of</strong> the general relationship<br />

between human interaction <strong>and</strong> health <strong>and</strong><br />

entries about specific issues within human relations.<br />

The section “Psychiatric Disorders <strong>and</strong> Psychologic<br />

Conditions” presents entries about the<br />

health <strong>and</strong> health conditions <strong>of</strong> thought <strong>and</strong> emotion.<br />

The section “The Nervous System” contains<br />

content about the health <strong>and</strong> health conditions <strong>of</strong><br />

the structures <strong>of</strong> the BRAIN <strong>and</strong> nerves.<br />

Human Interactions <strong>and</strong> <strong>Health</strong><br />

The diagnostic models <strong>of</strong> many Eastern health<br />

systems evaluate an individual’s temperament <strong>and</strong><br />

overall circumstances in conjunction with, as well<br />

as on equal st<strong>and</strong>ing with, physical signs such as<br />

PULSE <strong>and</strong> body temperature. Interest in how people<br />

<strong>and</strong> their interactions with one another as<br />

well as with their environments entered the realm<br />

<strong>of</strong> Western medicine’s empirical evidence model<br />

in the 1950s when research began to confirm correlations<br />

between factors such as stress <strong>and</strong> health<br />

conditions such as CARDIOVASCULAR DISEASE (CVD).<br />

Other associations rapidly emerged, quantifying<br />

<strong>and</strong> substantiating the complex relationships<br />

among health, disease, attitudes, <strong>and</strong> satisfaction<br />

with life circumstances.<br />

Social relationships are crucial in the human<br />

experience, ranging from the limited though<br />

sometimes intense interactions <strong>of</strong> in the workplace<br />

to lifelong friendships to the emotionally<br />

<strong>and</strong> physically intimate partnerships <strong>of</strong> romantic<br />

partners to the bonds <strong>of</strong> family. Relationships are<br />

238<br />

the framework <strong>of</strong> culture <strong>and</strong> society, around the<br />

world <strong>and</strong> across generations. They are essential<br />

to health <strong>and</strong> <strong>of</strong>ten play roles, directly <strong>and</strong> indirectly,<br />

in the development <strong>of</strong> disease.<br />

Interventions to Treat or Prevent Disease<br />

Awareness <strong>of</strong> the interactions between social relationships<br />

<strong>and</strong> health provides opportunity to prevent<br />

adverse effects. Stress is perhaps the classic<br />

example, as much research in recent decades has<br />

illuminated the numerous <strong>and</strong> varied effects <strong>of</strong><br />

emotional <strong>and</strong> psychologic stress on physical<br />

health. Stress may arise from any aspect <strong>of</strong><br />

human relations or social settings, from family to<br />

work, <strong>and</strong> may manifest through diverse expressions<br />

ranging from outwardly explosive anger or<br />

acts <strong>of</strong> VIOLENCE to inwardly ravaging disease<br />

processes such as CVD. Sustained emotional stress<br />

can maintain BLOOD PRESSURE <strong>and</strong> HEART RATE at<br />

higher than normal levels for extended periods <strong>of</strong><br />

time, potentially altering the function <strong>of</strong> the cardiovascular<br />

system in negative <strong>and</strong> permanent<br />

ways. Recognizing <strong>and</strong> learning to manage the<br />

underlying factors responsible for such stress may<br />

mitigate the physiologic <strong>and</strong> health consequences.<br />

At the other end <strong>of</strong> the spectrum is growing<br />

awareness <strong>of</strong> the extent to which a person’s spiritual<br />

beliefs <strong>and</strong> cultural traditions affect the perceptions<br />

<strong>of</strong> health <strong>and</strong> disease as well as<br />

receptiveness to treatments. <strong>Health</strong>-care providers<br />

are quick to point out that despite the astonishing<br />

technologic advances <strong>of</strong> recent decades, much <strong>of</strong><br />

modern medicine remains more art than science.

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