TABLE OF
          	CONTENTS

ABSTRACT

INTRODUCTION

PART 1

Health Locus of Control
Psychosomaticism
Psychosomaticism and Psychoimmunology
HLC and Psychosomaticism

PART 2

Health Reality Models
The (Cultural) Etiology of Illness
Mode of Acculturation
Well-Being and Mode of Acculturation
Mode of Acculturation and HLC
CONCLUSIONS

METHODS

Participants
Materials
Design
Procedure

RESULTS

DISCUSSION

Discussion of Results
Confluence Approach
Cultural Competence
Creativity Amidst Disillusionment
Stress in the 90's
Regaining Control
When Externality is Better
Future Studies

REFERENCES

APPENDIXES

Appendix A Appendix B Appendix C

SPECIAL THANKS

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Feed a Cold, Starve a Fever;
An Exploration into the Relationship Between Culture, Belief, and Health

The pursuit of health and the treatment of illness has become a major social activity in the western world.
-Alan D. Watkins.
For almost all modern neurophysiologists there is no doubt at all; for them it is more or less an article of faith that every mental event must have a physical counterpart.
-Paul Olsen, PhD.
Never in the history of humankind have we had so many means of communication- television, telecommunications, telephones, fax machines, wireless radios, hotlines, and redlines- but we still remain islands. There is little communication between members of one family, between the individuals in society, and between nations. We suffer from so many wars and conflicts. We do not know how to listen to each other. We have little ability to hold an intelligent or meaningful conversation. The universal door of communication has to be opened again. When we cannot communicate, we get sick, and as our sickness increases, we suffer and spill our suffering on other people.
-Thich Nhat Hanh.
Perfection is a goal; living is a process.
-Donald W. Winnicott, MD.

The state of our health has never been so riveting. News broadcasts, newspapers, and magazines habitually contain 'health watch' sections. AIDS, abortion, medicinal marijuana, and rising health care costs are top headlines. Political debates continue to explore these issues along with our far-from-universal health care system. Developing countries have other concerns; they rely on expensive imported medicine which threatens their economies, and soil degradation or development impedes their ability to employ traditional forms of healing based on local plant growth (Bodeker, 1994).

While developing countries struggle to maintain adequate health care systems, the health care industry of the United States has become largely commercialized. According to Watkins (1996), "the United States now spends more than 12 percent of its gross national income product on health care" (p. 49), and he claims that the amount of time and money spent on health is unprecedented. One would not find this hard to believe upon examining some of the 'cures' currently on the market. There is a pill for virtually everything from Claratin which releases individuals who are allergy prone from their seasonal allergies, to Ritalin, a blessing for the constant day dreamer. Centerformenshealth.com advertises "5 Free Viagra Pills with initial consultation." NyQuill tucks us into bed at night, and Vivarin keeps us going when sleep is not an option. Aging is out-dated, and the "Juice Guy", anti-wrinkle creams, "washing that gray right out of your hair", Minoxidil 9/ Rogaine/ Propecia, and laser/ cosmetic surgery are in. We have patches to quit smoking and drinks to lose weight. Our quick cures are all widely televised and in the mainstream stream of consciousness. Based on the precept that we will end suffering and be endowed with perpetual happiness upon their use, these pre-packaged remedies are making pharmaceutical and other health related industries millions.

Accompanying our dollars are scandals, debates, and breakthroughs in health care. Such is the state of our health: "We fall sick from unheard of ailments, we pass through undreamed of treatments, we die in unsettling new ways and places" (Morris, 1998, p. 3). Dr. Jack Kevorkian was recently sentenced for 'assisted suicide', while the debate continues as to whether those suffering have the right to appropriate someone for the purpose of preempting the 'term' of their terminal illness. On the other side of this issue are the tubes and IV's which keep us alive or even bring us back when we are on the brink of death, and the anxiety families must endure over if and when to 'pull the plug'. Malfunctioning organs are replaced, even with organs of other species. The potential exists to clone animals for the purpose of improving human health (for certain anti-bodies, organs, etc.). Humans could hypothetically also be cloned, which would alter the course of evolution and our conception of life forever. Sexual intercourse is no longer a requirement for the fertilization of a human embryo (nor must the biological mother carry the child). 'Premies' survive incubation outside of the womb to lead healthy, happy lives. The idea is even incubating in the American collective consciousness that a parent might one day be able to program their child like a computer for sex, intelligence and natural ability. And Walt Disney's childhood fantasy about being able to live forever is a popularized notion betrayed in part by the 'foresight' of this one man (who's 'Magic Kingdom' is still a rather cold box).

The aforementioned are just a cross section of some of the issues going on in the pop-culture of Western health. Each has its adversaries and proponents, but common to all is the Western emphasis on science, reductionism, and dualism. These values are predominant in shaping our discourse regarding health matters in this country. Foregoing Western allopathic treatments, many people are also turning their attention to traditional (complementary/ alternative) medicines which emphasize the mind-body connection. Likewise, several models of medicine aside from the Western bio-medical model exist and thrive in other areas of the world.

With the heightened attention and money being spent in the health arena, one might venture to ask what the main variables which mediate one's health are, and specifically what causes a disruption in good health. Illness stems from a multitude of causes, occurs in a wide range of 'normal people', is subject to disagreements over diagnoses, and often follows an unpredictable course. There have been cases of spontaneous remission, and placebos have been known to mimic the effects of treatment. The complexity of illness is betrayed by common facts such as these. What I wish to discover are some of the influences which shape such health related phenomenon.

The state of one's health is the result of a complex interaction of physical and psychosocial factors, including such Western cultural configurations (reductionism, for example) as I have mentioned above. The current state of our biochemical and psycho-social evolution influences the variables which go into illness, the evaluation of illness, and the methods of treatment sought/ employed. The spatio-temporal context manifests in our health in the following way: it provides us with a framework for what we consider to be (ab)normal, and with whom and how we should interact to restore, maintain, and improve health. Health is also determined by the degree of control one perceives one has over one's health within this environmental and cultural framework, from Walt Disney's adventure into cryogenics on one extreme to hypochondriasis on the other. I will turn my discussion now to the influence of perceived control over health, and will return to the ostensible influence of culture in Part II.

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