Not a MyNAP member yet? Register for a free account to start saving and receiving special member only perks. Health inequity, categories and examples of which were discussed in the previous chapter, arises from social, economic, environmental, and structural disparities that contribute to intergroup differences in health outcomes both within and between societies. The report identifies two main clusters of root causes of health inequity. The first is the intrapersonal, interpersonal, institutional, and systemic mechanisms that organize the distribution of power and resources differentially across lines of race, gender, class, sexual orientation, gender expression, and other dimensions of individual and group identity see the following section on such structural inequities for examples. The second, and more fundamental root cause of health inequity, is the unequal allocation of power and resources—including goods, services, and societal attention—which manifest in unequal social, economic, and environmental conditions, also called the social determinants of health. Box includes the definitions of structural inequities and the social determinants of health.
Mirrored-self misidentification is the delusional belief that one's reflection in the mirror is another person — typically a younger or second version of one's self, a stranger, or a relative. Delusional misidentification syndromes DMS can occur in patients with a wide variety of cranial dysfunctions. The exact prevalence of patients with this delusion is relatively unknown because the typical patient has many comorbidities ; this makes it difficult to separate the symptoms of mirrored-self misidentification from other existing psychological conditions. All patients with mirrored-self misidentification have some type of right hemisphere dysfunction. Patients tend to experience a distortion of the right dorsolateral prefrontal cortex , which impairs the patient's belief evaluation system. Patients can no longer logically reject delusional beliefs. In a few select case studies, patients with this delusion have such extensive right-hemisphere cranial damage that one is also unable to identify close relatives and others with whom the patient has close association. There are two famous case studies of patients with mirrored-self misidentification that have contributed to the overall understanding of this delusion. Patient TH was in the early stages of dementia and was affected by mirror agnosia.
Login to your account
Despite increasing research efforts, there is a lack of consensus on defining aging or health. Based on a survey of the literature, we propose to define health as a state of an individual characterized by the core features of physiological, cognitive, physical and reproductive function, and a lack of disease. We further define aging as the aggregate of all processes in an individual that reduce its wellbeing , that is, its health or survival or both. We define biomarkers of health by their attribute of predicting future health better than chronological age. We define healthspan pathways as molecular features of health that relate to each other by belonging to the same molecular pathway. Our conceptual framework may integrate diverse operationalizations of health and guide precision prevention efforts.
We present a theory of how individuals compose their reflected best-self portrait, which we define as a changing self-knowledge structure about who one is at one's best. We posit that people compose their reflected best-self portrait through social experiences that draw on intrapsychic and interpersonal resources. By weaving together microlevel theories of personal change and macrolevel theories of human resource development, our theory reveals an important means by which work organizations affect people's capacity to realize their potential. Learn About the New eReader. Downloaded 34 times in the past 12 months. Published online 1 October Published in print 1 October