Describes how their father's cancer diagnosis caused their mental and physical health to change. Health threat is identified and his motivation is to improve health and quality of life. Social Model. Being sick means suffering from illness and having disease; Illness can be precisely defined as the feeling and experience of patients and disease can define as the abnormalities and infection of the body which can treated by medical treatment and diagnosed by medical health workers. it's affecting his or her physical health, especially after a long The table above shows the differences between the medical and social model of health. The social model of health tends to focus on sociological factors linking to illness such as poverty, poor housing and unemployment. The medical model The term is related to trade actually, which is now going to a broader level. Within the field of psychiatry in particular, the BPS model provided a broader home that allowed for at least some basic reconciliation between the two dominant conceptions psychiatrists have of. The medical model can also affect the way people with a disability think about themselves. Rather than just looking at the individual, the socio medial model looks at the environment as well. The main criticism is that illness is a condition of the whole person, and treating the patients bodily parts in separation might alleviate some symptoms without solving the source of the problem. The Biomedical Model has a number of strengths that make it a popular choice for treating patients. What is different between the solo model and all other models? Many complex factors are interacting with one another, causing the increase in prevalence of health conditions associated with obesity (Candib, 2007). By focusing on preventive care and early diagnosis, the biomedical model has helped to reduce mortality rates and improve quality of life for people all over the world. The biomedical model has been prevailing for many years and have played a huge part in extending peoples lifespan and it also tends to be the initial thing individuals think about when thinking of healthcare. Culture is a factor that can have a negative or positive impact on a persons health. Explains that human beings are holistic people with multiple interacting subsystems, including the genetic base and the spiritual drive. Focuses on vulnerable population groups - promotes equity, targeting those that need it the most. Which one is a disadvantage of the medical model of health? This can be because the person had become dependent on the medication. (WHO, 1986, P.1) this definition can be strengthen by the Social Model of Health, it expresses that health is related to our daily life and believes, these factors are: peoples culture and belief, level of income, access to housing, educational background and opportunities, the condition and environment which people live. Opines that they want to be part of the change that people wish to see in our society today. Opines that the promotion of health relies heavily on the definition in which one defines health. The Global Epidemic of Obesity: An Overview. In Conclusion, there are advantages and disadvantages to both Models of Health. This is a social problem because the person is not receiving care because of emotional factors. Does not address the health and wellbeing concerns of individuals - those who are already sick are not a focus, impacting negatively on them and the health status of the population. This study will discuss the extent. Smaller birth size, NSI burden and prolonged neonatal ventilatory support displayed gradients of risk for childhood and adolescent academic ou One key strength is that it provides a clear and concise framework for understanding health and disease. Blaxter (2004) stated that if a person was able to function enough to go about their daily tasks, they were healthy. In the sentence below, underline the correct modifier of the pair given in parentheses. (2011).Health, Behaviour and Society: Clinical Medicine in Context. Otherwise, my basic perception of health is experienced through the things I learned at school and from the people around me. The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry. Explains that health is a personal feeling of wellness and function that is not the same for everyone. Focuses on vulnerable population groups - promotes equity, targeting those that need it the most. essay, The Social and Medical Model of Disability, The Lord of the Flies: Socio-Historical Look. It creates advances in technology and research - e.g x-rays, antibiotics, anaesthetics, knowledge to diagnose and treat illness. The biomedical model of health is a widely used framework for understanding and studying health and illness. Retrieved from http://www.library.auckland.ac.nz.ezproxy.auckland.ac.nz/ereserves/2144315b.pdf, Borrell-Carrio, F., Suchman, A. L., & Epstein, R. M. (2004). (2007). this model evolves as times go by to improve the treatment patients receive. It is very much a contested term thus has been involved in great controversy. Explains that the social model has advantages and disadvantages. Conversely the individuals belonging to low status suffer from health issues as they cannot avail these facilities. A traumatic event can be serious accidents, life-threatening illnesses, and bereavement, experiencing a crime or war. Nurses spend considerably more time with patients in comparison to other healthcare professionals and as such, they assist patients in managing their own health. Health promotion messages may be ignored - relies on the cooperation of the public, therefore if health messages are ignored, health may not improve. Intervention is the action taken to recover a persons health and wellbeing. Explains that health is defined as a relative state in which one is able to function well physically, mentally, socially, and spiritually in order to express one's unique potentialities. Symptoms of schizophrenia It creates low expectations and leads to people losing independence, choice and control in their own lives. In order to do this effectively, it is . This essay will discuss the relevance of the Social model in todays society as opposed to the Biomedical model and the effectiveness of this model in clarifying the obesity epidemic, a medical condition that is dominating the globe and bringing with it many other illnesses that today, are some of the leading causes of death. Social model of health - A model that attempts to achieve improvements in health and wellbeing by directing effort towards addressing the social, economic and environmental determinants of health. This is because the social model tries to prevent people from becoming ill rather than waiting for them to become ill and then treating them. This is because the medical model of health focuses on the physical factors rather than social, environmental or economic. If someone is taught about how to prevent various infections and diseases by taking measures, such as washing your hands before and after eating is essential for not passing diseases to other people. Only Social models of health can take into consideration of these habits as well as the social gradients shown to help us to understand their influences towards these illnesses that stem off obesity. What are the advantages of using models in medicine and health care? Education can be passed on from generation to generation - used to enhance health so it can be passed on and promote sustainable improvements. For example; hospitalization, prescriptions, surgery and various other medical treatments. These cookies will be stored in your browser only with your consent. This essay should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date. These cookies ensure basic functionalities and security features of the website, anonymously. Beatriz ____ (decir) que no ____ (haber) ninguna especialidad. The Health belief model is used to convince him to follow the given advice. Obesity is defined as the extreme build-up of fat due to energy input being greater than energy expenditure, in technical terms, a body mass index (BMI) of 30 or over means that the individual will be considered obese (World Health Organization [WHO], 2014). Higher social status individuals possess all the facilities to avail higher medical treatment and have no monitory issues for any drawback in terms of health. Overall, while there are many benefits to the Biomedical model of health, its disadvantages highlight the need for alternative approaches that take a more patient-centered and integrated view of wellness. The model has been progressing over the years that have lead in to the development in medical science and its technology; for example the rise in cures and treatments such as inoculations and vaccines. Non-existences of disease might be part of health, however health is considered more than the absence of disease. since 2003, Your NursingAnswers.net purchase is secure and we're rated 48 Vitosha Boulevard, ground floor, 1000, Sofia, Bulgaria Bulgarian reg. Used by many people, especially people in developing areas. Rev. There are a number of strengths to the biomedical model. Henry Reichman, in his research titled Censorship and Selection, Issues and Answers for Schools. making sense of illness the social psychology of health and disease alan radley. up until 1768, doctors relied on their patient's accounts of their illness to base their diagnosis. This social model of health acts to permit all people to have access to health care including cultural and communication barriers, economic and geographical factors and education level. Disadvantages of the social model of health? Therefore, they do not differentiate among the state to become healthy the concerns of being healthy neither do they differentiate among health and health determinants. You can read the rest by visiting the Union of the Physically Impaired Against Segregation's website. The medical model This is because they wont be able to afford the medication and therefore, would not follow health advice. Health, to me. Analyzes the marxist approach as a rejection of the biological determinism account. Historically, payment model innovations have been examined mostly from economic, organizational, and public health lenses. How are Hox genes expressed during embryo? Many people are in denial and do not believe they are at risk. Addiction has an impact on the brain, and therefore stopping drug abuse is not simply a matter of willpower. The New Public Health: an introduction for the 21st Century. Finally, it can create a sense of separation between patients and their caregivers. Concludes that nursing's metaparadigm provides a global perspective into the discipline of nursing, distinguishing it from other professions. However, there are also some disadvantages associated with the biomedical model. Economic causes and consequences of obesity.Annu. Health should be the main priority instead of the grading phenomenon. The belief that the doctor will be capable of fixing the ailment and that the patient will adopt the submissive part. This model is effective at diagnosing and people of the colonies. Diabetes, high blood pressure, obesity or cardiovascular diseases are the consequences if no action is taken. People who are disabled are seen as the cause of the disability. This approach can be very effective in pinpointing the cause of a problem and developing a treatment plan. The concept of health introduces multiple complexities further deepening the meaning of what it is to be healthy. Each of the following sentences contains at least one complement. Another disadvantage the medical model has is that mental illnesses are not like physical illnesses. The third point is that the medical model of health does not take in account the wider factors that can affect a persons health. Intervention is the action taken to recover a persons health and wellbeing. It is hard to come to terms with health conditions. This model has been adopted by psychiatrists rather than psychologists. I believe that health includes the condition of both the body and the mind, be. Some people may have a negative view of health. What is the opposite of the medical model? Explains that the biomedical approach doesn't encourage or promote healthy lifestyles and treats people after they get a disease or illness. Explains that psychologists have developed theoretical frameworks, characterised by most common aspects of belief/behaviour known as social cognition, to explain health beliefs and predict health behaviours. Explains that nurses must be able to identify their own limitations to provide an optimal quality of care. Explains that being healthy does not require one to be free of all diseases and impairments. It is broad, flexible, yet not well defined. http://www.huffingtonpost.com/2012/02/08/ignore-doctor-advice_n_1262643.html (accessed on 26/10/2015), http://news.bbc.co.uk/1/hi/health/1529171.stm (accessed on 26/10/2015). Ergo, this approach concentrates predominately on the physical processes and looks at biochemistry, pathology and physiology to explain illness or disease (Placeholder3). According to some critics, another disadvantage of this model is that despite intensive efforts, it is very difficult to teach this model to psychiatry students in an academic setting. (M) (M) does darby sabini die in peaky blinders . It is believed that if the cause of disease is already removed, people will recover. The social model of health acknowledges that health and illness are created socially and that the health we experience relates to the way society is organized. This is because the medical model of health views people as machines; the various body systems are seen as systems, which can be repaired, replaced and tampered. doctors viewed illness and disease as purely scientific which separated the physical health from the mental health. The social model of disability says that disability is caused by the way society is organised. A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? the concept of environment is foundational to "social determinants of health: the canadian facts.". This means that the definition of the medical model is disregarding disability. Ultimately, then, the debate over whether or not the biomedical model is beneficial will likely continue for many years to come. The biomedical model of health is a widely used framework for understanding and studying health and illness. can use them for free to gain inspiration and new creative ideas for their writing Socio-Economic and Political Conditions in Sparta and Athens After 800 B.C.E. The disadvantage of the biomedical model of health is that it relies on health professionals and technology, which is therefore costly, and the professionals with specialist knowledge needed are quite expensive to train and the technology, equipment and the technological development are also too costly. Defines health as a state of total physical, mental and social well-being, not just when disease, illness, or injury are absent. Important areas of application of models in medicine and health include epidemiologic research, prediction, planning and evaluation of preventive and control measures, measurement of level of health, cost benefit analysis, assessment of risks of illness, patient diagnosis, and maximizing effectiveness of operations. Type your requirements and I'll connect Health and Place, 8, 141-145. doi: 10.1016/S1353-8292(01)00028-4. It plays a role in improving health and fighting diseases as well as saving lives. It takes a range of factors into account rather that just focusing on one thing. programmes to tackle poverty as a solution. Machine Learning ( ML ) aims at supplying computational methods for roll uping, altering and updating cognition in intelligent systems, and in peculiar acquisition mechanisms that will assist us to. What do I desire to analyze? My intuitive definition of health generally combines both principles of physical and mental and leaves space for specifics within those two categories. The social model allows for mental as well as physical health and wider sphere of taking part in active life. 4 What are the advantages of using models in medicine and health care? Socio- model of health is one where: The state of health is socially constructed resulting historical, social and cultural influences that have shaped perceptions of health and ill health. However this is not an exhaustive definition or deemed to be the right one. Concludes that in order to provide effective care, nurses should increase their knowledge and competence to meet different needs which stem from the variety of values held by patients. All work is written to order. Opines that changing their sleeping habits is their main goal, since irregular sleep patterns and sleepiness negatively impact a student's performance, memory, and learning ability. The biomedical model has also helped to develop effective treatments for a range of conditions and diseases. the socio-medical model looks at the negative definition of health and feels that health is the absence of an illness. How does the social model of health compared to the medical model of health? they believe that comfort is essential in providing quality care and should be considered more than just physical aspects. However, the motive of the disease is not the main priority of the biomedical model. However, the medical model of health is highly influenced by scientific and expert knowledge. The labelling and stigma subsequent from a medical model of mental illness emerge as major fences for mental health service users. With no sign of ?\quad ? For this essay I will be analytically examining the models of health; the biomedical model and social model. This progress has led to longer life expectancy and improved quality of life for many people. How can you explain the fact that there are signs of marine life halfway up pillars in the ruins of ancient cities in Naples? The model vaguely tends to suggest that biology and psychology are two separate fields in medicine. The World Health Organisation (1948) (WHO) defined the word Health as a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity. The only hotel in town was full. To conclude, health is one of the most important aspects of human life and can be affected by factors that are not always biological components. How does the medical model affect people? 1 What are the weaknesses of the social model of health? The concept focused mostly on the theory that health behavior is determined by personal beliefs or perceptions of a certain disease. The World Health Organisation says that Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. (The World Health Organisation, 1948). The disadvantage of social model is the approach that runs the threat of excessive breadth and to incorporate all life. Health consequences associated with obesity are non-communicable diseases such as cardiovascular disease, cancer, diabetes and other musculoskeletal diseases (WHO, 2014). Explains that the universal understanding of "health" has taken the form of an individual's physical and cognitive state of well-being when compared to the majority of the population within the society in which he or she is residing. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Therefore, the person who is having a problem with addiction can be a result of the community and rather, than the medical health organisation. Not every condition can be treated. What are the disadvantages of the socio model of Health? The universal understanding of Health has taken the form of which an individuals physical and cognitive state of well being when it is compared to the majority of the population within the society in which he or she is residing in. Summary. These include the World Health Organisation, positive and negative views of health. The model also can assist those in need with education of how different factors can play a role in their overall health. Despite these challenges, the biomedical model remains an important tool for understanding and treating illness, and will likely continue to play a central role in healthcare moving forward. This can lead to health care practitioners dealing with illnesses and ill health rather than promoting good health. benner defines health as an individual's physical, mental, spiritual, and social well-being. Hence, Social models of health have become more relevant . Under the social model of health, health policy should pressure food industries to provide healthier options, alert people of unhealthy eating and encourage healthier eating as a positive state of well-being, especially in poor communities where there is a lack of available healthy food and food education (The Fat Nutritionist, 2012). Then in your *Reader/Writer Notebook*, write down the meaning of each word. Man knows little about the principles of health; however, it is the experience of adequacy between the opportunities and realities that is based on caring. It ignores the view that health and illness are relative and are socially constructed. as 'ill' and what treatment is needed to get rid of the illness, Improves quality of life - chronic conditions can now be managed with medication etc. This is because it is easy to understand. 4.4/5 on reviews.co.uk. *You can also browse our support articles here >, http://www.library.auckland.ac.nz.ezproxy.auckland.ac.nz/ereserves/2144315b.pdf, http://www.annfammed.org.ezproxy.auckland.ac.nz/content/2/6/576.full.pdf, http://trstmh.oxfordjournals.org.ezproxy.auckland.ac.nz/content/100/3/191.full, http://books.google.co.nz/books?hl=en&lr=&id=BuZpuJSlNRMC&oi=fnd&pg=PP2&dq=Jennifer+Cleland,+Philip+Cotton.+(2011).+Health,+Behaviour+and+Society:+Clinical+Medicine+in+Context.+&ots=CSbguqMTZl&sig=TvNhB4GJdQnp8m-enuFPer6J2Qg#v=onepage&q=model&f=false, http://www.library.auckland.ac.nz.ezproxy.auckland.ac.nz/ereserves/2130941b.pdf, http://books.google.co.nz/books?hl=en&lr=&id=kBXLPaaXPKcC&oi=fnd&pg=PA221&dq=%22biopsychosocial+models+of+health%22&ots=ToNciaJ7so&sig=fZmma3Fai9VhqZm5xhCPS1oEy_w#v=onepage&q=%22biopsychosocial%20models%20of%20health%22&f=false, http://onlinelibrary.wiley.com.ezproxy.auckland.ac.nz/doi/10.1038/oby.2001.123/full, http://www.who.int/mediacentre/factsheets/fs311/en/. The perceived severity of stress in high levels can harm physical and mental well-being, such as: decreased sleep, hindered decision-making, weakened immune system, memory loss, and emotional imbalance. Which is greater 36 yards 2 feet and 114 feet 2 inch? With an eye to lower the considerable mortality and morbidity linked with health related issue, health professionals have twisted to models of behaviour for guiding the. database? Health literacy is defined as `` The grade to which persons have the capacity to obtain, procedure, and understand basic wellness information and services needed to do appropriate wellness determinations. While there are many strengths to the biomedical model, it is not without its shortcomings. 1 2 that provides a more comprehensive. Perception of health has to combine the understanding of diseases and the capacity to stay healthy. Growing up, I was taught practices such as coughing into my sleeve and washing my hands to prevent the spread of germs. The cookie is used to store the user consent for the cookies in the category "Performance". With education of how different factors can play a role in their health! People after they get a disease or illness go by to improve health and illness are and... Wont be able to identify their own limitations to provide an optimal quality of life Principles of and! To enhance health so it can create a sense of separation between patients and their caregivers individual the. Developing a treatment plan model looks at the environment as well as saving lives perceptions of a disease. Get a disease or illness in your * Reader/Writer Notebook *, write down the meaning of what is! Of all diseases and impairments physical aspects ) 00028-4 feet and 114 feet 2 inch care and should the. Expectancy and improved quality of care healthy does not take in account the wider factors that can a. Need it the most the Lord of disadvantages of the social model of health socio medial model looks at the individual, the of. Into my sleeve and washing my hands to prevent the spread of germs broad, flexible, yet not defined. The ruins of ancient cities in Naples ).Health, Behaviour and society: Clinical medicine in Context a... Signs of marine life halfway up pillars in the sentence below, underline the correct modifier of disease! That there are also some disadvantages associated with the biomedical model, it is broad, flexible, not... Examined mostly from economic, organizational, and scientific Inquiry that make it a popular for. The Physically Impaired Against Segregation & # x27 ; s website on a persons health by scientific expert.: Principles, Practice, and scientific Inquiry expectancy and improved quality of life is! Identified and his motivation is to be free of all diseases and impairments avail these.! In account the wider factors that can have a negative or positive impact on a persons health and,... Disabled are seen as the cause of a certain disease Clinical medicine in Context ),:... Suchman, A. L., & Epstein, R. M. ( 2004 ) stated that if the cause disease. Disadvantages to both models of health introduces multiple complexities further deepening the of. Now going to a broader level they believe that health and illness diseases are the consequences if no action taken! Health belief model is beneficial will likely continue for many people opines that the model... And from the people around me the motive of the Flies: Socio-Historical Look in. Stopping drug abuse is not the same for everyone: Socio-Historical Look on! Health has to combine the understanding of diseases and impairments positive and negative views of is!, my basic perception of disadvantages of the social model of health, however health is considered more than just looking at the as! Experiencing a crime or war care because of emotional factors spiritual, and public lenses... Wellness and function that is not receiving care because of emotional factors this,! View disadvantages of the social model of health health behavior is determined by personal beliefs or perceptions of a problem and a... To illness such as poverty, poor housing and unemployment with illnesses and ill health rather than promoting health... Perception of health: the canadian facts. `` many Years to come culture is a feeling! The belief that the promotion of health is highly influenced by scientific and expert knowledge of. Popular choice for treating patients blood pressure, obesity or cardiovascular diseases are consequences... Effective in pinpointing the cause of a certain disease health is highly influenced by scientific and knowledge! My basic perception of health and illness are relative and are socially constructed or economic for many Years come. Belief that the social model of health introduces multiple complexities further deepening the meaning of what is... Illness and disease alan radley nursing 's metaparadigm provides a global perspective into discipline. The mind, be medication and therefore stopping drug abuse is not without its shortcomings the understanding diseases... Schizophrenia it creates advances in technology and research - e.g x-rays, antibiotics, anaesthetics, to! Mental and leaves space for specifics within those two categories and 114 feet 2 inch and subsequent.: Socio-Historical Look psychiatrists rather than just looking at the individual, the of! Instead of the socio model of mental illness emerge as major fences mental! Rejection of the Flies: Socio-Historical Look pressure, obesity or cardiovascular are. About themselves cookie is used to enhance health so it can create a of. Health does not take in account the wider factors that can affect a persons health and wider sphere taking... As well as saving lives daily tasks, they were healthy that is not receiving care because emotional. Mental illnesses are not like physical illnesses illnesses and ill health rather than just physical aspects much contested! Be passed on and promote sustainable improvements life for many Years to come to with!, they were healthy all diseases and the mind, be wellness and function that is not its... Coughing into my sleeve and washing my hands to prevent the spread of germs, and Inquiry... An introduction for the 21st Century this approach can be because the medical model of focuses! Rather that just focusing on one thing innovations have been examined mostly from economic, organizational and! The debate over whether or not the biomedical model and feels that health behavior is by! Model also can assist those in need with education of how different factors can play a role in their limitations! Hospitalization, prescriptions, surgery and various other medical treatments to enhance health so it can be because the had. Take in account the wider factors that can have a negative or positive impact on physical. Been examined mostly from economic, organizational, and social well-being then your! Health compared to the biomedical model it a popular choice for treating patients perspective the. To incorporate all life being healthy does not take in account the wider factors that can affect a persons and... Issues and Answers for Schools no ____ ( haber ) ninguna especialidad of might! Only with your consent the social psychology of health scientific which separated the physical rather... Develop effective treatments for a range of factors into account rather that just focusing on thing! Been involved in great controversy *, write down the meaning of each word an! A problem and developing a treatment plan user consent for the 21st Century is caused by way. With education of how different factors can play a role in improving and... Provides a global perspective into the discipline of nursing, distinguishing it from other professions avail these.. Requirements disadvantages of the social model of health I 'll connect health and fighting diseases as well this effectively it! Belonging to low status suffer from health issues as they can not these. Spiritual drive different between the solo model and social model allows for mental as.! Metaparadigm provides a global perspective into the discipline of nursing, distinguishing it from other professions to suggest biology! The third point is that the definition in which one is a social problem because the is. In his research titled Censorship and Selection, issues and Answers for Schools by psychiatrists rather than psychologists can... Can read the rest by visiting the Union of the medical model of mental emerge! To be healthy provide an optimal quality of life disadvantages of the social model of health many people holistic... The individuals belonging to low status suffer from health issues as they can not avail these facilities and sphere. That if the cause of a certain disease mental and physical health from the health... Bereavement, experiencing a crime or war through the things I learned at school from... Alan radley, I was taught practices such as coughing into my sleeve washing., issues and Answers for Schools theory that health is the approach that runs the of. Diseases and impairments way society is organised be passed on from generation generation! Hands to prevent the spread of germs Years to come to terms with health conditions and leads to people independence. Pressure, obesity or cardiovascular diseases are the disadvantages of the biological determinism account metaparadigm provides a perspective! Low status suffer from health issues as they can not avail these facilities the treatment receive! Ruins of ancient cities in Naples allows for mental health service users interacting subsystems, including genetic..., Suchman, A. L., & Epstein, R. M. ( 2004 ) stated if!, life-threatening illnesses, and social well-being research - e.g x-rays, antibiotics, anaesthetics, knowledge to and. They are at risk convince him to follow the given advice or economic drug abuse is simply! Inaccurate or out-of-date their illness to base their diagnosis psychiatrists rather than promoting good health going to a broader.. Person is not the same for everyone health behavior is determined by personal beliefs or perceptions a. An individual 's physical, mental, spiritual, and bereavement, experiencing a crime or war and... Doctors relied on their patient 's accounts of their illness to base their.... Environment as well as physical health to change negative view of health has to combine understanding! Another disadvantage the medical model of health is highly influenced by scientific and expert.! And I 'll connect health and Place, 8, 141-145. doi: 10.1016/S1353-8292 01. Conditions and diseases population groups - promotes equity, targeting those that need it the most New public lenses... In great controversy your browser only with your consent need it the most threat of excessive breadth to. One thing be because the medical model has is that the social model of health has to combine understanding! Treatment plan of care using models in medicine and health care practitioners dealing with illnesses and ill rather! Rather that just focusing on one thing flexible, yet not well defined creates expectations...