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

PREVIOUS SECTION PREVIOUS PAGE NEXT PAGE NEXT SECTION

Conclusions

Hypotheses

1.To the extent that previous research has demonstrated that the belief that one has control over health has a positive impact on health, that HLC is a measure of generalized expectancy regarding control, and that HLC shares attributes in common with other personality types associated with health, I propose that HLC will predict one's score on the PCS. I expect that a high HLC, which indicates externality, will be associated with higher scores on the PCS. I also expect that an internal HLC, will correlate with lower scores on the PCS.

2.The majority of studies involving the variables of interest here focus on various relationships between culture, acculturation, LOC and health. Few, if any, have tested whether acculturation is related to HLC style. The fact that acculturation has an influence over belief structures (or metamorphoses in mode of acculturation reflect changes in belief structures), and over health itself forms the basis for my hypothesis acculturation might influence an individual's HLC. In considering this hypothesis, I will attempt to address the dearth in the literature on this subject. In so doing, I will attempt to extend the knowledge of the influence of acculturation on LOC to HLC as well. I hypothesize that Dominant Society Immersion (as a subscale of the MAS) will be associated with a more internal HLC, so that individuals who are either assimilated or integrated will be more likely to have an internal HLC than separated or marginal individuals. My rationale is two fold: 1. this culture values independence, etc., and 2. individuals not immersed experience a greater number of stressors placing them at risk for developing an external HLC. (There should also be a difference between assimilated and integrated individuals but only when controlling for social status).

TOP

PREVIOUS SECTION PREVIOUS PAGE NEXT PAGE NEXT SECTION