Summary
The episode works through four questions that students often find difficult in this lesson: what output theories miss when risk behaviour is about something other than health, whether harm reduction gives up on treatment, what a program can do with a generative schema that does not predict behaviour, and how to tell whether culture explains a health disparity. The hosts map an invented commercial fishing deckhand onto the Health Belief Model and the Theory of Planned Behavior, read the Vancouver evidence on Insite and later entry into detox, and work through a generative reading of an invented man whose generosity includes sharing injection equipment. In the harder worked example, made-up asthma data split by housing show that a gap between a newcomer community and the rest of a region disappears within each type of housing, and the hosts then ask how the housing pattern itself arose. The episode closes with a disagreement about how far a program can be adapted for a culture before its original evaluation stops applying, which ends in a shared rule for adaptation.