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Health Psychologists
promoting health and preventing disease
Psychological factors
can influence physical and mental factors
Wellness
physical + mental + social well-being
Stress
stressors (daily hassles, life events, traumatic, ACEs) and how we react to them (stress reactions). DON’T USE CAUSE! The environment + cognitive appraisal + the physical reaction
Eustress
positive and motivating stress
Distress
negative and debilitating (weakening) stress
Social readjustment rating scale (SRRS)
Can be operational defined based on life changing units (LCU)
Hedonic adaptation
adapting to a stable level of happiness
General adaptation syndrome (GAS)
Hans Selye, our response pattern to physical and emotional stressors are very consistent
Alarm reaction
(A nxiety, A mygdala, A drenaline)
Mobilize resources
HR increases, blood flow to muscles for reaction
Sympathetic nervous system
-> fight-or-flight response
Resistance
Physiologically ready (ex. high HR). Hormones released to stay ready. Cope! Too long = resource depletion
Exhaustion
Parasympathetic nervous system returns physiological state to normal
Vulnerable to disease
because resources depleted during resistance stage ex. Hypertension (high blood pressure) and immune suppression (reduce ability to make white blood cells)
Tend-and-befriend theory
some ppl successfully manage stress by tending to their self-care needs and attending to the needs of friends and family members. SOCIAL CONNECTION (seems to happen more in women) - OXYTOCIN
Emotion-focused coping
use specific stress management techniques (ex. meditation/mindfulness). Focus inwards. More short term solution.
Problem-focused coping
alleviate stress directly by changing the stressor (SOLVE THE PROBLEM). Focus outwards. More long term solution
Positive psychology
optimistic focus of humanistic psychology. Focus on HAPPINESS, utilize our virtues and strengths to reach full potential
Subjective well-being
sense of how satisfied one is with their overall life
Positive subjective experience
personal, internal feelings of happiness
Positive objective experience
externally, measurable life circumstances ex. money
Feel-good, do-good
positive mood makes us more likely to do prosocial things
6 core virtues
wisdom, courage, humanity, justice, temperance, transcendence
Wisdom
being able to use information creatively and curiously
Courage
persistence, integrity, and bravery
Humanity
appreciation and kindness towards others
Justice
striving to be a socially responsible citizen and improve world
Temperance
moderation and self-control
Transcendence
seeing beyond oneself and connecting with world
Gratitude
expressing thankfulness towards others verbally or in writing Increases our well-being!
Resilience
ability to adapt to effectively when faced with trauma and extreme stress
Post-traumatic growth
ability to construct a meaningful experience in response to trauma
Defining Psychology Disorders (3 Ds)
Deviance: thoughts or behaviors that are different from cultural context; Distress: subjective feeling that something is really wrong; Dysfunction: ability to work and live is measurably impaired (ex. depression affecting employment and social relationships)
Labeling Pros and Cons
David Rosenhan’s study showed Pros: Clarity and relief for patients, Pathway to treatment, Insurance coverage, Accommodations at school/work, Help predict future problems; Cons: Stigma, Learned helplessness, Self-limiting bias, Self-diagnosis, Racism, sexism, ageism, discrimination
ICD (International Classification of Mental Disorders)
WHO (World Health Organization) resource to determine whether one has a psychological disorder or not
DSM (Diagnostic and Statistical Manual of Mental Disorders)
symptoms of each disorder. American Psychiatric Association
Psychodynamic perspective
Caused by unconscious conflicts, often Adverse Childhood Experiences (ACEs)
Behavioral perspective
Problems from history of reinforcement -> Maladaptive learned associations. Ex. phobia of dogs after dog bite really hurt (classical conditioning)
Humanistic perspective
Blocked from self-actualization and reaching full potential (self-esteem and self-concept). Ex. no Unconditional Positive regard
Sociocultural perspective
social, environment, and cognitive factors including racism, sexism, ageism, and discrimination, having huge impact on disorders
Biological perspective
hormonal/neurotransmitter imbalance or by brain structures. Ties to genetic factors sometimes.
Evolutionary perspective
in the past was for survival advantage ex. scared of the dark = dangerous animals at night
Cognitive perspective
irrational thoughts, beliefs, attitudes, emotions, or fears
Eclectic Approach
combine many psychological perspectives to get the bigger picture.
Diathesis-Stress model
biological predisposition (diathesis) is activated by stressors, resulting in expression that could be in the form of disorder
Neurodevelopmental Disorders
disruptions in normal brain development
Autism Spectrum Disorder
spectrum due to it manifesting in many different ways, deficits in social and emotional contact with others, even parents, hypersensitive to sensory stimulation, intense interests in objects not viewed as interested by most and have simple, repetitive behaviors; Environmental and biological factors (70-90% heritability).
ADHD (Attention-deficit/hyperactivity disorder)
difficulty paying attention or sitting still, hyperfocusing on things of interest to them, more common in boys, caused by environmental and biological factors
Neurocognitive Disorders
Alzheimer’s disease, a form of dementia, deterioration of cognitive abilities, especially memory
Anxiety disorders
common symptom of anxiety
Specific phobia
intense, unwarranted fear of a specific situation or object
Claustrophobia
fear of enclosed spaces
Arachnophobia
fear of spiders
Agoraphobia
fear of open, public spaces (escaping is hard, no help access)
Acrophobia
fear of heights
Social anxiety disorder
fear of a situation in which one could embarrass themselves in public
Taijin kyofusho
culture-bound anxiety disorder experienced mainly by Japanese people. Concern that one’s body is displeasing to others
Generalized anxiety disorder (GAD)
constant, low-level anxiety
Panic disorder
acute episodes of intense anxiety (panic attack) without any reason
Ataque de nervios
Caribbean cultures, culture-bound anxiety disorder with sudden uncontrollable screaming, shouting or crying, feelings of impending loss of control, shortness of breath, chest tightness, palpitations, feelings of heat in the chest that rise to the head, shaking arms and legs, and physical and/or verbal aggression
Dissociative Disorders
break or separation from memories and thoughts or even a sense of who the person is (identity)
Dissociative Amnesia
person cannot remember things and there is no physiological problems with memory
Fugue
doesn’t know where one is
Dissociative Identity Disorder
multiple personalities disorder more than one personality. often from ACEs
Depressive Disorders
extreme or inappropriate emotions. sadness, empty, irritable
Major depressive disorder (unipolar depression)
“common cold”. symptoms daily for at least 2 weeks
Persistent depressive disorder
depression is long-lasting but less severe. 2+ yrs
SAD (Seasonal affective disorder)
depression when there is less sunlight (winter)
Learned helplessness and lack of serotonin
High neuroticism, ACEs, heritability at 40%, women higher risk at reproductive stages
Bipolar disorder
bipolar cycling between mania (high energy) and depression
Bipolar I disorder
presence of a manic episode (can just be manic
Bipolar II disorder
milder symptoms, presence of a hypomanic episode (less severe). more severe depressive episode than BP1
90% of variability is accounted for by genetic differences
High heritability!
Schizophrenia spectrum disorder
psychotic disorders, most severe and debilitating (NORMALLY LATE TEENS - 30)
Positive symptoms
excesses in behavior, thought, or mood
Delusions
beliefs that have no basis in reality
Persecution
people are out to get you
Grandeur
have power and influence (ex. president of the U.S.)
Hallucinations
sensory perceptions in the absence of input; Most common is auditory
Word salad
use of language is quite odd (neologisms -> made-up words)
Catatonia
disorganized movement
Negative symptoms
deficits in expected behaviors
Flat affect
essentially no emotional response at all
Mid Pregnancy viral infection of flu, greater paternal age, hypoxia
(genetic +environ.)
Dopamine hypothesis
biological hypothesis that high levels of dopamine is associated with schizophrenia
Use antagonist meds
ex. Clozapine
Personality Disorder
enduring patterns of internal experience and behaviors that is deviant from one’s culture stable, inflexible, and emerges in ADULTHOOD
Cluster A
suspicious or odd behaviors
Paranoid
pattern of distrust and suspicion
Schizoid
avoid social activity (NO DESIRE)
Schizotypal
odd thinking
Cluster B
impulsive or emotional, dramatic, and erratic tendencies
Antisocial
little regard for other people’s feelings. hostile world where people have to look out for themselves (criminals!)
Histrionic
overly dramatic behavior. attention seeking
Narcissistic
seeing oneself as the center of the universe (view others inferior
Borderline
unstable social relationships, fear abandonment and switch back and forth between how they feel about and act towards others
Cluster C
anxious or fearful
Avoidant
plagued of feelings of inadequacy (not good enough), WANT TO, but avoiding social situations and very sensitive to criticism
Dependent
rely too much on attention and help of others