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Operant conditioning
Perpetuates
Classical Conditioning
Precipitates
The western view of mental health is 4 different ways
Levels of functioning, social wellbeing, emotional wellbeing, Resilience
Levels of functioning is
How a person approaches everyday demands and operates within their environment.
Social wellbeing is
Being able to develop positive relationships with family and friends that are authentic and energizing
Emotional wellbeing
Expressing a range of emotions that are relevant to the context.
Resilience
the ability to cope with and manage change and uncertainty.
What is a mental health problem
a relatively short term disruption that impacts on a persons everyday functioning
Mental disorder
A condition that impairs mood, thinking and behavior and is typically long lasting
The social and emotional wellbeing framework (SEWB) is
Multidimensional (has many different components) and is holistic (considers the whole person)
The determinants are
Historical determinants
Political determinants
Social determinants
what are the 7 domains of the SEWB
Connection to country
Connection to spirit and ancestors
Connection to body
Connection to mind and emotions
Connection to family and kinship
Connection to community
Connection to culture
Social determinants include
Socio economic status
exposure to violence and trauma
impact of poverty, unemployment, housing
Historical determinants
impact of past government policies (white Australia policy, stolen generation)
extent of historical oppression and cultural displacement
Political determinants
control of resources
cultural security
the rights of self determination and sovereignty
unresolved issues of land
Positives of mental health continuum
decreased stigma, increased ability to see if functioning has improved, increased ability to see if treatment is helping
Disadvantages of the mental health continuum
difficulty knowing the point of intervention as there is no clear categories
Internal factors are
arise from within an individual
External factors are
arise from an individuals environment
Example of internal factors
levels of stress, genetic predisposition
Example of external factors
loss of significant relationship, trouble at school
Biological factors are (with example)
Relate to the physiological functioning of the body including genetics, sex, hormones
Psychological factors are (with example)
relate to the functioning of the brain and the mind including styles of thinking, beliefs and attitudes, emotions
Social factors are (with examples)
relate to the social components of a persons environment including relationships, early life experiences, education level
Stress is defined as
A state of psychological or physical tension
Anxiety is defined as
A state of physiological arousal associated with feelings of apprehension, worry or uneasiness that something is wrong.
Phobia is defined as
An anxiety disorder involving a persistent, irrational and intense fear of a particular object/situation
The biological contributing factors are
Long term potentiation
GABA dysfunction
GABA is defined as
The primary inhibitory neurotransmitter in the CNS
What does GABA do
inhibits post synaptic neurons stopping them from receiving and passing on the neural impulse from the presynaptic neuron to post synaptic neuron.
What is GABAs role
regulates anxiety, arousal and sleep
Low levels of GABA lead to
higher anxiety (not enough GABA to regulate anxiety and arousal levels)
Long term potentiation is defined as
An experience dependent type of brain plasticity where a neural pathway is strengthened as a result of repeated stimulation at a high intensity.Llo
Long Term potentiation contributes to the development of phobuas by
Strengthening the association between neural signals involved in perceiving a stimulus.
Through their repeated co activation the signals involved in perceiving the phobic stimulus more easily trigger fear response.
What are the two biological interventions
Benzodiazepines (GABA agonists)
Breathing retraining
What do Benzodiazepines do
Act as an agonist by stimulating the activity of GABA/ Amplifying its effects - reducing physiological arousal.
Strengths of Benzodiazepines
provide rapid relief from the symptoms of a phobia by increasing the effectiveness of GABA.
Weaknesses of Benzodiazepines
High potential for addiction, do not address underlying cause of the phobia
What is breathing retraining
Breathing retraining is the process of identifying incorrect breathing habits and replacing them with new ones.
What does breathing retraining consist of
rapid, small shallow breaths and resulting in an inbalance of carbon dioxide and oxygen.
Strengths of breathing retraining
can be taught by a therapist and then used in a public setting without drawing much attention to the individual using the technique.
Limitations of breathing retraining
needs to be well practiced, especially in the absence of the phobic stimulus
What are the two psychological contributing factors
Behavioral models
Cognitive biases
What are the two behavioural models of psychological contributing factors
Precipitating a phobia using classical conditioning
Perpetuating a phobia using Operant conditioning
Operant conditioning involves
Avoidance of an unpleasant stimulus leads to negative reinforcement
antecedent
Behavior
Consequence
What are the cognitive models
Cognitive biases
Memory bias
Catastrophic thinking
Cognitive biases is defined as
lead to an inaccurate judgement or interpretation of a situation that affects the decisions people make
Memory Biases is defined as
a type of error that may either enhance or impair the recall or it may alter the content of what we report remembering.
Catastrophic thinking is defined as
occurs when an individual repeatedly overestimates the potential dangers of an object or event and assumes the worst.
Psychological interventions are
Cognitive behavioral therapy
Systemic desensitization
Cognitive behavioral therapy is defined as
An intervention comprising of a range of cognitive and behavioral therapies and learning principles to help people identify, challenge and replace unhelpful thought processes.
Strengths of CBT
Addresses the underlying faulty cognitions and avoidance behaviors.
Weaknesses of CBT
Time consuming usually requires weekly sessions, relies on patient buy in
Systemic desensitization is defined as
a psychological intervention that utilizes classical conditioning to gradually teach the individual to replace their fear response with feelings of relaxation.
Strengths of systemic desensitization
helps break the cycle of avoidance that maintains the phobia, aims for a long term solution to the fear response
Limitations of systemic desensitization
focuses on changing behaviour rather than challenging the irrational thoughts, individual must actively participate in exposure exercises and relaxation training.
Stigma is defined as
Refers to the negative attitudes, judgements, stereotypes or embarrassment associated with having a mental condition or seeking professional help.
What is the only social intervention
Psychoeducation
What are the two things to remember for psychoeducation
Challenging unrealistic or anxious thoughts
Not encouraging avoidance behaviors
Challenging unrealistic or anxious thoughts are defined as
overestimating the danger involved in a particular object, activity or situation. Family support the sufferer to challenge these thoughts.
Not encouraging avoidance behaviors is defined as
Attempt to prevent exposure to the fear provoking object, activity or situation.
What are the two different types of cultural determinants
Cultural continuity
Self determination
Cultural continuity is defined as
the ability to preserve the historical traditions of a culture and carry them forward with that culture into the future generations. through things like songlines
Self determination is defined as
the right to make decisions on matters that affect their lives and communities.