339 Session 3

PARIS Conceptualization of
the Biopsychosocial model

a) vulnerability
b) _____ impact of ___ experiences
c) Influence of the ____ environment

biological, psychological, life, social

Socially Sensitive Mental Disorders

Disorders whose prevalence changes with time and circumstances prevalence changes with time and circumstances

social cohesion

connectedness to others within social groups, culture, community

intergenerational continuity

process by which traits, behaviors, or outcomes are transferred from one generation to the next, often appearing in similar forms within families across time

traditional cultures have social cohesion, social roles, and

high, fixed, intergenerational continuity

modern cultures have social cohesion, social roles, and lack of

low, fluid, intergenerational continuity

example of high social cohesion

Polish, dorming

example of low social cohesion

individualistic America

example of fluid social roles

multiple different careers, majors, etc

example of fixed social roles

Amish community- mother, blacksmith

example of lack of intergenerational continuity

family with different careers and hobbies

example of intergenerational continuity

family of blacksmiths

Chronicity of Disorders

reflects underlying stability of traits (which are actually just an amplification of normal traits)just an amplification of normal traits

2 factors behind Trait Stability (Paris)
-
- learning (self-reinforcing _____ loops)

genetics, social, feedback

Rehabilitation versus Recovery

helping clients cope for world vs expecting them to change

Personality traits (acc. to Paris)

Patterns of behavior, thought, and
emotions that are consistent across many contexts (Derived from interaction of
Temperament X social learning)

Temperament

behavioral dispositions rooted in
biological factors

Personality trait example

Temperament examples

sociability, emotionality

Trait variability becomes maladaptive only when only when
underlying traits are and are used under inappropriate

amplified, circumstance

Paris: What causes these
Amplifications of Traits?

1. biological

2. psychological

3. social

examples of Biological Risk Factors

genes (twin studies), biological markers (brain scans)

examples of Psychological Risk Factors

negative childhood experiences, trauma, ineffective/inadequate parenting

examples of Social Risk Factors

social class, culture

social disintegration

breakdown of a community or society's social structure, norms, and values, leading to a loss of cohesion and a rise in conflict and apathy

social disintegration example

social media makes less people go to bars

ASPD etiology according to Paris

-Rooted in ______ abnormalities
-families with loose, inconsistent or nonexistent /. , low support

temperamental, rules, structure, social

BPD etiology according to Paris

-Rooted in traits of and affective (. with psychosocial )

-Family breakdown
*Unclear or unavailable ___ roles
* Detached social ____

impulsivity, instability, exaggerated, stressors, social, networks

NPD etiology according to Paris

Rooted in narcissistic traits (exaggerated with
psychosocial stressors)
• Detached networks
• Individualism = highly &
• Emphasis on Self-promoting/aggrandizing

Social, valued, rewarded, technology (eg Insta)

Avoidant Personality Disorder etiology according to Paris

• Rooted in traits
• parenting
• Unclear or unavailable
• Detached social

anxious, overprotective, social roles, networks

Therapy/Treatment
According to Paris

• manipulating

• Education and trait modification
- Identify when and which traits are
- Observe states that lead to problematic
behaviors
- Experiment with more effective
- Practice new strategy and observe

• Help Establish social and ties (purpose/belonging)

environment, maladaptive, emotional, alternatives, results, roles

PVEST- Phenomenology

Self-organization is determined not only by context but by the phenomenological determined not only by context but by the phenomenological experience of race, gender, physical status, etc

PVEST- Vulnerability Level

factors that impact an individual’s
development at any life stagedevelopment at any life stage

PVEST- Net Stress Engagement

net effect between challenges experienced by the individual in contrast to challenges
the total support provided them

PVEST- Reactive Coping Strategies

individuals use in the moment when faced with personal, individuals use in the moment when faced with personal,
interpersonal and environmental challenges

PVEST- Emergent Identities

sum-total of coping strategies

PVEST- Life Stage Outcomes

Productive or adverse life
outcomes based on summation of earlier identity choices

PVEST- stability

when situational response patterns become
personality structures

PVEST- resilience

Ability to utilize self-righting tendencies

Relationship between PD and social welfare in the US:

Most like a relationship with lots of moderating variables pertaining to and

bi-directional, poverty, PD