339 Session 3

PARIS Conceptualization of
the Biopsychosocial model

a) ?. ?
b) ? impact of ? experiences
c) Influence of the ? environment

biological vulnerability, psychological, life, social

Socially Sensitive Mental Disorders

Disorders whose ? changes with ? and ?

prevalence, time, circumstances

social cohesion

? to others within ??, ?, ?

connectedness, social groups, culture, community

intergenerational continuity

process by which ?, ?, or ? are transferred from one generation to the ?, often appearing in ? forms within families across time

traits, behaviors, outcomes, next, similar

Traditional cultures often have 

• ? social cohesion

• ? social roles

• ?

high, fixed, intergenerational continuity

Modern cultures often have

• ? social cohesion

• ? social roles

• 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 ? of traits (which are actually just an ? of ? traits)

stability, amplification, normal

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

genetics, social learning, feedback

Rehabilitation versus Recovery

helping clients ? for world vs expecting them to ?

cope, change

Personality traits (acc. to Paris)

Patterns of ?, ?, and ? that are consistent across many ?

(Derived from interaction of ? & ??)

behavior, thought, emotions, contacts, Temperament, social learning

Personality trait example

OCEAN

Temperament

? ? rooted in ? factors

behavioral dispositions, biological

Temperament examples

sociability, emotionality

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

amplified, circumstances

Paris: What causes these Amplifications of Traits?

?? in

1. ?

2. ?

3. ?

risk factors, biological, psychological, 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:

? of a community or society's ? structure, ?, and ?, leading to a loss of ? and a rise in ? and ?

breakdown, social, norms, values, cohesion, conflict, apathy

social disintegration example

social media makes less people go to bars

ASPD etiology according to Paris

-Rooted in ? abnormalities
-families with loose, ? or ? ?/?
      -low ? support
      -loose ?? (societal level)

temperamental, inconsistent, nonexistent, rules, social structure

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 ? traits (? with
psychosocial ?)
• Detached ? networks
• Individualism = highly ? & ?
• Emphasis on Self-promoting/aggrandizing ? (Insta)

narcissistic, exaggerated, stressors, Social, valued, rewarded, technology

Avoidant Personality Disorder etiology according to Paris

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

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 ?
- Experiment with more effective ?
-Practice new ? and observe ?

• Help Establish social ? and ties (purpose/belonging)

environment, maladaptive, emotional, behaviors, alternatives, strategy, results, roles

PVEST- Phenomenology

Self-organization is determined not only by context but by the phenomenological experience of ?, ?, ??, etc

race, gender, physical status, 

PVEST- Vulnerability Level

factors that impact an individual’s ? at any ??

development, life stage

PVEST- Net Stress Engagement

? effect between ? experienced by the individual in contrast to the total provided them

net, challenges, support

PVEST- Reactive Coping Strategies

Coping strategies individuals use ??? when faced with ?, ?,? challenges

in the moment, personal, interpersonal, environmental

PVEST- Emergent Identities

sum total of coping strategies

PVEST- Life Stage Outcomes

? or ? life ? based on ? of ? identity choices

Productive, adverse, outcomes, summation, earlier,

PVEST- stability

when ? response patterns become
? structures

situational, personality

PVEST- resilience

Ability to utilize ?? tendencies

self-righting

Relationship between PD and social welfare in the US:

Most likely a ?? relationship with lots of moderating variables pertaining to ? and PD (such as impaired ?, ?, limited ?, impaired/limited ??, etc)

bi-directional, poverty, functionality, underemployment, resources, social networks

PVEST stands for

Phenomenological Variant of Ecological Systems Theory