stress
physiological and psychological reaction to the challenges, conflicts, and demands faced in life; can be major life changes or when bad things happen
external sources
internal sources
real source
imagined source
microstressors
small stressors, can have a severe effect if it piles up
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stress
physiological and psychological reaction to the challenges, conflicts, and demands faced in life; can be major life changes or when bad things happen
external sources
internal sources
real source
imagined source
microstressors
small stressors, can have a severe effect if it piles up
eustress
stress from positive sources
approach-approach
two possible options to choose from, both are equally desireable
avoidance-avoidance
two possible options and both are undesireable
approach-avoidance
only one option and it has both desirable and undesirable qualities
ambivalence: hardly a choice, only one option
double approach-avoidance
more than one possible option but it has desirable and undesirable qualities
vacillation: bouncing back and forth between options
general adaptation syndrome (Hans Selye)
what the body goes through when confronting a stressor
alarm phase
resistance
exhaustion
alarm phase
when the individual encounters the stressor
sympathetic nervous system response: fight-or-flight
heart rate and breathing inc, digestion slows, pupils dilate
resistance
body functions in the state of sympathetic energy, ready to continue the response
remaining too long in this stage = body’s resources depleted
exhaustion
body returns to the parasympathetic state if stressor is resolved or if the body’s resources are depleted
more susceptible to get sick from a cold/fl
mental and physical fatigue
greater chance of illness if in alarm or resistance for too long
psychoneuroimmunology
relationship between stress, immune system function, endocrine system function, mental well-being
Holmes and Rahe Social Readjustment Rating Scale
measures stress in life through “Life Change Units”
events that happened in the last year that are either positive sources (eustress) or negative sources (distress)
lifestyle related diseases
heart disease
high blood pressure
lack of exercise
overabundance of stress
issues due to unhealthy habits in life
positive psychology
happiness, character strengths, gratitude, mindfulness, grit and resilience
happiness
experiencing positive emotions and satisfactions with one’s life - where the individual deems the quality of their life as favorable
eudaimonic happiness: meaning and purpose
hedonic happiness: pleasure and enjoyment
flourish: accomplishing meaning/worthwhile tasks, connecting with others
well-being: state of happiness and contentment, good quality of life
character strengths
positive attributes in each person’s personalities
wisdom
courage
humanity and love
justice
temperance
transcendence
gratitude
appreciation for what an individual receives, tangible or intangible
feeling good: improves health, positive affect, increases social and emotional well-being
doing good: improves social belonging and prosocial behavior
mindfulness
relaxation and purposeful attention to your body’s senses and experiences in the present moment
benefits: decreases anxiety and depression, improve sleep and immune system, brain is more active and connected, better personal relationships
grit and resilience (growth mindset)
grit: tendency to sustain interest in and effort toward very long-term goals
resilience: process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress
growth mindset: belief that abilities can be developed through “hard work, good strategies, instruction from other”
psychopathology
study of psychological disorders, describes disorders as a whole
psychological disorder
clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior
subjective discomfort
they feel something is not right
statistically abnormal
behavior exceeds what is typical
social nonconformity
abnormal as it relates to the culture of society the person lives in
loss of control
person cannot curb/change the thoughts or behaviors on their own, maladaptive to their lives
maladaptive: schoolwork, job, relationships are all more challenging due to the thoughts and behaviors
diagnosing
clinicians examine symptoms and take into account levels of subjective discomfort, statistical abnormality, social nonconformity, aspects of control, if the experience is maladaptive for the individual
Diagnostic and Statistical Manual (DSM)
lists symptoms, prevalence, common occurrences
does NOT include specific causes
atheoretical
people have their own theory about potential cause and the best course for treatment
psychoanalytic perspective: Freudian view
psychological disorders are due to the balance between the id, ego, and superego
humanist perspective
caused due to issues with how the person views themselves, their self-esteem, or their over-sensitivity to the judgement of others
cognitivists
caused due to irrational thoughts that become automatic in the person’s mind
distorted thoughts manifest in the symptoms
behaviorists
source due to conditioning gone awry
may be classically conditioned to be anxious, or operantly conditioned to be depressed
biological perspective
Medical Model - brain-based or neurotransmitter-based disease
eclectic
belief in a variety of perspectives
biopsychosocial approach
biological influences: genes, brain chemistry, hormones
psychological influences: thoughts, learned behaviors, emotions
sociocultural influences: family traditions, culutre
disorders are a combination of causes due to genes or neurotransmitters, stress and trauma, social expectations
personality disorders
set of inflexible, stable, behavior patterns that impair a person’s ability to function normally with others
Cluster A: odd or eccentric behaviors
paranoid, schizoid, schizotypal
Cluster B: dramatic or emotional behaviors
antisocial, borderline, histrionic, narcissistic
Cluster C: anxious or fearful behaviors
avoidant, dependent, obsessive compulsive
paranoid personality disorder
excessive distrust in others, avoidance or close relationships, tendency to read into what people are saying to look for hidden meanings, shift blame
schizoid personality disorder
tend to avoid relationships, require little social contact/interaction
schizotypal personality disorder
bizarre and eccentric patterns of thought, speech, mannerisms
belief of extrasensory abilities
antisocial personality disorder*
criminal prone behavior, lack of conscience, aggressive interaction or behaviors, impulsivity
borderline personality disorder*
mood instability, impulsivity, suicidal thoughts, self-mutilating behaviors
histrionic personality disorder
attention seekers, desire to be center of focus, will engage in behaviors to shift focus on them
narcissistic personality disorder*
exaggerated self-esteem and self-love, more self-centered
avoidant personality disorder*
extreme social anxiety, fear of being in social situations or being rejected
dependent personality disorder*
excessive neediness and clinging to other people, oversensitive to what people say, pervasive feeling of helplessness
obsessive compulsive personality disorder (NOT OCD)
excessive focus on orderliness and perfection, interferes with task completion and avoidance of working with other people
anxiety disorders
excessive feelings of anxiety or uneasiness that is maladaptive and out of proportion for the given situation
generalized anxiety disorder
excessive, unrealistic anxiety, free floating, restlessness, irritability, muscle tension, sleep disturbances, trouble concentrating
panic disorder
brief periods of intense and uncontrollable anxiety, heart palpitations, sweating, dizziness, confusion, chest pain, difficulty breathing
phobias
intense and irrational fears of specific objects or situations
agoraphobia
fear of being in open spaces or public and crowded spaces
obsessive-compulsive related disordes
unwanted anxiety, thoughts, behaviors
obsessive-compulsive disorder
pattern of obsessions and compulsion, cycle is self-reinforcing
obsessions: repeated and unwanted thoughts
compulsions: unwanted behaviors
post-traumatic stress idsorder
avoidance of the event details or location, persistent intrusive thoughts, memories, dreams of the events, distorted cognitions and/or moods, arousal symptoms
major depressive disorder
continuous depressed mood, diminished interest in activities, fatigue, feeling worthless/guilty, significant weight loss/gain, oversleeping or insomnia, difficulty thinking/concentration, thoughts of death
persistent depressive disorder
depression symptoms for more than two years
bipolar disorders*
periods of depression and mania or hypomania
bipolar 1
manic episodes, preceded or followed by hypomania or a depressive episode
bipolar 2
depression with hypomanic episodes
manic episodes*
unrestrained euphoria, decreased need for sleep, disconnected ideas, reckless behavior or hyper-focused behavior, pressure to talk/maintain conversations
genetics / biology and disorders
link to genetics and bipolar disorder
link with biology and depressive or bipolar disorders
schizophrenia
delusions - distorted thoughts
hallucinations - distorted/imagined perceptions
disorganized speech - gibberish
disorganized or catatonic behaviors - odd or eccentric behavior
negative symptoms - deficits of speech, motivation, or emotions
positive symptoms (schizo)
present in someone with schizophrenia, not in a healthy individual
negative symptoms (schizo)
absent in those diagnosed with schizophrenia, present in others
biological causes of schizophrenia
genetic link
hyper-responsive dopamine receptors in the brain
triggered by disruption in the psyche or a traumatic stress situation
enlarged ventricles
dissociative disorders
splitting of the normal consciousness and identity
DID: split of the identity and formation of 2+ distinct personalities
amnesia: period of memory loss of autobiographical memories
fugue: sudden desire to flee or travel away from home
somatic disorders
physical complaints that cause significant distress in the person’s life
somatic symptom disorder: unexplained physical complaints that cause significant disruption, not intentionally faked and cannot be medically explained
conversion disorder: loss of a physical function, no apparent physiological cause
illness anxiety disorder: people hyper-focus on developing an illness or a disease, causes anxiety and worry about their health
anorexia nervosa
psychological disorders that involves excessive food restriction to the point of starving
bulimia nervosa
cycles of bingeing and purging food
binge-eating disorder
binge cycles are not followed by the purge
neurodevelopmental disorders
brain-based disorders that present during childhood
autism spectrum disorders
cluster of symptoms that typically appear during the first 3 years of life
deficits in social communication and interaction
symptoms of restricted, repetitive patterns of behaviors
attention-deficit hyperactivity disorder
symptoms of inattention, hyperactivity, impulsivity
tic disorders
sudden, rapid, recurrent motor movements or vocalizations
tourette’s disorder
multiple motor and 1+ vocal tics, occuring for more than a year
pyschotherapy
psychological techniques used to facilitate positive change in a person
early psychotherapy
emphasis on the treatment of demonic forces or evil spirits that they believed caused the syptoms
trepanning: boring a hole into the skull for the spirits to leave
exorcisms: ritual to rid the body of demonic spirits
St. Mary’s of Bethlehm in London
one of the earliest asylums
focus on containment, NOT the treatment of patients
Philipe Pinel
pushed for the removal of shackles and chains from the patients in the ward, a more humane treatment
Dorothea Dix
pushed for a more humane treatment in US hospitals and asylums
Jean-Martin Charcot
one of the first to use hypnosis to treat the symptoms of hysteria
Josef Breuer
used hypnosis on his patients, talking cure
insight therapies
understanding the source of the symptoms allows better management of them
psychoanalysis
focus on the underlying unconscious conflict that caused the symptoms
free association
dream analysis
resistances
transference
free association
patient encouraged to talk about whatever comes to mine, in any order, prompted to continue speaking or delve into any subject
back and forth between psychoanalyst and patient
dream analysis
analyzes account of manifest content (storyline) and latent content (symbols that point to unconscious motives or conflicts)
resistances
attempts by the patient to block the progression of therapy
transference
where a patient projects their feelings to the psychoanalyst
humanist therapies
rely on insight in a more conscious way, the facilitator helps the client reach their full potential
client-centered therapy
non-directed form of therapy where the client guides the discussion
atmosphere of growth
leads patients to conscious realization/self-imposed limits
unconditional positive regard
empathy
authenticity
active listening
unconditional positive regard
no matter what the client talks about, facilitator shows total support
empathy
understand/share their clients emotions and feelings
authenticity
facilitator must be honest and genuine in their empathy and unconditional positive regard
active listening
should help rephrase and clarify their clients thoughts, instead of interpret or make suggestions
cognitive therapies
irrational thought and faulty logic as the source of psychological disorders
Albert Ellis’s Rational Emotive Therapy
psychological distress is linked to people reciting maladaptive, harmful thoughts to themselves
Activating experience: affects a person’s mental thoughts
false Beliefs: individual will recite in their head
emotional Consequence: depression or anxiety
Aaron Beck
cognitive therapy built in changing maladaptive thoughts
selective perception
overgenralization
all-or-nothing thinking
selective perception
focusing on negative aspects of their world instead of seeing positives