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Wellbeing
A state where an individual is mentally, physically and socially healthy and secure.
Mental Wellbeing
An individual’s psychological state, indicating their ability to think, process information, and regulate emotions.
4 Ways of considering wellbeing
Levels of functioning, resilience, social wellbeing, emotional wellbeing.
Levels of functioning
When high individual shows independence, goal setting, development, meeting demands of everyday life and ability to carry out day to day activities.
Resilience
Ability to recover quickly from setbacks and manage stress.
Social wellbeing
Feeling connected, reciprocated, valued, desired and understanding emotions of others
Emotional wellbeing
Feeling balanced, experiencing a normal range of emotions, having coping strategies, responding appropriately
SEWB framework
A framework that includes all elements of being, therefore wellbeing, for Aboriginal and Torres Strait Islander peoples. Holistic approach, there are 7 interconnected dimensions.
3 determinants and examples
Social - socioeconomic status, racial discrimination. Historical - colonisation and it’s legacy. Political - unresolved issues of land, sovereignty rights.
7 dimensions of SEWB
Connection to country, culture, community, body, spirituality and ancestors, family and kinship, mind and emotions.
Mental wellbeing continuum
A tool used to track fluctuating mental wellbeing.
Stress
A psychological and physiological experience that occurs when an individual encounters something of significance that demands their attention and/or efforts to cope.
Anxiety
A psychological and physiological response that involves feelings of worry and apprehension about a perceived threat.
Specific phobia
A persistent, intense, irrational fear that effects daily functioning.
Biopsychosocial model
The interconnected way that biological, psychological and social factors influence behaviour and development.
Biological factors that contribute to a specific phobia
GABA dysfunction, long term potentiation
GABA dysfunction
GABA is the main inhibitory neurotransmitter in the nervous system. Neurons cannot be transmitted or received normally, and uncontrollable firing more likely to occur.
Long term potentiation
Long lasting and experience dependent strengthening of synaptic connections that are regularly activated. LTP can strengthen through repeated association with phobic stimulus.
Precipitating factors
Contribute to the susceptibility of developing a specific phobia.
Perpetuating factors
inhibits an individual's ability to overcome a specific phobia
Psychological factors that contribute to a specific phobia
Classical conditioning, operant conditioning, cognitive bias
Classical conditioning
Precipitating factor. Before conditioning: neutral stimulus produces no relevant response. During conditioning: neutral stimulus paired with unconditioned stimulus produces unconditioned response. After conditioning: conditioned stimulus produces conditioned response.
Operant conditioning
Perpetuating factor. Antecedent: presented with phobic stimulus. Behaviour: avoiding phobic stimulus. Consequence: negative reinforcement means individual is more likely to avoid stimulus again in future.
Cognitive bias
Perpetuating factor. Memory bias: inaccurate or exaggerated memory. Catastrophic thinking: thinking worst case scenario will happen.
Social factors that contribute to a specific phobia
Specific environmental factors, stigma
Specific environmental factors
Past traumatic experiences with phobic stimulus. The more traumatic, the more likely a phobia will develop.
Stigma
feeling of shame or disgrace experienced by an individual because of something that sets them apart from others.
Biological interventions for specific phobia
Benzodiazepine agents, breathing retraining
Benzodiazepine agents
Medication that acts as an agonist which binds to receptor of neuron and acts as a neurotransmitter. Increases inhibitory response of GABA.
Breathing retraining
Using breath control techniques to calm stress response by increasing parasympathetic response.
Psychological interventions
Systematic desensitisation, CBT
Systematic desensitisation
Used to overcome phobias via incremental exposure to increasing phobic stimuli.
Patient learns a relaxation technique
Patient establishes a fear hierarchy
Patient is gradually exposed to stimuli on the hierarchy, starting with easiest to confront and working up. This is paired with relaxation technique.
This continues until phobia has been associated with the feeling of relaxation and is no longer a phobia.
Cognitive behavioural therapy
Form of psychotherapy that encourages substitution of dysfunctional cognitions and behaviours with adaptive ones.
Cognitive behavioural therapy components
Cognitive: identifying negative thoughts and feeling and replacing them with positive ones. Behavioural: identifying negative behaviours relating to the issue and replacing them with more positive ones.
Social interventions
Psychoeducation
Psychoeducation
Aids families and supporters of individuals with specific phobia in understanding, dealing with and treating phobia.
2 key components of psychoeducation
Challenging unrealistic thoughts, not encouraging avoidance behaviours
biological protective factors
adequate sleep, nutrition and hydration
psychological protective factors
cognitive behavioural strategies, mindfulness meditation
social protective factors
support from family, friends and community - must be genuine and uplifting
cognitive behavioural strategies
Uses CBT techniques. Identifying and challenging dysfunctional thinking. Exploring the causes of dysfunctional thinking and reframing these. Journaling to reflect and help identify thought patterns.
mindfulness meditation
The practice of meditation in which an individual focuses on their present experience to promote feelings of calm. Paired with relaxation techniques
2 key cultural determinants
self determination, cultural continuity
cultural self determination
Refers to the rights of all people to pursue freely their economic, social and cultural development without outside interference. Enables communities to protect what is important to them on a wider scale.
cultural continuity
The passing down of Aboriginal practice, cultural knowledge, traditions and values from generation to generation. Allows healing from intergenerational trauma