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Health psychology
The subfield studying how biological, social, and psychological factors influence physical health, illness, and wellness. It focuses on applying behavioral principles to promote health, prevent illness, and improve healthcare systems using the biopsychosocial model.
stress key part
Most important aspect is appraisal. (not necessarily negative)
stress characteristics
Biological: activation of the sympathetic nervous system
Psychodynamic: turmoil in the unconscious that might show up as something else
Evolutionary: result having evolved for a different environment
Sociocultural: comes from not matching society’s roles and expectations
Humanistics: arises when obstacles block us from growing and becoming
Cognitive: the reaction of having disruptive and unpleasant thoughts
Behavioral: the inability to obtain positive or negative reinforcement
hypertension
often caused by the body's prolonged activation of the sympathetic nervous system, leading to sustained elevated blood pressure (a key part of the "Resistance" phase in Selye's General Adaptation Syndrome).
Chronic high blood pressure, typically measured at 130/80 mm Hg or higher
immune suppression
is defined as the reduction in the effectiveness of the immune system’s ability to function and fight off infections, diseases, and pathogens.
Often caused by chronic, long-term stress
stressors
Daily hassles: more than additive. They are multiplocative. Constant noise, physical discomfort, and financial uncertainty can pile up
Traumatic events: anything can be traumatic. Often depends on cognitive appraisal, personality traits, coping mechanisms and resources
ACEs
Can be transient - they are temporary challenges
Chronic - severe and not temporary
eustress
Challenging, but not unpleasant
Possibility of long-term benefit from this
Yes its scary but worth it
Approach-avoidance conflict
Optimum arousal
Consent and choice
Internal locus of control
Leads to growth
distress
Unpleasant
Unhealthy in long run
Avoidance-avoidance conflict
Learned helplessness
Lack of control
External locus of control
ACEs
Children are vulnerable and require care and support in many ways
When that care is not given or even denied, it can affect the person’s development throughout their life.
Defined as potentially traumatic, stressful events occurring before the age of 18 that can have long-lasting, negative impacts on physical and mental health across the lifespan.
general adaptation syndrome
Stress happens over time
Stress is the complex interaction between the environment, the appraisal, and the body’s physical reaction
The body’s ability to resist stress and its own reaction to its changes over time
Walter cannon and hans selye
GAS image

alarm reaction phase
Fight or flight, sudden activation of the sympathetic nervous system. Anxiety, amygdala and adrenaline
an automatic, involuntary physiological and psychological reaction to a perceived threat or danger. It is governed by the sympathetic nervous system as part of the body's survival mechanism
When a stressor is encountered, the body sends a distress signal to the hypothalamus, which activates the sympathetic nervous system. The adrenal glands release adrenaline and cortisol, providing a surge of energy to fight, flee, or freeze.
Release of various stimulatory hormones including corticosterone
resistance phase
“Handling it” with excess adrenaline the body and brain rise to the challenge
Your body can handle this stress
Adaptive for transient stressors but not chronic ones
Part of parasympathetic rebound
Your body cannot be aroused forever
exhaustion phase
The body can’t fight the stressor, the stress response, and continue to repair tissue and fight infection
Body and mind = limited responses
fight-flight-freeze response
Evidence that acting aggressive or withdrawing increase fueling of fight or flight
See alarm reaction phase for more info
tend-and-befriend theory
Proposes that some people react to stress by tending to their own heed and or the needs of others and seeking connection with others
Nurturing offstring and seeking social support
more common with female
problem-focused coping
Involves seeing stress as a problem to be solved and working solutions until a solution is found
Outward focused
A solution can eliminate the source
Might be considered “long term”
emotional-focused coping
Equals meditation, taking meds aimed at reducing stressful emotional responses
Inward focuses
This is necessary and good
Might be considered “short-term”
Reframing
And cognitive appraisal
Cognitive Appraisals
Primary appraisal: is this event a threat?
Secondary appraisal: can i handle this stressor?
Type A
Competitiveness
Sense of time urgency
Elevated feelings of anger and hostility
Act in ways that increase the likelihood that they will have stressful experiences
Behavior patterns are more susceptible to stress-related diseased
Type B
Low level of competitiveness
Low preoccupation with time issues
Generally easygoing attitude
Behavior gets stressed more slowly
Their stress levels don’t reach the same heights as type a
positive psychology
The scientific study of human strengths and virtues focusing on human flourishing and optimal functioning.
What is right in a person and how we can add to that, not the negatives
happiness
like stress it is hard to define. It is dependent on the operational definition produced via an experiment.
Self-report scales are commonly used like the Authentic Happiness Inventory and the PERMA Profiler
well-being
A state of happiness and contentment, with low levels of distress, overall good physical and mental health and outlook, or good quality of life
resilience
The process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress
positive subjective experiences
are fleeting, internally felt positive emotions and states (e.g., joy, contentment, gratitude) that enhance life.
keys to well-being
Altruism: unselfish regard for someone else’s welfare
Awe: feeling when in the presence of something that challenges ur understanding of the world
Bridging Differences: embracing a diversity of backgrounds
Compassion: feeling that arises when you are confronted with someone else’s suffering and you feel motivated to relieve it.
Diversity: involving people from a range of different social and ethnic backgrounds
Empathy: the ability to sense someone else’s pain
Forgiveness: conscious decision to release feeling of resentment
Gratitude: appreciation of what one has both tangible and intangible
Gratitude increases well-being
Social connection: feeling that you belong to a group and feel close to those in that group
Intellectual humility: degree to which one recognizes their beliefs might be wrong
Mindfulness: moment by moment awareness of our thoughts, feelings, and environment
Purpose: intention to achieve a personal meaning
gratitude
As an action: appreciating what an individual receives, whether tangible or intangible
As a state of being: a state of being thankful
Benefits of practicing gratitude:
Doing good
Social belonging
Prosocial behavior
Feeling good
Improves health
Positive affect
Social well-being
Emotional well-being
signature strengths and virtues
enduring, positive, and authentic character traits (e.g., wisdom, courage) that define a person's best self and contribute to long-term well-being and meaning.
24 total traits but classified into 6 categories of virtues.
Virtues = character strength
wisdom
Creativity, curiosity, open-mindedness, love of learning, perspective.
courage
Bravery, persistence (perseverance), integrity (honesty), zest.h
humanity
Love, kindness, social intelligence.
justice
Teamwork, fairness, leadership.
temperance
Forgiveness, humility, prudence (caution), self-regulation (self-control).
*minimalist
transcendence
Appreciation of beauty and excellence, gratitude, hope, humor, spirituality.
post-traumatic growth
A positive subjective experience that some experience after the experience of trauma or stress.
growth can equal…
Personal strength
Close relationships
Greater appreciation for life
New possibilities
Spiritual development
disordered behavior
unusual, maladaptive (interferes with ability to function in particular situation), abnormal by society’s standards, perceptual or cognitive dysfunction
3 characteristics needed to be a disorder
dysfunction: Impairment or disturbance in behavior
distress: Does it cause worrisome or anxiety
deviation from norms: Not typical of one’s society’s normal behavior
positive consequences for classifying and/or diagnosing a disorder
Individuals could experience relief knowing their group of symptoms has a name
Helps guide individuals toward appropriate course of treatment
Simplifies communication with a common language
Diagnostic labeling consequences
Helps guide research
Helps predict future problems for an individual
negative consequence for classifying and/or diagnosing a disorder
Negative attitude toward self, including shame
Reduced hope and self-esteem
Self-limiting beliefs. May accept the role and outlook
Diagnostic labeling consequences
Diagnosis made by using self-reports. Individuals may not be good at describing symptoms
Stigma may keep people from seeking help.
cultural/societal norms - consequences for classifying and/or diagnosing a disorder
Individualistic:
More likely to see mental health issues as a normal way of life
More likely to seek help
Collectivist:
Seen as a sign of weakness
Seen as an outcast
Less likely to seek help
stigma consequences for classifying and/or diagnosing a disorder
negative attitudes, prejudice, and discrimination
can lead individuals to internalize negative stereotypes, experience reduced self-esteem, or face social rejection
self-stigma: internalized stigma
racism consequences for classifying and/or diagnosing a disorder
often leading to misdiagnosis, overdiagnosis of severe conditions in minority groups, and underdiagnosis of others
minimization of distress
cultural misinterpretation, implicit bias, racial trauma and PTSD
sexism consequences for classifying and/or diagnosing a disorder
inaccurate labeling, misdiagnosis, and unequal treatment outcomes.
over-pathologizing women
under-diagnosing men
women’s physical symptoms are often incorrectly dismissed as hormonal, stress-related, or psychological
ageism consequences for classifying and/or diagnosing a disorder
negative stereotypes, prejudices, and discrimination against individuals based on their age
underdiagnosis
misdiagnosis
misattributing symptoms as “normal aging”
discrimination consequences for classifying and/or diagnosing a disorder
social stigma and stereotyping
self-stigma and internalization
discrimination in opportunities
misdiagnosis and cultural bias
the “stickiness” of labels
culture-bound disorder
a mental illness that is recognized only within a specific society or culture, often acting as a combination of psychiatric and somatic symptoms
They highlight how culture shapes the expression, interpretation, and treatment of psychological distress, proving that mental health is not strictly biological
diagnostic and statistical manual (DSM)
Most current edition is the DSM-5-TR
Developed by the american psychiatric association to classify and describe disorders
Checklist of symptoms
Does not explain
Does to give treatment
international classification of mental disorders
Most current edition is the ICD-11
Developed by the world health organization
Used to standardized health information across the world
Mental and physical disorders
Eclectic
Most psychologists do not ascribe to one approach
When diagnosing and treating disorders, psychologists consider many factors instead of one.
behavioral defines psychological disorders
Focus on maladaptive learned associations between or among responses to stimuli
Positive and negative reinforcement
Phobias included
It is all learned
Disordered behavior has been rewarded or reinforced at some point establishing it as a pattern of behavior
Treatment: must unlearn the maladaptive behavior or modify the learned responses to certain stimuli
psychodynamic defines psychological disorders
Focus on unconscious thoughts and experiences, often developed during childhood
Conflicts exist between id, ego, and superego
Anxiety stems from socially unacceptable desires
Childhood conflicts
humanistic defines psychological disorders
Focus on lack of social support and being unable to fulfill one’s fullest potential
Not receiving unconditional positive regard creates self-doubt and can lead to depression
Not fulfilling one’s fullest potential can create anxiety in determining life goals.
Low self-esteem
Self-actualizing - there is a block that is hindering your growth
cognitive defines psychological disorders
Focus on maladaptive thoughts, beliefs, attitudes or emotions
Irrational fears can lead to irrational behaviors
Maladaptive thoughts and rumination can lead to a cycle of depression
Cognitive framing is important
Misperceptions and misinterpretations of the world lead to disordered behavior
Treatment: must change the contents of thought or way it is processed
evolutionary defines psychological disorders
Focus on behaviors and mental processes that reduce the likelihood of survival
Fears can be adaptive and aid in survival, such as fears of the dark or dangerous animals
Fears can also reduce the chances of reproduction such as fears of rejection and issues in relationships
sociocultural defines psychological disorders
Focus on maladaptive social and cultural relationships and dynamics
Not meeting societal standards can lead to depression and low self-esteem
Individualistic and collectivist cultures have differing norms for behavior and relationships
Society and culture defines what is acceptable behavior
biological defines psychological disorders
Focus on physiological or genetic issues
Oversupply or undersupply of specific neurotransmitters can lead to disordered behavior
Manifestation of abnormal brain function bc structural or chemical abnormalities
Medication is treatment route
genetics
Is there a gene that is associated with addiction?
biopsychosocial model
an integrated approach that explains how health, illness, and behavior are determined by the complex interplay of biological, psychological, and social-cultural factors - that impact psychological disorder
biological factors - biopsychosocial model
genetic predispositions
neurochemistry
brain structure and function
hormones
physiological reaction to drugs
psychological factors - biopsychosocial model
cognitive patterns
coping skills
emotions/mood
learned behaviors/associations
self-concept
sociocultural factors - biopsychosocial model
social support
family/peer dynamics
cultural norms
environmental stressors
life events
diathesis-stress model
Examines psychological disorders from the perspective of the interplay between a diathesis, or underlying vulnerability, such as a genetic predisposition, with an external stressor that triggers that vulnerability to manifest.
diathesis
This is the predisposition or vulnerability a person has toward developing a specific disorder.
It is usually genetic, biological, or a result of early childhood trauma.
stress - diathesis stress model
This is the environmental factor or life event that triggers the activation of the diathesis.
It includes major stressors or chronic daily stressors
neurodevelopmental disorders
Symptoms: focus on whether exhibited behaviors are appropriate for age or maturity levels
Impact: may affect emotions, learning ability, self control, and memory
Onset: occurs during the developmental period
Duration: typically for life.
symptoms - neurodevelopmental disorders
delays in reaching milestones
difficulties with communication
impaired social interaction
Attention-deficit/hyperactivity disorder (ADHD)
Indicators for…
Inattention
Overlooking detail
Inability to focus on single task
Frequently doesn’t finish tasks
Hyperactivity/impulsivity
fidgeting/movement
Interrupting others
Trouble waiting one’s turn
At least some symptoms must have been present before the age of 12 for diagnosis
DSM 5 says 5 out of 9 indicators must be present at least six months for diagnosis
Autism spectrum disorder (ASD)
Symptom categories…
Impaired social and communication skills
Social emotional reciprocity
Deficits in nonverbal and verbal communication
Difficulty making friends or lack of interest in peers
Restrictive and repetitive behavior
Repetitive motor movements, use of objects, or speech
Inflexibility with routines
Fixated interests
Hyporeactivity to sensory input
Spectrum doesn’t refer to “degree” rather a range of symptoms.
neurodevelopmental disorders - possible causes
Development of the nervous system is complex and orderly influenced by genetics and the environment both prenatally and after birth
Down syndrome: example of a developmental disorder that is genetic
Environmental factors: such as teratogens, infectious disease, social deprivation, and physical trauma can contribute to developmental disorders.
ADHD - possible causes
heritability of about 74% and no significant evidence to identify clear environmental causes, but can’t be ruled out.
ASD - possible causes
appears to be largely genetic but complex. Pre-natal risk factors have been identified that increase likelihood of ASD.
Schizophrenic spectrum disorder
severe psychological disorders characterized by a split from reality,
split-brain: Disturbances in thought, perception, speech, motor behavior, and emotional experience
Schizophrenic spectrum disorder - acute
has a sudden onset, often following stress, with prominent positive symptoms (hallucinations, delusions) and a higher likelihood of recovery.
Schizophrenic spectrum disorder - chronic
is long-term, showing a gradual development of negative symptoms (social withdrawal, apathy), which are harder to treat.
psychotic (psychosis)
A mental condition in which thoughts and emotions are so affected that contact is lost with reality.
positive - schizophrenic symptoms
Presence of an inappropriate or atypical behavior.
Examples:
Delusions
Hallucinations
Disorganized speech
Disorganized movement
negative - schizophrenic symptoms
Absence of appropriate or typical expected behavior
Examples:
Lack of movement
Flat affect (low emotional response)
Reduction in speech
delusions
distorted or false beliefs about external reality. Beliefs not based in reality
delusions of persecution
The irrational belief that one is being targeted, plotted against, harassed, or harmed by others
delusions of grandeur
The irrational belief that one is exceptionally important, wealthy, powerful, or possesses divine/supernatural abilities
hallucinations
perception of a stimulus that does not exist (often auditory). Perceptions that are not based in reality.
disorganized thinking or speech
nonsensical language. Recognize the words being used but their order makes zero sense. Illogical fashion or irrelevant answers
world salad
nonsensical language. Stream of speech that has little or no coherence
disorganized motor behavior
aimless movement
catatonia
characterized by severe psycho-motor disturbances. includes immobility (stupor), rigid posturing, mutism, or excessive, purposeless movement. It signifies a loss of normal behavior and requires prompt medical attention.
catatonic excitement
(Positive Symptom): An individual exhibits excessive, uncontrollable, purposeless, and often frenetic motor activity. This may involve shouting, moving rapidly, or behaving erratically.
catatonic stupor
(Negative Symptom): An individual remains immobile, rigid, or unresponsive to their environment for extended periods. This often includes features like waxy flexibility (maintaining a position in which they are placed) or mutism.
flatt affect
a negative symptom of schizophrenia defined as a severe reduction or total lack of emotional expression.
schizophrenia - possible causes
Individuals may genetically have higher or lower vulnerability for SSD
Exposure to risk factors makes the disorder more likely
Prenatal virus exposure
Childhood stress and trauma
Social isolation
Family dysfunction
Environmental stressors too
dopamine hypothesis
Too much dopamine in the brain, or too little, could directly contribute to symptoms of schizophrenia, particularly those of psychosis such as delusions, hallucinations, or disorganized thinking.
schizophrenia - diagnosis
The presence of two of the five main symptoms for more than a month
At least one symptom must be delusions, hallucinations, or disorganized speech
Spectrum disorder: combination of symptoms differ from person to person
depressive disorders
The presence of a sad, empty, or irritable mood along with physical and cognitive changes affecting a person’s ability to function.
depressive disorders - treament
Treatment includes psychotherapy (CBT is popular) and antidepressant medications
symptoms - Depressive disorder
Disruptions in mood along with cognitive and physical symptoms affected by mood.
Often a response to past or current loss
Reflective of experience for learning and moving forward
Symptoms slow us down to ponder
Quite normal unless excessive or in response to everyday occurrences.
major depressive disorder
presence of majority of symptoms every day for at least two weeks.
Depressed mood, loss of interest or pleasure in activities, weight gain or loss, insomnia or hypersomnia, suicidal ideation, fatigue, feelings of worthlessness, psychomotor changes, and decreased concentration
persistent depressive disorder
presence of symptoms over two years, often milder, but more persistent than episodic. Chronic, long-term depressive symptoms
depressive disorder - possible causes
biological: neurotransmitter imbalance, genetic predisposition, brain structure/function
cognition: cognitive triad (self, world, future), attributional style
behavior: learned helplessness
sociocultural/environmental: stressful life events, lack of social support, culture and social norms
bipolar disorders
characterized by cycling moods involving “manic” episodes
Disruptions in mood along with cognitive and physical symptoms affected by mood.
bipolar - treatment
mood-stabilizing medication and psychotherapy