Unit 5 Part 1: Mental and Physical Health
AP Psychology Study Outline
Essential Questions: |
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Directions: Please use your assigned readings and the information presented in class to complete and turn-in this Study Outline prior to the unit test. Think of this Study Outline as an organized set of notes that you will use to study for your unit test, final exams, and AP Test. In order to receive full credit, you should include notes on all of the items that are explicitly prompted in the outline.
Punctuation matters:
Items in the outline that are followed by a question mark or a colon should be considered “prompts” that require a response
Items in the outline that are not followed by any punctuation are section headers and do not require a response
Some items will also be fill-in-the-blank.
Your outline should be completed in your handwriting using this document.
Please note that the College Board’s topic numbers appear in parentheses after each underlined topic heading. These numbers can sometimes be useful if you want to conduct an internet search for additional materials on the same topic. (However, the College Board’s course outline is new this year, so it’s possible that there won’t be many online resources tagged to these numbers.)
Items with an asterisk (*) were heavily tested by the College Board in the past.
Introduction to Health Psychology (5.1)
___________________________________________________*: a subfield of psychology that uses psychological and behavioral principles to study health, illness, and health care
____________________________*: the process by which we perceive and respond to certain events (______________________________*) that we appraise as threatening or challenging
Types of Stress
__________________________________*: stress interpreted as detrimental
Examples:
__________________________________*: stress interpreted as beneficial or motivating
Examples:
Exercise and travel
Stressors that __________________________ people to achieve their goals – such as when increased arousal leads to improved performance ( ____________________________________ ) when competing, testing, etc.
The Stress Response
The term “_________________________________” refers to the choices our ancient ancestors had when they were faced with danger in their environment: they could fight or they could flee. These responses are ____________________________ in modern times when they occur in response to common daily events that do not threaten our safety
General Adaptation Syndrome* (GAS)
Selye proposed that the body’s adaptive response to stress (which he called the General Adaptation Syndrome) is so ___________________________ that, like a single burglar alarm, it sounds no matter what intrudes.
GAS has three phases
Phase 1: Alarm Reaction*
The body detects stress and initiates the _______________________________________________________* response. This is similar to the fight-or-flight response but includes an additional reactive state in which a person may “freeze” (be unable to move) in response to a perceived threat.
__________________________ nervous system is suddenly activated. Heart rate zooms, blood is diverted to skeletal muscles, resources are mobilized.
Phase 2: Resistance*
Physiological indicators ( ______________________________, _________________________________, ________________________… ) remain high as the person tries to cope with stressors. Your endocrine system pumps ___________________________ and _____________________________ into your bloodstream. You are fully engaged, using all of your resources to meet the challenge. But as time passes, your body’s resources start to ____________________.
Phase 3: Exhaustion*
With no relief from the stressor, your body’s physiological resources are _________________________. The body’s ability to resist is compromised, leading to burnout (physical, mental, and/or emotional exhaustion) and decreased _____________________. The greatest susceptibility to ____________________ occurs during this phase*
Selye’s basic point: Although the human body copes well with temporary stress, _________________________ stress can damage it*
Physiological Effects of Stress*
________________________________* (high blood pressure)
Can contribute to heart disease
________________________________*
Stress can trigger tension headaches and migraines
________________________________*
If the hormones produced by stress are consistently released, they can weaken the immune system, reducing the body’s ability to fight off illnesses, infections and disease
Traumatic stressors tend to have ____________________ negative effects than other styles of stressors
Includes Adverse Childhood Experiences (ACEs)*, which can be categorized into three major types: ___________________________, ___________________________, ________________________________________
ACEs can have profound negative effects on children’s development, shaping their _________________________, _________________________, and _______________________ functioning for the rest of their lives*
Tend-and-Befriend Theory*
In response to stress, people — especially __________________* — come together with others for join protection of self and offspring
_______________ refers to nurturing and protective behaviors, such as:
_______________ refers to the act of seeking social connection and support, such as:
Coping with Stress
Coping:
When people have trouble coping with chronic stress, they often show emotional signs such as:
Unhealthy coping may take the form of:
Coping Strategies
______________________________________________________*: involves managing or fixing the distressing situation, either by changing our behavior or changing the situation
We tend to use these strategies when we feel some sense of ______________________ over a situation
Examples:
_________________________________________*: attempting to alleviate stress by avoiding or ignoring a stressor and attending to emotional needs related to our stress reaction
We tend to use these strategies when we believe we _____________________________________ a situation
Can be ________________________ or ________________________
Adaptive examples:
Adaptive emotion-focused coping strategies may also include ____________________________________, ___________________________, or taking ____________________________ aimed at reducing stressful emotional responses
Maladaptive examples:
Positive Psychology (5.2)
Positive Psychology 🙂
Definition of Positive Psychology*:
Seeks to identify and promote factors that lead to ______________________, _____________________________, __________________________ and ______________________________________________________ in order to help ________________________________ and ______________________________ thrive
Subjective Well-Being (SWB):
________________________________ is only one of many factors that contribute to SWB
Research shows that we often do not ________________________________________ what will bring us happiness and increase our subjective well-being
Numerous factors can impact subjective well-being, including
Good Deeds
The feel good, do-good phenomenon:
Gratitude*
Definition:
The practice of gratitude _______________________ well-being in many areas, including social, physical, and psychological domains*
Examples:
Other factors that affect subjective well-being:
Resilience & Posttraumatic Growth*
Although trauma can lead to adverse outcomes like posttraumatic stress disorder, most people __________________ develop PTSD after experiencing trauma
Resilience*:
Posttraumatic Growth (PTG)*:
Examples:
Character Strengths*
_________________________________________* are the psychological attributes or traits contributing to an individual’s positive functioning and well-being
Positive psychologists believe it is essential to learn more about each person’s positive qualities and, in doing so, help them gain _____________ for putting their strengths to work in their lives
Values in Action (VIA) Classification*:
The virtue categories* and their associated character strengths* appear in the table below
Virtue* | Character Strengths* |
Wisdom | Creativity, curiosity, judgment, love of learning, and perspective |
Courage | Bravery, honesty, perseverance, and zest |
Humanity | Kindness, love, and social intelligence |
Justice | Fairness, leadership, and teamwork |
Temperance | Forgiveness, humility, prudence, and self-regulation |
Transcendence | Appreciation of beauty and excellence, gratitude, hope, humor, and spirituality |
Your defining character strength is known as your _____________________________*
People typically feel a sense of natural ______________________________, ________________________________, and ______________________________ when using their signature strength*
Character strengths can be ________________________ and developed through deliberate __________________________*
People who exercise their signature strengths/virtues report _________________ levels of subjective well-being*
Explaining and Classifying Psychological Disorders (5.3)
____________________________________________: the scientific study of mental disorders and different types of maladaptive behaviors associated with various disorders
Maladaptive:
Psychological disorder (aka mental disorder, mental illness, psychiatric disorder):
Three criteria* (“3Ds”) are commonly used in the identification and diagnosis of psychological disorders
Level of Dysfunction*
Refers to the __________________________________________________________ in the person’s ability to function effectively in various areas of life, including:
Perception of Distress*
Refers to the degree to which the person in question ____________________ discomfort, pain, or distress as a result of their symptoms/difficulties
Note: a person who reports no significant distress may still have a psychological disorder
Deviation from the social norm*
Refers to behaviors, thoughts, or emotions that significantly diverge from ___________________ or _____________________ expectations or norms
Example:
Note: By itself, this criteria is not sufficient for diagnosing a psychological disorder, but it may indicate a mental disorder when accompanied by dysfunction and/or distress
Diagnosing Psychological Disorders
In clinical practice, assessment and diagnosis of psychological disorders involve multiple factors, including the presence of ___________________, their ___________________ and _______________________, their impact on __________________________ and well-being, and the individual’s __________________ background and personal ____________________
Diagnosing psychological disorders requires ____________________________________ and the use of ____________________________________ diagnostic tools
In 1948, the ________________________________________________ developed the International Classification of Mental Disorders ( ___________ )*
Used by most countries _____________________ of the United States*
The current edition is _________________ (2022)*
In 1952, the _________________________________________________________ developed the Diagnostic and Statistical Manual ( ____________ ) of Mental Disorders*
Used to diagnose psychological disorders in the __________________________*
The current edition is _______________________ (2022)*
The DSM has _______________________ its criteria and coding to the ICD in order to help provide ______________________ diagnoses worldwide*
Both diagnostic systems are ____________________________
Diagnostic Labels: Pros and Cons*
Positives: Diagnostic labels can…
Provide ___________________________; an individual may experience relief upon knowing that their cluster of symptoms has a name
Reduce feelings of ___________________ (“other people struggle with this too”)
Guide patient and clinician toward appropriate course of _______________________
Simplify _______________________________ among clinicians and researchers by providing shared ________________________________ for discussing disorders
Facilitate ___________________ to treatment (DSM diagnosis is usually required for __________________________ coverage)
Negatives: Diagnostic labels can…
________________________ impact attitude toward ____________ (lower self-esteem, etc.)
Lead to reduced hope
Be _______________________ or _____________________!
Diagnostic systems can involve _______________________________ and __________________________/ _________________
Example: Homosexuality was considered a disorder for a while
Racism, sexism, ageism, discrimination, and ____________________________ insensitivity could lead to an inaccurate/inappropriate diagnosis
Lead to ______________________
Definition of stigma:
Psychological Perspectives*
Introduction
During the last 100 years, a number of perspectives/theoretical approaches have attempted to explain the causes (“___________________”) of psychological disorders
Although these perspectives are extremely useful for conceptualizing psychological disorders, __________ mental health professionals today use an _____________________* approach that draws from a _______________________________ of perspectives to diagnose and treat individuals
Biological Perspective (aka Medical Model)*
Assumes psychological disorders have a ______________________________ cause, such as:
Has become the _________________________________________ model, as evidence by the medical language that is frequently used to describe psychological disorders:
The increasing use of _________________________________ drugs for the treatment of psychological disorders has also enforced the dominance of this model
Psychodynamic Perspective*
Psychological problems stem from repressing __________________________________ thoughts/urges in an effort to avoid _____________________________.
When anxiety-producing thoughts/memories try to break through to _________________ awareness, they may cause mental distress or maladaptive behavior
Emphasis on ______________________________ experiences
Behavioral Perspective*
All behavior – whether adaptive or maladaptive – is __________________________.
For example, psychological disorders can be the result of _________________ conditioning or ________________ conditioning
Cognitive Perspective*
Psychological disorders result from illogical, irrational, or maladaptive _______________________ processes and emotions.
Cognitive therapy helps people develop healthier, more ________________________ ways of thinking.
Humanistic Perspective*
Mental illness stems from low self-esteem and the inability to be one’s ________________________________ self.
Each individual has a natural drive toward growth ( ____________________________________________ ); when this is blocked, a person may experience stress and dysfunction.
Evolutionary Perspective*
Some psychological disorders stem from behaviors that might have been advantageous in ________________________ settings but are problematic in today’s world
Anxiety Disorders Example:
Sociocultural Perspective*
Maladaptive _______________________, group, and _________________________ dynamics impact the development of an individual’s psychological disorder
Example of the role of culture in eating disorders in the US:
Notably, the DSM-5 reflects greater awareness and sensitivity to cultural influences than previous versions, including an appendix on ___________________________________________ (psychological disorders specific to a particular culture)
Interaction Models*
What is the general idea underlying interaction models?
Two prominent interaction models are the Biopsychosocial Model and the Diathesis-Stress Model
Biopsychosocial Model*
An ___________________________ model that combines the biological (medical), psychological, and sociocultural approaches
Example of how this model might approach a case of depression:
One of two _______________________________ models of psychological disorder (the other is the Biological Approach/Medical Model)
Diathesis-Stress Model*
Main idea: _______________________________________________ can __________________________ the onset of a biologically-based psychological disorder in individuals who have a ________________________________________________________________ to that particular mental illness
Diathesis
The ___________________________________ or biologically-based ___________________________________ to a particular mental illness
Can stem from genes, neurotransmitter dysfunction, etc.
Stressors
_______________________________________ events that can trigger the onset of the biologically-based disorder
___________________ of environmental stress required to trigger onset varies depending on the level of biological vulnerability
Protective factors
Factors that ____________________________ the likelihood that a specific disorder will be triggered, such a resilient temperament, coping skills, and the ability to avoid stress triggers
Person-First Language
Widely preferred in the context of discussing psychological disorders
Places the emphasis on the __________________ instead of the disorder when discussion psychiatric diagnoses
Examples:
Selection of Categories of Psychological Disorders (5.4)
Neurodevelopmental Disorders
The Category
Conditions associated with central nervous system functioning that begin during the developmental period (from __________________________ to __________________________________)*
Symptoms focus on whether the person is exhibiting behaviors appropriate for their ____________ or maturity range*
There are several disorders in this category, but we will focus on the autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD)
Autism Spectrum Disorder (ASD)
Symptoms*
Characterized by ____________________________ behaviors and challenges with _________________________________________ and _________________________________________ across multiple contexts, such as the following symptoms in each of the areas identified below.
Repetitive behaviors:
Social and emotional interaction:
Nonverbal communication:
Social relationships:
Additional behaviors and characteristics associated with autism include:
Possible causes of ASD*
A combination of _____________________, _______________________________, and _____________________________ factors
Strong ________________________ component; _________ genes involved
Attention-Deficit Hyperactivity Disorder (ADHD)
Symptoms*
Characterized by ongoing problems with paying _____________________________ AND/OR being __________________________________ / __________________________________
Inattention symptoms:
Hyperactive/Impulsive symptoms:
Note: Although there is a stereotype of people with ADHD always being hyperactive, this is inaccurate; many _________________ have inattention symptoms
Symptoms must begin prior to age _______, be present in __________ or more settings (ie, home, school, work, social events…), and must have direct negative impacts on social or academic/occupational __________________________________
Possible Causes*
___________________________________________
Strong genetic influence
May affect neurotransmitter regulation, including dopamine
___________________________________________
Prenatal exposure to teratogens
Environmental toxins or pollutants
Anxiety Disorders
The Category
Anxiety disorders involve excessive _______________ and/or __________________ with related disturbances in _____________________________
Fear:
Anxiety:
Anxiety is a normal reaction to stress and the unknown/unpredictable. What elevates common nervousness to an anxiety disorder is the ______________________ and ________________________ of symptoms and their _____________________________ with daily life
Panic Disorder
Symptoms*
Marked by recurrent _________________________ that occur in situations that would not “normally” elicit panic
Panic attack
An abrupt surge of intense fear/anxiety that reaches its peak within minutes, during which some of these symptoms occur:
The panic attacks have a negative impact on the person’s functioning that lasts ______________ the attack itself
Examples
Persistent ________________ about additional panic attacks
Changing behavior in maladaptive ways to _______________ situations that might trigger an attack
Cultural Considerations
Cultural syndromes:
Ataque de nervios (“Attack of Nerves”)*
A cultural syndrome with some symptoms that _________________ with those of Panic Disorder
Prevalent among people of Caribbean and Iberian descent, including Hispanic populations, especially Puerto Ricans
Symptoms include:
Frequently brought on by a ______________________________
Some of the symptoms overlap with Panic Disorder but they are not the same, and so the DSM-5 gives specific instructions about how clinicians should evaluate someone with Ataque for Panic Disorder
Specific Phobia Disorder
Definition of Phobia:
Symptoms*
An overwhelming, ____________________________, and persistent sense of fear of a ____________________ object or situation that provokes the fear response and sometimes leads to a ______________________
Any _____________________ with the object or situation will produce _______________________ and _____________________________ fear
Usually the person will actively _____________________ the fear-eliciting stimulus
The individual may recognize that the fear is __________________________________ but is unable to control it
The fear/anxiety/avoidance causes _______________________ or _________________________ in important areas of functioning
Common phobias include
Acrophobia*:
Arachnophobia*:
Agoraphobia
Symptoms*
Intense fear or anxiety about two (or more) of the following specific situations
Being in _______________________________ (ie, shops, movie theaters)
Being in __________________________ (ie, parking lots, bridges)
Being _______________________________________________
Riding on _____________________________________________
Standing in _____________ or being in a ___________________
Fear/anxiety is __________________________________________ to the actual threat posed by the situation
The individual fears or avoids these situations because of thoughts that ______________________ or __________________ might not be available in the event of a ________________________ or other incapacitating/embarrassing issues (ie, fear of falling in the elderly, etc.)
The fear/anxiety/avoidance causes clinically significant _______________________ or _________________________
Social Anxiety Disorder
Symptoms*
Persistent, intense fear or anxiety regarding _______________ situations in which the individual is being ________________________ or ___________________________ by others (ie, social interactions such as conversation; meeting unfamiliar people; eating or drinking with others; performing in front of others)
The person fears that they will be _______________________________
Fear/anxiety is ______________________________ to the actual threat posed by the situation
Note: Social anxiety disorder is ___________________ from but may include _______________________________
Cultural considerations
Taijin Kyofusho*
Means ““interpersonal fear disorder” in Japanese
A cultural syndrome experienced mainly by Japanese people in which people have anxiety about interpersonal situation s because they fear others are ____________________________________________________ as undesirable, offensive, or displeasing
Can sometimes meet the DSM criteria for Social Anxiety Disorder or other disorders related to body image or maladaptive thoughts
Generalized Anxiety Disorder
Symptoms*
Excessive feelings of worry and unease _______________________________; worry tends to span a __________________________________
The feelings must last ________ months or longer
The constant worry ________________________ daily life
Symptoms may also include:
Possible Causes of Anxiety Disorders
Evolutionary Explanation:
Biological Explanations:
Behavioral Perspective:
Cognitive Perspective:
Interaction Models:
Obsessive-Compulsiv