Unit 5: Mental and Physical Health

5.1 - Introduction to Health Psychology

What is Health Psychology

  • Health psych: Studies how behavior and mental processes affect physical health and illness.

    • Biopsychology Model: health is shaped by Biological factors (immune system, genetics), Psychological factors (stress, coping) and Social Factors (relationships, income, support)

  • Look at health behaviors like dieting, exercise, how consistently a person follow’s medical treatment, and promoting behaviors that reduce disease.

Stress and Effects on Body

  • Prolonged Stress: Weakens body ability to fight diseases. Chronic stress → hypertension (high BP)

  • Eustress: Positive stress, ends up motivating individual to take on challenge. (PR in 400m stress)

  • Distress: negative stress that overwhelms individual.

  • Traumatic Stress: From extreme events like PTSD.

    • Adverse Childhood Experiences (ACE): Abuse, neglect in household. Linked to risks like heart disease, depression.

  • General Adaptation Syndrome: Looks at how a person’s body reacts to stress when confronted for long periods of time.

    • Stage 1: Alarm Reaction - Experience Fight-Flight-Freeze response for stressor. Also releases cortisol/adrenaline.

    • Stage 2: Resistance - If stressor persists, body adapts to it. Body uses more energy.

    • Stage 3: Exhaustion - If it continues, body’s energy stores become depleted.

Coping Strategies

  • Problem-Focused coping: Views stressor as a situation that can be solved. Implementing a plan and find solutions.

  • Emotion-Focused coping: Focuses on managing emotional reactions to stressor, instead of trying to change stressor itself. (deep breathing)


5.2 - Positive Psychology

Trying to understand what makes life worth living.

  • Positive emotions: How feelings like joy and love broaden person’s thinking and foster growth.

  • Character strength: Look at personality traits of individual to see what qualities contribute to better life.

  • Resilience and Wellbeing: How people recover from set backs and keep positive health.

Signature Strengths (virtues)

  • Wisdom: Creativity and curiosity

  • Courage: bravery and integrity

  • Humanity: interpersonal strength like love

  • Justice: fairness and leadership

  • Temperance: strengths that protect against humility, self-control

  • Transcendence: lead to better connection like gratitude or hope.


5.3 - Explaining and Classifying Psych Disorders

3 Factors to Disorder

  • Dysfunction Level: How well or poorly they carry day-today activities and complete responsibilities. (taking care of themselves, going to work)

  • Distress: Negative emotions, pain or stress related to individuals mental processes or behaviors. Reacting to own thoughts, feelings

  • Social Norms Deviation: Mental processes deviate from what is considered normal for society, can be seen as disorder.

    • Varies across cultures and societies.

  • Self-Fulfilling Prophecy: Internalize negative stereotypes about their disorder and limiting themselves.

Psychological Perspectives on Disorders

  • Eclectic Approach: Combining ideas and techniques from different psychological perspectives.

  • Behavioral: Focuses n mental disorders coming from maladaptive learned associations btw response and stimuli. (Little Albert)

  • Psychodynamic: How disorders originate from unconscious conflicts from childhood.

  • Humanistic: How disorders develop due to person lacking social support or not achieving potential. Lack of unconditional positive regard.

  • Cognitive: Come from distorted beliefs and thought patterns.

  • Evolutionary: Cause abnormal behaviors come from individuals genetics. Once used traits for survival are not used anymore.

  • Sociocultural: Influenced by group dynamics, cultural norms, factors.

  • Biological: Physiological and genetic factors like neurotransmitter imbalances, brain chemistry.

  • DiathesisStressModel:Diathesis-Stress Model: How disorders come from interaction btw genetic and biological vulnerabilities and stressful life events.


5.4 - Selection of Categories of Psychological Disorders

Neurodevelopmental Disorders

Begin in childhood and involve behavior that isn’t developmentally appropriate for a child’s age. Difficulties manifesting relationships, comms.

  • ADHD: Inattention, hyperactivity, having hard time maintaining focus.

  • Autism Spectrum: Challenges with social communication, restricted movement, increased sensitivity to sensations.

  • Causes: Neurodevelopment Disorders can be caused by genetic mutations of inherited genes, or how the brain is growing/functioning.

Schizophrenic Spectrum Disorders

  • Delusions: false beliefs, positive symptoms because beliefs are being added to individual

    • Delusions of Persecution: Others are out to harm you

    • Delusions of Grandeur: Belief that you have exceptional abilities, fame.

  • Hallucinations: Positive symptom because sensory experience is happening without an external stimuli. (hearing voices most common)

  • Disorganized Motor Behavior: Both Positive, negative. Catatonia - Affects person’s movement or behavior.

    • Catatonic Excitement: Experience sudden movements. Catatonic Stupor - State of near-unresponsiveness. Negative symptom.

    • Flat Affect: Reduced emotional expression, monotone voice.

  • Causes: Can run in families + increased dopamine.

Depressive Disorders

Mood changes, like feeling sad or empty.

  • Major Depressive Disorder: Diminished interest in activities, negative thoughts.

  • Permissive Depressive Disorder: Symptoms less intense than MDD, but symptoms are longer lasting. Chronic form of depression.

  • Causes: Biological factors - inherited vulnerabilities + low levels of serotonin/epinephrine. Cultural Influences - stigmas against mental health. Behavioral - lack of exercise, inadequate coping mechanisms dealing with stress. Cognitive - pessimistic thoughts, attribution style.

Bipolar Disorders

Shift between two mood states.

  • Manic Episodes: moment of euphoria, impulsivity.

  • Depressive Episodes: Low energy, hopelessness

  • Bipolar 1: One full manic episode lasting one week, following depressive episodes for 2 weeks.

  • Bipolar 2: Hypomania episodes which are less severe than full mania, but still noticeable shift in behavior.

Anxiety Disorders

  • Acrophobia: Fear of heights

  • Agoraphobia: Fear of being in situation where there is no help; avoiding public spaces.

  • Panic Disorders: Ataque de Nervous - Experienced among Iberian/Caribbean descent, specific to culture.

  • Social Anxiety Disorders: Fear about being watched judged, or criticized. Fear of scrutiny.

  • Tajin Kyofusho: Focuses on offending or displeasing others rather than embarrassment.

  • Generalized Anxiety Disorders: Worry about health, work, finances, school.

Obsessive-Compulsive Disorder

  • Obsessions: Intrusive unwanted thoughts

  • Compulsions: Repeated behaviors to reduce anxiety caused by obsession. Maintained by negative reinforcement. Hoarding Disorder.

Dissociative, Eating Disorders

Disconnection from consciousness, identity, perception. Causes detachment

  • Dissociative Amnesia: cant recall personal important info to trauma. Selective - only forgets specific aspects of an event, or generalized.

  • Dissociate Fugue: Forgets key details about themselves and also includes traveling/wandering away.

  • Dissociative Identity Disorder: Presence of two or more distinct personality states or identities. Trauma in childhood, which → separate states of mind for coping strategy. (ALTER EGO)

  • Anorexia Nervosa: Food restriction and fear of gaining weight. (Nervosa = nervous about gaining weight)

  • Bulimia Nervosa: binge eating followed by purging.

Post Traumatic Stress Disorder

  • Hypervigilance: always on the lookout for danger, flashbacks, and insomnia, as well as hostility

  • PTSD: Re-experience traumatic event they witnessed through nightmares.

Selected Personality Disorders

Patterns that remain fixed over time, lead to emotional suffering that differ from expectations of culture

  • Cluster A: Social awkwardness difficulty relating to others. (Odd or Eccentric)

    • Paranoid Personality: Want to frame them or deceive them, → distrusting others.

    • Schizoid Disorder: Detachment from social relationships.

    • Schizotypal Disorder: Discomfort in social settings, odd behaviors.

  • Cluster B: Intense emotions, impulsive behaviors, need for attention. (Dramatic, Emotional, or Erratic)

    • Antisocial Borderline Personality: Disregard rights of others. Impulsive.

    • Histrionic Personality: Excessive emotionality, attention-seeking.

    • Narcissistic: Need for admiration, lack of empathy for others.

    • Borderline Personality Disorder: Instability in relationships self-image.

  • Cluster C: anxiety, fearfulness, behaviors aimed at avoiding rejection. (Anxious or Fearful)

    • Avoidant Personality Disorder: Social inhibition, feelings of inadequacy, sensitivity to negative evaluation.

    • Dependent: Strong need to be taken care of. Cant make decisions independently.

    • Obsessive Compulsive Personality Disorder: perfectionists, seeking control over aspects of life, want things in set order.


5.5 - Treatment of Psychological Disorders

Psychotherapy

Treatment to manage emotional, psych, behavioral challenges through convos with menta health professional.

  • Meta Analysis: uses statistical methods to calculate an effect size which measures how effective treatment is. Large effect size = Difference btw groups, results are more meaningful in real world.

  • Deinstitutionalization Movement: With psychotropic medications being effective, people in asylums decreased, move patients back into communities.

  • False Memories: during Hypnosis, if individual is asked leading q’s while in this state, it may implant details in memory that never happened.

  • Psychoactive Medications: Used to alter brain chemistry to manage symptoms.

    • Antidepressants: boost levels of serotonin to regulate mood.

    • Ant-anxiety Drugs: Enhance action of GABA - a transmitter that produces calmness → reducing anxiety symptoms.

    • Lithium: Stabilize mood swings, used to treat bipolar disorder and help with swings btw mania and depression.

    • Antipsychotic medications: Block dopamine receptors to reduce excessive dopamine activity.