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55 Cards in this Set

  • Front
  • Back

Stress

Tension, discomfort, or physical symptoms that arise when a stressor strains our ability to effectively meet the demands of the situation




Stimulus, event, or situation that requires adaptation or adjustment



Stressors as Stimuli


SRRS

Social Readjustment Rating Scale (SRRS) Holmes & Rahe 1967




43 life events ranked as stressors


each "weighted" for stress it causes


Total weight of stressful events in the previous year associated with risk of illness (physical and mental)

Stress as a Response

Physiological, physical, and behavioral reactions to stressful circumstances




Stress-related Feelings


Depression, fatigue, hostility/irritability


Physiological (endocrine systems) reactions

Response Stress


Hans Selye (1956)

General Adaptation Syndrome


All prolonged stressors take us through 3 stages of adaptation


-Alarm


-Resistance


-Exhaustion

Endocrine System

Pituitary Gland


-Hormones: growth hormones, many others


-Functions: controls growth rate, activates other endocrine glands


Parathyroid Gland


-Hormone: parathormone


-Function: regulates calcium


Thyroid Gland


-Hormone: thyroxine


-Function: regulates metabolism


Adrenal Gland


-Hormone: epinephrine, norepinephrine, corticoids, sex hormones


-Function: activates the sympathetic nervous system, controls salt balance, plays a role in puberty and sexual function


Pancreas


-Hormone: insulin, glucagon


-Function: regulates blood sugar


Ovaries/ Testes


-Hormone: sex hormones


-Function: regulate reproduction and sexual functions, responsible for the secondary sex characteristics

General Adaptation Syndrome


Alarm: HPA Axis

Hypothalamus stimulates pituitary


Pituitary releases ACTH


Adrenal cortex triggered to release cortisol


-energy release


-immune response increased

General Adaptation Syndrome


Alarm: Adrenal Medullary

Hypothalamus stimulates sympathetic neurons


Adrenal gland triggered to release norepinephrine


Sympathetic NS arousal


-Heart rate, blood pressure, respiration

General Adaption Syndrome


Resistance

Adaptation to and coping with stressor


-Reduction in sympathetic arousal


-Continuing HPA axis activity


--Immune response is reduced

GAS


Exhaustion

Breakdown in coping capacity


-Energy in stores depleted


-Rise in BP, immune system suppression, weakened muscles, hypothalamus damage

Immune System

Body's defense against invading bacteria, viruses, and other potentially illness-producing organisms and substances



Psychoneuroimmunology

Study of the relationship between the immune system and the central nervous system



Stress and immunosuppression (via cortisol)


-Colds


-Healing of wounds

What makes something stressful?

Threatening or Challenging



Unpredictable (lack of control)



Lazarus & Folkman

Stress is a product of interaction between person and event


Primary Appraisal: is it potentially harmful?


Secondary: How can I cope?


Stress level varies with number of coping strategies

Problem-focused Coping

Trying to improve situation by eliminating or lessening stressor

Emotion-focused coping

trying to manage and reduce painful emotions

Tend and Befriend

Women are predisposed to respond to stress with an affiliative response




Gendered alternative to "fight or flight"


-associated with secretion of hormone oxytocin under stress


--inhibits cortisol release; feelings of calm

Social Support

Social relations with people, groups, and the larger community


-Emotional disclosure


-Practical assistance


-Info to make decisions, contend with stressful things


-improved self esteem, lower mortality from physical illness

Influences on Stress Response

Hardiness/Resilience


Optimism


Self-enhancement


Rumination (focusing on how bad we feel)


Spirituality and Religion

Grief

Complex reaction to bereavement


Stress reaction


Separation Response


Natural healing process

"5 Stages" Model by Kubler-Ross

WRONG


Response to learning one has a terminal illness

Stroebe & Schut: Dual Process Model

Bereavement bring two types of challenges


1. Loss-oriented: feelings, memories


2. Restoration-oriented: revised goals, roles


Coping involves going back and forth

Acute Grief

First hours, days, weeks, or months


death is hard to accept


Painful emotions: dominant


Positive emotions: present

Proximity seeking

Yearning, longing, and loneliness


Preoccupation with thoughts and memories of the deceased

Inhibited Exploration

Disinterest in the rest of the world

Integrated Grief

Acceptance of the reality of death


Painful emotions: less frequent and intense


Positive emotions: dominant


Interest in world returns

Complicated (Prolonged) Grief

Grief remain acute (>6 months)

Reasons for Complicated Grief

Child or spouse death


Death was violent


Psychological history: prior trauma


Social/ Environmental Factors: low social support, other stressors

Psychological Disorder

Patterns of thinking, feeling, and behaving:

-abnormal


-unconventional


-incomprehensible


-organic


-suffering


-maladaptive





Medical Model of Disorders


Advantages

Diagnosis clarifies prognosis and guides treatment decisions


Enables pros to communicate w/ each other


Replaces moral judgment w/ medical view


May reduce self-blame



Medical Model of Disorder


Disadvantages

Diagnosis blurs individual differences


Labels can stick and stigmatize


Can reflect cultural biases

Anxiety

Feeling nervous, tense, anxious


Thoughts: worries, intrusions


Bodily reactions: stress/ arousal

Generalized Anxiety Disorder

Excessive worry, anxiety for 6+ months


Physical, cognitive, emotional symptoms (restlessness, irritability, trouble concentrating)

Panic Disorder

Repeated and unexpected panic attacks


Physical symptoms: sympathetic arousal and hyperventilation


Change in behavior to prevent panic attacks

Agoraphobia

Fear of being in a place or situation from which escape is difficult or embarrassing, or help is unavailable

Social Anxiety Disorder

Marked fear of public appearance in which embarrassment or humiliation is possible


Anticipation of negative evaluation

Diathesis-stress model of Anxiety disorders

Causal factor in Anxiety Disorders


Biological vulnerability plus life events and stressors that trigger this vulnerability


Biopyschosocial explanation of disorders

Causal Factors in Anxiety Disorders

Personality Factors: Neuroticism


Biological Factors: Neurotransmitter effects (GABA receptor deficiency and excess limbic or fear activation)


Evidence of genetic heritability


Life Event Factors


Learning theory Factors: Classical/Operant conditioning


Cognitive Factors: Catastrophizing (anticipating terrible events despite low probability) or Anxiety sensitivity (fear of fear)

OCD

Repeated, lengthy (>1 hour/day) obsessions, compulsions, or both




Causes:


evidence of genetic heritability


Neurotransmitter effects (serotonin, others implicated)


Streptococcal Infections (autoimmune reaction)

Obsessions in OCD

persistent, intrusive thoughts, images, or impulses that are unwanted and inappropriate and cause marked distress


May or may not recognize that fears are unrealistic, excessive


Person attempts to neutralize or suppress them

Compulsions in OCD

repetitive behaviors or mental acts performed in response to obsessions, to reduce or prevent anxiety


Unrealistic (mental rituals)

Major Depressive Disorder

sad/low mood OR diminished interest in pleasurable activites for at least 2 weeks

Persistent Depressive Disorder

Depressed mood lasting at least 2 years, never absent for as much as 2 months

Causal Factors in Depression

Personality factors: Neuroticism


Biological Factors: Serotonin, Dopamine, Norepinephrine, GABA/ genetic vulnerability


Life Events


Lack of positive reinforcement


Lack of Social Support


Rumination (recurrent focus on bad feelings and their causes)


Cognitive Distortions: overgeneralization, mind reading


Cognitive triad: negative beliefs about oneself, others, the future


Depressive attributions of success and failure

Marin Seligman: Learned Helplessness

tendency to feel helpless despite having the ability to respond effectively to challenging events

Bipolar Disorder

Manic episodes in addition to depression


-Period of dramatically elevated or irritable mood AND abnormally and persistently increased activity or energy

Causal Factors in Bipolar Disorder

Biological Factors


-Genetic Vulnerability


-Mechanisms


Environmental Factors


-Life events


-Social rhythm disruption

Schizophrenia

Disturbances in thinking, language, emotion, and relationships lasting at least 1 month and causing dysfunction



Symptoms of Schizophrenia

Delusions: strongly held beliefs that have no basis in reality


Hallucinations: sensory perceptions that occur in the absence of an external stimulus (mostly auditory)


Disorganized Speech


Negative Symptoms (low motivation, speech, cognition)


Catatonia (disorganized behavior): resistance to comply with simple suggestions, holding the body in rigid postures

Psychotherapy

providing relief from psychological (emotional, behavioral) problems and suffering through talking and other forms of intercation

Hysteria

Psychoanalysis


Physical symptoms without physical causes


-Glove anesthesia

Breuer & Freud (1895): "Anna O"

can't drink water (hydrophobia)


hypnotized, recalls a dog drinking from a glass


removed from trance, asks for glass of water


Symptom had a meaning of which Anna was not aware

Dynamic Unconscious

forgetting painful experiences, and also being unaware of uncomfortable feelings and wishes, can be motivated

Psychopathology of Everyday Life

Parapaxes (Freudian slips)


Jokes


Dreams

Pscyhoanalytic Personality Theory

Unconscious Desires are direct our behavior from infancy onward


Conscious ("Ego") functions develop during childhood and adolescence


Conflicts result in mental compromises


Desires and ways of satisfying them are forced out of awareness



Defense

Maneuvers to minimize anxiety, performed without our awareness


-Repression


-Denial


-Projection


-Rationalization


-Displacement


-Sublimation