depression II Flashcards
Psychological causes/theories:
psychodynamic approach, maladaptive cognitive styles, interpersonal perspectives, cognitive processing in mood disorders
Psychological treatments/psychotherapy
Cognitive behavioral theory, behavioral therapies, cognitive behavioral analysis system of psychotherapy, interpersonal therapy, psychodynamic psychotherapies
What does psychoanalytic/psychodynamic principles focus on?
focuses on unconscious and early childhood stressors/aversive events
Almost all psychodynamic principles emphasize what?
a fragile self esteem due to early childhood stressors and that adult depression is triggered by loss/disappointment
Themes of causality in depression regarding psychodynamic theory:
- depression is a result of anger turned inward because the patient has identified with the lost “object:
- depression is due to an overactive, dominant super-ego, which is the critical moralizing part.
- depression occurs when the person never adequately resolved their early concerns
Becks Cognitive Theory:
onset, maintenance and exacerbation of depression are driven by depressive self-schemas. cognitive symptoms of depression cause affective mood symptoms
Example of becks cognitive theory:
depressed mood does not lead to negative thoughts, but ones negative thoughts leads to a depressed mood
Depressogenic Schemas:
negative cognitions and dysfunctional beliefs are results of early life experiences and remain there until activated
example of a depressogenic schema:
someone having a core belief of inferiority/worthlessness; the stressful event that led to these beliefs was being rejected romantically
Diathesis-stress theory:
negative schemas/cognitive vulnerability are the underlying diathesis, stressors are necessary to activate schemas
Becks negative cognitive triad:
- self: : “im worthless/a failure”
- world: “no one loves me”
- future: “its all hopeless because things will always be this way.”
The negative cognitive triad is maintained by biased thinking strategies such as:
- all or none reasoning
- Selective abstraction
- Arbitrary interference
All or none reasoning:
extreme thinking: “if I can’t get an 100 on the test, then there’s no point in doing it”
Selective Abstraction:
focuses on one negative detail of a situation
Arbitrary interference:
jumping to conclusions based on minimal evidence: “this therapy won’t work” after one homework assignment
Becks depression inventory:
21 item questionnaire, the higher the score the more depressive symptomology
Dysfunctional attitudes scale:
usually 40 item questionnaire that assesses rigid, negative attitudes
Learned Helplessness:
depression due to lack of control over outcomes
Results of dogs in harnesses that received electrical shocks:
animals exposed to uncontrollable shocks in part 1 acted passive and helpless even when they could escape the shocks
Overall idea of learned helplessness:
when humans have no control over events, they learn they are helpless, making them unmotivated to respond in future
Hopelessness theory:
the tendency to make negative interferences about stressful life events makes a person cognitively vulnerable. if individual experiences uncontrollable negative events, it leads to depression
What are the diathesis of hopelessness theory?
Pessimistic attribution styles
What are the negative inferences called in the hopelessness theory?
attributions
What are the 3 components of the negative inferential styles?
- tendency to attribute negative events to global and stable causes
- tendency to assume negative consequences will follow a negative event
- tendency to infer negative implications about your worthiness