Expectancies Flashcards

1
Q

Definition of expectancies and types

A

Definition Expectations =

  • Convictions that are future-directed and focused on the (non)incidence of a specific event or experience, based on past experiences
  • Optimize the likelihood to: obtain desired outcomes and avoid aversive ones

Types of expectations

  1. Response expectations (e.g., fear, pain, blushing)
  2. Consequential (outcome) expectations (e.g., harm, rejection, inner events)
  3. Self-efficacy expectations (e.g., inability to cope with fear response)
  4. Cue expectations (e.g., probability of encountering cue)
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2
Q

Examples of expectancies

A

Anxiety Disorder:
“If I hold this presentation, I will blush.”, “Something terrible will happen to me on the subway.” “If I speak too much, people will reject me.” “If I go to the doctor, he will tell me it is terminal and I will die.” “the next palpitation will be fatal.” “If I would be contacted by the phobic stimulus, I would experience uncontrollable anxiety responses/will go mad.” “If I make a mistake, others will think I am a loser.”

PTSD: “If I go to a particular place, I will blackout.” “If I relieve this intrusion, I might not be able to deal with it.” “I will never be able to be a human being again.” “people with the same features as the perpetrator are just as dangerous.” “I will always be contaminated.”

Depression: “I will never be happy again.” “Nothing will help (helplessness/hopeless).” “I am not lovable.” “Others will not be interested in spending time with me.” “I have no future (perspective).” “I cant cope with future stressors.”

Complex Grief: “If I start crying, I will be unable to stop.” “I will lose control if I think back of the death of my partner.” “If I would resume participating in everyday activities, I will lose access to important memories about my loving partner.”

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3
Q

Development of expectancy biases and robustness explanations

Cue ambiguousness/interpretative bias

A
  • Cue: with predictive value, cues are ambiguous! -> room for interpretation
  • Interpretation is affected by motivational state

Interpretative bias
- Perception: no passive bottom-up processes, instead: active top-down, constructive, inferential processes

  • Motivational set
    Study 1: ambiguous cues: hungry children see more food
    Study 2: homophones (dye/die): depressed people heard more negative words
    Study 3: lexical decision task = ambiguous primes (homographs) -> preference threat meaning in line with current concerns
    Study 4: Reaction time, CONCLUSION: anxious group is faster with negative probes -> in line with concerns -> threat
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4
Q

Development of expectancy biases and robustness explanations

Avoidance

A
  • “If i avoid, then there must be in danger” behavior as information
  • The use of safety behavior keeps people from disconfirming the threat
  • Study: cooking wound (information about safety and SB)
    CONCLUSION: People with OCD -> when objective safety (no threat info), but SB -> use of SB, fear
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5
Q

Development of expectancy biases and robustness explanations

Anticipatory responses and Emotional reasoning (Heuristic)

A

“If I feel anxious, there must be danger” reasoning in anxiety disorders

Idea: fear -> danger, in anxiety disorders: false alarms (fear without danger)

  • > Not recognized as false
  • > Conclusion is drawn that it is dangerous

Study:
4 scenarios (panic, social, spider, other), measured: objective threat and fear responses
- CONCLUSION: people with anxiety disorder -> had elevated levels of anxiety response, which was not specific to concern, people with an anxiety disorder/at risk for an anxiety disorder tend to use their emotion as information -> dysfunctional information
- Clinical implications: teach people not to rely on emotions, but on actual facts

  • Study: Reducing emotional reasoning -> possible
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6
Q

Development of expectancy biases and robustness explanations

Outcome experience and Executive Monitoring

A

Executive Monitoring: Covariation bias (CB)

  • Perception of covariation: a priori expectancy x current information
  • Strong a priori expectancies (could overrule current information)
  • > great influence on perception of covariation
  • Study: Acquired illusory correlation
    CONCLUSION: peoples’ prediction that stimuli will be followed by shock -> help people prepare for aversive outcome -> less emotional response
    -> expectations regulate emotional regulation
    • omission respone: wrong expectation of shock -> surprise
      => expectations not easily changed, influence aversice expected outcomes
- Type of cue-outcome overassociations disorder dependent 
Dog phobia: harm (bite)
Social phobia: rejetion
Eating disorder: body-rejection
Depression: cue-(no)control
  • Study:
    Covariation Detection in treated and untreated spider phobics
    CONCLUSION: spider phobics overestimated contingency between spider and shock, CB reduced following treatment, residual CB predicted return of fear
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7
Q

Development of expectancy biases and robustness explanations

Post-event processing

A
  • Study: spider phobics: expect dreatful uncontrollable outcome, heightened emotional response
  • Anticipated controllability of the outcome is a strong moderator of the effect
    Outcome = controllable, less emotional response
    Outcome = uncontrollable, heightended emotional response
    => expereince is difference, adds to expectancy of terrible outcome
  • Post event processing can add to the robustness of the expactancy
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8
Q

General difficulty to correct prior beliefs

A

Belief bias

4 outcomes, 2 variables: believability and validity of outcome

  • When its in line with prior beliefs -> quick when valid
  • What I believe is true: prove believable conclusions as valid, and disprove unbelievable conclusions as invalid
  • People look for disconfirmation it it is against prior beliefs -> biased to confirm our prior beliefs
  • Study: Belief confirmation bias in social anxiety -> adds to Dysfunction
    CONCLUSION: strong inclination to discard relevant information, difficulty to correct their
    a priori belief
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9
Q

Persistent dysfunctional generalized expectations core feature of mental disorders

A
  • Expectancy violation
  • Counterforce processes that prevent correction (to promote functional accomodation)
  • Study: learning of a devils advocate mindset -> very quick to learn any changing contingencies
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10
Q

Impact expectation on outcome experiences

A

Study:
Hidden or open morphine infusion

CONCLUSION: start of morphine treatment -> faster decrease in pain intensity in open group = expectancy effect, stop of norphone treatment -> faster increase of open group = negative expectancy effect?
=> perceptual system is highly influenced by expectations

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11
Q

Expectancy-effects in randomized controlled trials (RCTs)

A
  • Not only if experimental group responds well to treatment = treatment works
  • People with positive expectancies -> treatment will work better
  • Pharmacological treatment: people assume no effects when they receive a placebo
  • Study: active (pepper nosespray) placebo, inactive (no physical effects) placebo -> pain threshold increased in active placebo group, and lowered in inactive placebo group
    => effect might be because of the nocebo group
    => expectancies influence RCTs majorly
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12
Q

Interventions to help reduce impact of expectancy bias(es)

A

Interpretation bias modification

  • 8 sessions of training, task: read social scenarios, solve word fragment, people that learned to interpret ambiguous situations as positive -> sensitivity to distressed reduced, positive interpretation bias
  • Effective for GAD, Social Anxiety Disoder, Depression
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