Integrative Approach Flashcards
I accidentally added some history cards to this deck too, oops
The reason that a person seeks mental health services
Presenting problem
Why are one-dimensional models of causality inadequate?
Incomplete, things are not so linear
Details of the combination of behaviours, thoughts, and feelings that an individual experiences that make up a particular disorder
Clinical description
The cause or source of a disorder
Etiology
A clinician’s hypothesis about the relative contribution of different causal factors (e.g. biological, psychological, social)
Case conceptualization
What are the contributors to a mental disorder?
Evolution
Social, cultural, historical forces
Genetics
Developmental factors
Biopsychosocial factors
Short-lived, temporary states lasting from several minutes to several hours, occurring in response to an external event.
Emotions
More persistent, long-term, emotional states
Moods
What are the six universal basic emotions (Paul Ekman)
Sadness, Fear, Anger, Surprise, Disgust, Happiness
When you see this card, study the emotions Venn diagram
N/A
Name some reasons as to why we have emotions.
Emotions motivate (and organize) specific actions
Emotions are an efficient way to communicate with other humans about our needs (e.g. we need social support)
Emotions communicate important information to ourselves (e.g. sadness when we have lost something important to us)
The fight-or-flight response is a helpful evolutionary adaptation (motivated by emotion)
Biological reaction to alarming stressors that musters the body’s resources to resist or flee the threat.
Fight-or-flight response
What is the relationship between the fight-or-flight response and chronic stress?
The same fight-or-flight response is often triggered by situations that are not dangerous
Chronic stimulation of fight-or-flight response leads to chronic stress
Chronic stress can lead to numerous health problems (e.g. heart disease)
What is the relationship between gender and mental health problems?
Women experience higher rates of certain mental health problems, such as depression, than men
While the exact cause is unclear why these discrepancies exist, it is likely that the cultural forces facing men, women, and gender queer and non- conforming people affect how mental disorders present
Name an impact of urbanization on mental health.
The incidence of schizophrenia is 38 percent greater in men who had been raised in cities than in those raised in rural areas (even after controlling for other factors like cannabis use, parental divorce, and family history)
Describe three factors related to mental health concerns in indigenous communities in Canada
Historical oppression (residential schools)
Ongoing discrimination
Poverty and living conditions
A stretch of DNA within a chromosome
Gene
The structure that carries DNA contained in every human cell
Chromosomes
One of two or more alternative forms of a gene
Allele
What is the arrangement of chromosomes?
Chromosomes are arranged in pairs: Each cell has 46 chromosomes (23 from each parent)
Many genes exert a small effect
Polygenic
Estimating the heritability of traits (e.g. intelligence)
Quantitative genetics
Examining the structure and function of genes
Molecular genetics
What is the relationship between gene expression and the environment?
Our environment can determine whether our genes are expressed (or not)
A pre-existing genetic vulnerability
Diathesis
Explain the diathesis-stress model
People may have the same underlying vulnerability, but will only get a mental disorder if they encounter a particular stressor (or stressors)
Explain the evidence for gene-environment interaction found by Caspi et al.?
There is a gene involved in a serotonin transporter that has two alleles: the long allele (L) and the short allele (S) (Long allele = better stress coping, short allele = worse stress coping)
People with two short alleles for a serotonin transporter gene were more likely to experience depression following severe childhood treatment
Disclaimer: “Using enormous samples (up to near half a million people), researchers have been unable to replicate any polymorphism or gene effects on depression, or gene-by-environment interactions on depression.”
Biological factors other than DNA that influence gene expression and the traits passed on to future generations (likely related to the proteins that organize DNA)
Epigenetics
People’s genetic predispositions often influence their environments
Gene-environment correlation
What are the three types of gene-environment correlation?
Passive gene–environment correlation:
Our environment is often created by our parents, who share 50% of their genes with us
Reactive gene–environment correlation: Genes evoke a response from the environment
Active gene-environment correlation:
Genes make us seek out environments
Name three types of ACES?
Abuse (physical, sexual, emotional)
Household Challenges (domestic violence, substance use, severe mental illness, divorce, legal problems)
Neglect (physical, emotional)
When you see this card, study the ACES diagram
N/A
The same environmental conditions can produce a range of outcomes
Multifinality
A behaviour or disorder may have several different cause
Equifinality
People systematically underestimate how much they will change in the future at almost every age.
The “end of history” illusion (Quoidbach et al., 2013)
Describe Erik Erikson’s stages of psychosocial development (no need for all the stages)
Every stage of life has a crisis that must be resolved based on our biological maturity and the unique demands of that time period