mental health & wellbeing Flashcards

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1
Q

dsm-5

A

US; diagnostic & statistical manual of mental disorders

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2
Q

icd

A

WHO; international classification of diseases

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3
Q

criticism of dsm

A

over 60% of dsm taskforces had links with pharmaceutical companies

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4
Q

psychological formulation

A

an attempt to use psychological knowledge to understand the origins, mechanisms, and maintenance of a person’s problems

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5
Q

GENERAL PSYCHOLOGICAL FORMULATIONS - the ‘five Ps’

A
predisposing factors
precipitating factors
perpetuating factors
protective factors 
-------> the presentation/problem
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6
Q

THEORY SPECIFIC FORMULATION

A

early life event –> core beliefs –> conditional assumptions —-(critical incident)–> negative automatic thoughts
-> behaviour / emotions / physiological symptoms

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7
Q

what are the 3 key factors influencing mental health

A

macrolevel
interpersonal
intrapersonal

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8
Q

macrolevel factors

A

EX: poverty

large scale social processes which shape small scale interactions and thoughts

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9
Q

[macrolevel factors] social causation hypothesis

A

stress from poverty –> mental health issues

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10
Q

[macrolevel factors] social drift hypothesis

A

poor mental health –> inhibits socioeconomic attainment –> drift into poverty

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11
Q

how does poverty stigma influence mental health

A

harmful negative stereotypes; internalised hatred
lower socioeconomic level increases chances of harassment
experiences of social exclusion

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12
Q

intrapersonal factors [study]

A

systematic review of ~150k ppts showed strong associations between early life adversity and all forms of psychological disorders

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13
Q

what are the mechanisms of intrapersonal factors

A
  • intrusions of unprocessed memories
  • formation of negative self beliefs
  • disruption of developmental pathways
  • disruption of social bonds
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14
Q

how do information processing biases cause mental problems? [intrapersonal]

A

across cognitive domains:

selective attention –> memory –> interpretation –> cognitive products –> inhibition

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15
Q

clark model of intrapersonal factors

A

internal/external trigger

  • -> perceived threat
  • -> anxiety -> physiological & cognitive symptoms -> catastrophic misinterpretation -> safety behaviours
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16
Q

interpersonal factors

A

attachment, peers, family climate, social surroundings

EX: ainsworth’s attachment types

17
Q

negative family emotional climate [interpersonal factors]

A
lack of positivity
high negative emotional expression
poorly managed parental emotion
psychologically controlling behaviours
= well established link to depression  & anxiety
18
Q

dwyer’s childhood study [interpersonal factors]

A

longitudinal study
parenting practices / mood & verbal problems were biggest predictors of mental health
+ family structure / SES didn’t matter

19
Q

social support [interpersonal factors]

A

BUFFERING HYPOTHESIS

the quality of social support acts as a buffer for mental health issues and stigma reduction

20
Q

4 different psychiatry models

A

ESSENTIALIST - mental disorders exist whether or not we recognise them, they’re indifferent to psychiatric classifications
SOCIALLY CONSTRUCTED - cultures and societies categorise phenomena as specific disorders, disorders ‘constructed’ in different times are not the same thing due to cultural change
PRACTICAL - phenomena is classified in whichever manner is the most practical for predicting behaviour
MPC - ‘mechanistic property clusters’, classified by the common/overlapping traits and structures

21
Q

positive psychology interventions

A

the rise of ‘positive’ psychology post WW2 - interventions such as mindfulness, wellbeing not just trauma

22
Q

positive psychology - ‘flourishing’

A

physical health, satisfaction, spirituality, stability happiness, life meaning
PATHWAYS = family, work, education, (religious) community

23
Q

criticisms of ‘flourishing’

A

‘physical health’ condemns disabled comm.
trad views of religion are outdated
broad construct, lack of critical thinking

24
Q

broaden and build theory [therapy]

A

positive feelings invoke exploratory behaviours, which lead to positive feelings & building resources
– training patients in positivist approaches

25
Q

compassionate mind training [therapy]

A

trains against shame / criticism; protects against evolutionary ‘social mentality’ theory that we innately judge ourselves based on group positioning

26
Q

importance of compassion

A

strongly linked to less pathology; reductions in depression and anxiety

27
Q

acceptance and commitment therapy

A

modern CBT

exploration and acceptance of negative feelings, challenging thoughts as they come

28
Q

CBT in health related anxiety

A

tackles the mechanisms of hypochondria
TWO HYPOTHESES = null & alternative hyp presented, empirical evidence is used to tackle them
+ pain knowledge / reassurance

29
Q

power threat meaning framework

A

looking at the role power/trauma plays in mental health and how this impacts behaviour
establishing a narrative
threat = misuse of power
threat response = symptoms
acknowledges social inequality and co-morbidity

30
Q

psychological flexibility

A

the ability to shift and change mindset/behaviours when they compromise personal or social functioning

31
Q

ACT - HEXAFLEX [inflexibility]

A
dominance of past/future
lack of clarity or contact with values
lack of effective avoidance
attachment to the self 'story'
cognitive fusion
experiential avoidance
32
Q

ACT - HEXAFLEX [flexibility]

A
contact with the present
clarity and contact with personal values
committed actions towards values
flexible perspective, taking on the 'story'
cognitive defusion
willingess / acceptance
33
Q

the BEACHeS trial

A

brief engagement and acceptance coaching in community and hospice settings

34
Q

how are the hexaflexes used in ACT therapy

A

each session focuses on 1/3 of flexibility areas
AWARENESS
OPENNESS
ENGAGEMENT