Midterm 1 Material Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is the study of death called?

A

thanatology

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2
Q

How is death defined?

A

“Irreversable loss of circulation, respiration and/or brain function”

Other cultures may have different definitions though

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3
Q

What was Freud’s take on death?

A

We have “life instincts” (Eros/libido)
and “death instincts” (Thanatos/Mordito)

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4
Q

What is the Paradox of Mortality?

A

We are hardwired to survive and also to die

Despite being hardwired to die, our own mortality causes a lot of anxiety

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5
Q

What did psychoanalysis get right about death?

A

That death anxiety can be both conscious and unconscious

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6
Q

How does the understanding of death develop in children aged 3 and 5?

A

Nonfunctionality is nonfunctional, but death is not seen as final or universal

early childhood is marked by “Magical thinking” about death

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7
Q

What is magical thinking? How does it apply to children’s understanding of death?

A

That one’s own thoughts and feelings influence the rest of the world

Children believe that they are responsible for tragic events that they experience

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8
Q

How do children aged 5-10 understand death?

A

they begin to understand that death is final and eventually, universal

Understanding of Irreversibility and universality emerge, with some understanding of causality

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9
Q

How do people understand death from the ages of 10-16?

A

it is not until this phase that universality is fully understood

more complex and abstract understanding of death

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10
Q

What is the causality sub-concept of death?

A

that there are internal and external factors that can lead to someone’s death

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11
Q

What is the applicability sub-concept of death?

A

That some things can die and some things cannot

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12
Q

What is the universality sub-concept of death?

A

That everyone will eventually die

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13
Q

What is the nonfunctionality sub-concept of death?

A

that something that is dead cannot function or interact with anything

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14
Q

What is the irreversibility sub-concept of death?

A

That once someone is dead, they cannot be alive again

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15
Q

What are some ways that children develop their understanding of death?

A
  • Direct experiences with death
  • parental communication about death
  • portrayals of death in media and the arts
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16
Q

How did 6 year old children understand death as applied to Plants and Animals?

A

They understand that the concepts of death also apply to plants amd animals, but not objects.

  • Death was more often seen as final and universal in animals than plants
  • The death of a flower seen as more final than the death of a weed
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17
Q

What is seen in the understanding of death in adulthood?

A

More sophisticated understanding of the biological reality of death

this often coexists with a belief in the afterlife for the mind or soul

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18
Q

Do children/ young adults think about the possibility of dying often? Why/why not?

A

No, very little thought is given

this is because they project their death to be so far into the future that it has very little reality

average child disbelieves very strongly that it will die

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19
Q

What is Mortality Salience?

A

The awareness that one’s death is inevitable

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20
Q

How does mortality salience change throughout life?

A

it increases with age

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21
Q

What is Thanatophobia?

A

The clinical fear of death

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22
Q

What is necrophobia?

A

The fear of dead or dying persons and/or things

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23
Q

What does death anxiety play a significant role in?

A

The number of mental disorders from PTSD and Depression to OCD and depression

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24
Q

What are the 4 factors that play a role in death anxiety?

A
  1. Death is seen as a radical transformation and separation
  2. Death is understood as the annihilation of the self
  3. Death is a threat to the realization of life’s basic goals and propensities
  4. Death is a threat to the meaningfulness of life
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25
Q

what feeling is death anxiety associated with?

A

the feeling of being at the mercy of external forces beyond one’s control

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26
Q

What are some factors that affect the degree of death anxiety that one feels?

A
  • Age/gender
  • religiosity
  • mental health
  • reduced sense of control
  • pessimism
  • lack of meaning in life, low self esteem
  • lack of purpose in life, regret
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27
Q

What is the relationship between mortality salience and death anxiety in older adults?

A

Greater mortality salience, less death anxiety

Greater mortality salience does not always lead to death anxiety

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28
Q

How does death anxiety differ between younger and older adults?

A

Young adults: more fear of the state of death

Older Adults: more likely to fear the dying process

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29
Q

Can death anxiety increase again in older adults?

A

Yes, this tends to occur in adults 80+. living in nursing homes

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30
Q

How does death anxiety differ in men and women?

A

Women often report greater death anxiety than men
- Second spike in the 50’s
- by age 60, concern over mortality between men and women is essentially the same

  • Menopause could possibly explain this
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31
Q

What ways can people cope with death?

A

Some deny it, divert it or displace it
- may do what religion tells them to do
- might seek endless wealth or power

Other’s self actualize their lives with meaning and purpose

Some Overcome it entirely in creativity and connection

others “refuse the loan of life to avoid the debt of death”

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32
Q

What are the two routes presented in terror management theory?

A

When presented to a threat to our mortality…

  1. We deny the threat/try to prolong life
    - Proximal defenses; occur when thoughts of death are conscious
  2. Adhere more strongly to our world views and defend self esteem
    - distal defenses
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33
Q

What are ways in which increasing mortality salience can affect human behavior?

A
  • more positive self bias
  • greater defense of one’s country, culture, views, values
  • more conservative views on life
  • more discriminatory views on life
  • pursuit of a higher social class/status
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34
Q

How does death anxiety effect political views?

A

political views are typically reinforced after the loss of a loved one
- this affected conservatives more

Death anxiety tends to make people lean farther right than usual

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35
Q

Are there any positive effects to death reminders?

A

Could motivate people to…

build supportive relationships, improve their physical health, adopt more open minded and growth oriented behaviors.

prioritize positive goal setting and living up to positive standards and beliefs

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36
Q

What is mindfulness and how does it apply to mortality salience?

A

Definition: Non-judgmental observation of the present moment

Higher trait mindfulness is associated with less defensive responses to mortality salience

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37
Q

How does meditation affect responses to increased mortality salience?

A

Defensive responses were not found in those who meditated regularly and in Buddhist monks

Think: the Buddhist/meditation study

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38
Q

What is DTA and what does an increase in it lead to?

A

DTA: Death Thought Accessibility

First, people deny threats, which decreases DTA

Then, it rebounds, which leads to defense of one’s worldview and self-esteem

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39
Q

What is humility and how does it affect death anxiety?

A

Humility: characterized by a willingness to accept the self and life without comforting illusions. Also Characterized by low self-focus

Higher humility associated with reduced defensive responses to increased mortality salience

  • Including: lower moral disengagement, reduced need for self enhancement
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40
Q
A
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41
Q

What is meaning management Theory?

A

The search for meaning is a primary motive; we are driven to make meaning in life

death anxiety is conquered through meaning

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42
Q

What is the meaning maintenance model?

A

similar to meaning management theory

adds that when people’s sense of meaning is threatened, they reaffirm alternative representations as a way to gain meaning

explains why people invest in their self esteem and other sources of meaning when presented with a threat

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43
Q

What did Wong and Tomer suggest what we should do to best manage thoughts and feelings regarding death?

A

Avoid death anxiety by reducing threats

approach life enhancing and meaning making goals

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44
Q

How do people who are close to facing death respond?

A

Near death cancer patients and death row inmates showed more positive responses in their blog posts/last words

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45
Q

What is the correlation between death anxiety and death acceptance?

A

small to moderate, negative correlation

46
Q

Describe Approach-Oriented death acceptance:

A

positive feelings towards death, may even look forward to its occurrence

47
Q

Describe escape oriented death acceptance:

A

Death is viewed as an escape from pain and suffering

48
Q

Describe Neutral death acceptance:

A

Neither look forward to death, nor accept it

49
Q

Which type of death acceptance is most highly correlated with well being in older Adults?

A

approach oriented

50
Q

Describe Kubler Ross’ 5 stages of dying:

A

DENIAL: cannot accept circumstances
- often leads to isolation
- used by nearly all patients in some form
- can serve an important function in the beginning

ANGER: expressed towards those who are closest
- towards a deity, chance, the universe, etc.
- Feelings of envy

BARGAINING: negotiation for more time or a longer life
- once again usually involves some diety

DEPRESSION: over the recognition of mortality
- Reactive: Towards jobs, hobbies, mobility
- Preparatory: family, relationships

ACCEPTANCE: 3 types of death acceptance

51
Q

What are advantages to the Kubler Ross model?

A
  1. Dispels the myth that there is only one singular appropriate response to death
  2. has broken down social/cultural barriers and taboos
  3. allows counsellors to identify needs
52
Q

What are some criticisms of the Kubler Ross model?

A
  1. Did not consider pre-existing literature
  2. Other Clinicians and researchers unable to find evidence for the order and universality of these 5 stages
  3. may be interpreted as the right way to die
53
Q

How might denial be useful for someone who is dying?

A

can serve as a safety net to preserve self esteem, maintain relationships and prevent chaos at certain points in the process

54
Q

What is Pattison’s 3 phase descriptive model?

A
  1. Acute Phase - anxiety at its highest
  2. Chronic living-dying phase - anxiety reduced, questions about unknown are asked, acceptance begins
  3. terminal phase: death is accepted, person withdraws emotionally and socially
55
Q

What are Shneidman’s stages of “death work”?

A
  1. Psychological: preparation to meet one’s end; coming to terms with dying
  2. Social: enabling oneself to help loved ones in the preparation for survival
56
Q

What did Weisman and Hackett suggest are the 4 main requirements for an appropriate death?

A
  1. reduction of inner and outer conflicts
  2. compatibility with ego ideal
  3. continuity of relationships is preserved and restored
  4. fulfillment of prevailing wishes
57
Q

What is edgework? ;) (not the freaky edging)

A

behavior that explores the limits of safety and convention; voluntary risk taking

58
Q
A
59
Q

What are some common experiences with Near death experiences? (don’t need to name them all)

A
  • Hearing someone pronounce them dead/some auditory experience
  • Seeing themselves and others from outside their body
  • Feelings of peace
  • coming back into their body
60
Q

Do NDE’s differ for those who believs in an afterlife vs those who do not?

A

No:
“Those who believe in a life after death and those who do not will find nothing in NDE studies to contradict either belief.”

61
Q

What is a psychological explanation for NDE’s?

A

Brain can enter a “hyper state of perceptual neural activity” at the time of death
- Amygdala, hippocampus, cortex

62
Q

What are some positive, lasting effects of NDE’s?

A
  • Sense of meaning and purpose
  • loss of fear of death
  • some people start to believe in an afterlife
  • increased self esteem
  • more caring/loving
63
Q

What are some specific methods through which people facing death find meaning?

A

Values
goals
relationships
sense of purpose and direction
spirituality/religion
reflection of the past

64
Q

What is reminiscence?

A

Volitional and non-volitional act of recollecting memories of one’s self in the past

65
Q

What is Life Review?

A

Return of memories and past conflicts at the end of life

spontaneous or structured evaluation of one’s life

66
Q

Define Symbolic Immortality and list its 5 modes

A

A sense of immortality obtained thru symbolic means

  1. Biological
    - children, culture
  2. Creative
    - teaching, mentoring
  3. Transcendental
    - spirituality/religion
  4. Natural
    - sense of connectedness to nature/earth
  5. Experiential Transcendence
    - a psychic state(?) one so intense and all-encompassing that time and death disappear(??)
67
Q

What is Generativity?

A

A concern for guiding and establishing the next generation; vs stagnation

68
Q

What is spirituality?

A

a “personal quest for understanding answers to ultimate questions about life, meaning and relationships to the sacred or transcendent”

69
Q

What is the difference between active and passive suicidal Ideation?

A

ACTIVE: imagining specifics/planning on how to attempt

PASSIVE: no planning

70
Q

What conditions see the greatest risk of suicidal ideation?

A

Traumatic brain injuries, sleep disorders and HIV/AIDS

71
Q

What are 6 factors that play into one’s risk of suicidal ideation?

A
  1. Mental illness
  2. Other psychological factors such as grief, loneliness, guilt
  3. Life events
  4. Gender
    - attempts higher in women, completion higher in men
  5. Age
    - Highest rates seen in middle aged men and women (35-59) and Men 60+
  6. Ethnicity, minority status and income level
72
Q

What is the difference between bereavement and mourning?

A

bereavement is a period of sorrow experienced after a loss

mourning refers to public displays of grief that conform to social and cultural norms

73
Q

Why does grief occur?

A

loss causes an injury to our attachment system; threatens our sense of security and safety

74
Q

Explain grief as it applies to neuroscience

A

Grief can be seen as a form of learning

the neural basis of an attachment supports the knowledge that a loved one persists, even when they are absent
- Basically, our brain still thinks that they’re gonna come back

“gone-but-also-everlasting theory”

75
Q

What 5 common areas of the brain activate during grief?

A

Anterior Cingulate Cortex
- emotion regulation, learning

Posterior Cingulate Cortex
- autobiographical memory

Prefrontal Cortex
- expression of feelings, desires

Insula and Amygdala
- emotion processing, threat detection

76
Q

What are the main health effects of grief?

A

Alterations in cortisol, impaired immune function over time

increased risk of anxiety, depressive and stressor related disorders; separation anxiety

impaired sleep, loneliness, substantial loss of coherence, disruption in daily routines

77
Q

What is the Survivor’s Acceptance?

A

accepting the reality that our loved one is physically gone

does not necessarily mean being okay with the loss

involves learning to live again

78
Q

What are the 4 stages of the natural, adaptive response to grief?

A
  1. shock and numbness
  2. yearning and searching
  3. despair and disorganization
  4. reorganization and recovery
79
Q

Describe the integrated stage model graph of Kubler Ross/Bowlby & Parkes:

A

disbelief starts off high, then quickly drop off

instead of starting high, yearning, anger and depression spike quickly then drop off the same way disbelief does

acceptance starts low, slowly progresses higher and higher with diminishing gains

80
Q

Explain the empirical support for this stage model:

A

Frequency of disbelief, yearning, anger, depression and acceptance at multiple points following a loss

the results showed to be very similar to the stage model graph

81
Q

What is the dual process model?

A

grief process involves an oscillation between a focus on the relationship with the lost individual (loss orientation) and an alternate focus on everyday tasks (restoration orientation)

82
Q

What is the “pathways through grief” model?

A

not crazy important

grief is an open ended experience, varying between individuals

83
Q

Can there ever be improvement after a loss?

A

yes, it can also provide relief of escape from a stressful situation

84
Q

What are the 5 grief trajectories?

A
  1. common grief
    - spike, followed by a return to normal
  2. chronic grief
    - spike without return
  3. chronic depression
    -depression was high pre-loss, remains higher
  4. depressed-improved
    - depression was high pre-loss, ends up lower
  5. resilient
    - depression always low
85
Q

What is anticipatory grief?

A

When a loved one is expected to die, reactions may be anticipated

think: WW2 wives

86
Q

What does research say about anticipatory grief?

A

both positive and negative effects

research has found both easing and intensifying of post death grief following anticipatory grief

87
Q

What type of illness is associated with poorer adjustments in bereavement?

A

extended illnesses (6+ months)

88
Q

How does the nature of a death/loss affect grief?

A

grief typically worsened if the loss is sudden or unexpected

stigmatized death also has major effects

EX: parents who lost children VIA suicide showed much worse mental health vs those who lost children VIA natural causes or accidents

89
Q

What is ambiguous loss?

A

when there is lack of clarity over who or what has been lost

EX: infertility, miscarriage, divorce or absent family member, involvement of loved one in drug abuse

90
Q

What is the relationship between non-death losses and grief?

A

all kinds of losses compromise our “assumptive world” and may lead to feelings of grief as we attempt to reestablish out assumptions

91
Q

What are children who’ve lost a parent at higher risk of?

A

behavioural problems, mental/physical illness, increased stress reactivity, mortality and suicide

92
Q

What is the widowhood effect?

A

Older people who have lost a spouse/partner have an increased risk of dying themselves

93
Q

What do studies suggest the most intense feelings of grief and longest lasting grief occur for?

A

the loss of a child

94
Q

Explain how grief affects children:

A

Children often grieve in spurts because they cannot sustain the intense feelings for long periods

may involve more diverse emotions
EX: irritability and protest, constant crying, a change in sleeping and eating habits, decreased activity and weight loss

95
Q

Which personality traits are correlated with heightened and complicated grieving responses?

A

Neuroticism, low extraversion and low openness to experience

especially neuroticism

96
Q

What is complicated grief?

A

grief does not progress as expected

  • prolonged acute grief with intense yearning and sorrow
  • frequent troubling thoughts about the death
  • excessive avoidance about reminders of the death

may not be the same as depression

97
Q

What are some predictors of complicated grief?

A

violent deaths

sudden deaths

lack of preparation

high levels of anticipatory grief

cultural traumas

more likely to be transgenerational

98
Q

What is the diagnostic criteria for prolonged grief disorder?

A
  1. Death of a loved one who was close in the past year (6 months for children)
  2. Persistent grief response most days since the death
    - intense yearning
    - preoccupation with thoughts
    regarding the lost one
  3. At least 3 of the following symptoms most days since the death:
  • Identity disruption (e.g., feeling as if part of oneself has died).
    Marked sense of disbelief about the death.
  • Avoidance of reminders that the person is dead.
  • Intense emotional pain (e.g., anger, bitterness, sorrow).

-Difficulty reintegrating into one’s relationships and activities.
Emotional numbness (absence or marked reduction of emotions).

  • Feeling that life is meaningless as a result of the death.
  • Intense loneliness as a result of the death.
99
Q

Gimme some more diagnostic criteria for Prolonged Grief Disorder since its too much for one card

A
  1. Disturbance causes clinically significant stress or impairment in social, occupational or other areas of life
  2. duration and severity of the bereavement exceed social norms
  3. symptoms not better explained by another condition or medication
100
Q

how has diagnosing depression changed?

A

can now diagnose in the first few weeks after a loss, whereas before it had to be at least over 2 months

101
Q

How does a loss need to happen for PTSD to be diagnosed?

A

loss must have been violent or accidental

102
Q

What is cognitive restructuring?

A

changing negative thoughts that underlie difficult emotions

103
Q

What is evocative language and how is it used?

A

Counsellors may use tough words such as “your son is dead” rather than “you lost your son” to encourage a greater acceptance of the reality of the loss

104
Q

What are memorialization activities/personal grief rituals?

A

activities aimed at remembering and honoring the deceased

letting go of the deceased

EX: creating a memory book, visiting somewhere

105
Q

What is narrative therapy?

A

writing can be used to help the survivor express their feelings and thoughts more freely

106
Q

What is integrated grief?

A

a lasting form of grief in which loss related thoughts, feelings and behaviors are integrated into a person’s ongoing function

107
Q

What are continuing bonds?

A

the presence of an ongoing inner relationship with the deceased person by the bereaved individual

may be natural and adaptive

108
Q

What are examples of continuing bonds (don’t need to name all)

A

-reminiscing or telling stories about the deceased

-looking at photographs of the deceased
keeping possessions belonging to the deceased

-internalizing values and beliefs espoused by the deceased

-taking on characteristics of the deceased

-doing things that the deceased would have liked

-viewing the deceased as a role model to guide behaviour

-engaging in activities to honour or memorialize the deceased (e.g., tattoos)

-attempting to communicate with the deceased

109
Q

What are post death encounters?

A

Bereaved individuals often report seeing, hearing or feeling the presence of the deceased

makes people feel more connected to the deceased person, influences beliefs in an afterlife

110
Q

What does research say about continuing bonds?

A

Qualitative studies suggest positive and helpful effects

Quantitative studies suggest associations with increased stress at various time points

111
Q

When are stronger continuing bonds harmful?

A

When survivors are unable to make sense of the loss in personal, practical existential or spiritual terms

112
Q

How do continuing bonds affect the loss of a pet?

A

both comfort and distress reported, but overall more comfort

comfort more likely if individuals also found value in the face of loss