Psychology Applications - readings (trauma, crime and cognition) Flashcards

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1
Q

What are the features of a good theory of trauma response? (what should it be able to do?)

A

Explain, describe, predict and direct treatment

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2
Q

In socio-cognitive constructionist theories of trauma response - what are the two types of self-blame suggested by Janoff-Bulman? and is one type associated with better recovery from trauma?

A

Behavioural self-blame: Traume happened because of victim behaviour, e.g victim made a mistake. Characterological self-blame: When a victim blames his/her self because of who s/he is e.g “ it happened because I’m bad” Behavioural self-blame associated with better recovary in motorcycle crash victims. - but was not upheld in rape victims. any-type of self-blame could be considered maladaptive.

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3
Q

Why is the assumption that positive beliefs are shattered by trauma, a problem for socio-cognitive constructionist (e.g Janoff-Bulman) views of trauma response?

A

Belief-sets/world view could be negative before trauma, thus trauma would only confirm this view and not ‘shatter positive cognitions’. There is evidence that a history of trauma and depression/anxiety is associated with PTSD - this goes against Janoff-Bulmans theory.

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4
Q

In Brewin’s dual-representation theory, what are the three possible end points to the emotional processing?

A
  • Completion integration (no memory bias, no attentional bias, no symptoms)
  • Chronic emotional processing (memory bias, attentional bias, phobic state, depression, panic, anxiety, substance abuse)
  • Premature inhibition of processing (attentional biases, avoidance schema, impaired memory, phobic state, dissociation, somatization)
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5
Q

In Dual-Representation (cognitive) theory of trauma response, what are SAMS and what are VAMS

A

SAMS are: Situationally Accessed Memories (as suggested by Information Processing Theories), comprised of sensory information which may be accessed automatically when a person is exposed to a stimulus situation that is similar in some fashion to the trauma.

VAMS are: Verbally Accessible Memories (as suggested by socio-cognitive theories), containing some sensory information, information about emotional and physical reastions and the personal meaning of the event.

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6
Q

What are the two types of emotional reactions proposed by dual-representation theory?

A
  1. Emotional reactions conditioned during the event (e.g fear, anger) and recorded in the SAM
  2. Secondary emotionsresulting from the consequences and implications (meaning) of the trauma. May also include fear and anger, but can also include guilt, shame and sadness.
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7
Q

roughly how does Dual-representation theory suggest treating traumas (hint: two parts, SAMs and VAMS)

A

As suggested by information processing theory: purposefull activation of the SAM, pairing this activation with different bodily states or different conscious thoughts to alter the SAM/aid in the creation of new info SAMS. - reduction in negative emotions and subsequent reduction in attentional bias and accessibility of the memory.

As suggested by social-cognitive theories: purposfull attempts to edit ones autobiographic memory (VAMs), conscious attempt to search for meaning, ascrive cause or blame and to resolve conflicts between the event and prior expectations and beliefs. = restoring a sense of relative safety and control in one’s environment.

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8
Q

Explain the Conservation of Resources (COR) theory of trauma response. What is it’s biggest limitation.

A

Proposes that stress is a reaction to losses of resources or threats to resources (e.g objects, conditions, personal characteristics and energies). Trauma is a sudden loss of resources, traumatic events attack ‘high-value’ resources (e.g self-esteem, control) and cause a loss spiral.

Limitation: Although COR descrives stress reponse generally, it does not explain symptoms after trauma or point to how to treat them.

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9
Q

In Conservation of Resources (COR) theory, what is a loss spiral and what is a gain spiral? which is said to be more common?

A

Loss spiral: expenditute of resources trying to cope with loss of other resources (that fails)

Gain spiral: Gaining resources make future gains more likely.

Loss spiral is said to be more likely.

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10
Q

Outline psychoanalytical theories of trauma response.

A

Focus predominately on intrapsychic conflict, reducing or ignoring the role of external stressfull events(freud). Modern day, does acknowledge external stressors but focuses on intrapschic conflicst as being activated by traumatic events.

Fixation of traumatic events, conflict between pre- and post- trauma ego, defense mechanisms (e.g repression). JANET: focused on dissociative processes, the need to integrate traumatic evenst which caused vehement emotion, which prevents the person from matching the event with existing mental shcema (unconscious) - aka “ a phobia of memory)

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11
Q

In learning theory (behavioural theory) of trauma response, what is Mowrer’s two-factor theory?

What is the main limitation to behavioural theories of trauma response?

A

That trauma response occurs from both operant and classical conditioning.

Traumatic event (UCS) evokes extreme response (UCR) — the UCR becomes associate with cues (previously neutral stimuli) that were present during the traumatic event, these cues become CS. Through generalisation and higher-order conditioning - other stimuli also become conditioned.

Then avoidance of the CS that produce the CR (e.g anxiety) is negatively reinforced (operant conditioning). Thus, extinction between trauma ces CS and anxiety CR is prevented and symptoms become chronic.

Main limitation is: does not explain intrusive behaviours (only fear and avoidance)

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12
Q

According to Wagner and Linehands behavioural explanaition of trauma dissociative symptoms, what is the effect of an ‘invalidating environment’ ?

A

Invalidating encironment is when one is punished or ignored for communicating their emotional experiences.

Trauma + subsequent invalidation = reinforcement of dissociative behaviours.

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13
Q

how does Information Processing Theory (Foa, cognitive), explain and propose treating trauma responses?

A

Theory: PTSD emerges due to a fear-network (guides interpretation of events as dangerous, attentional bias) in memory that is always active in PTSD (potential) people and is broadly generalised.

Activation of fear-network explains intrusive symptoms, avoidance is an attempt to avoid activation of the fear-network.

Treatment: repetitive and prolonged exposure to the traumatic memory in a safe environment will result in habituation of fear.

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14
Q

How do Social-cognitive theories (Resnick) explain and suggest treating trauma responses?

A

Focuses on the social context of trauma, the MEANING of trauma (the content of the victims cognitions)

Suggests that trauma shatters people’s beliefs/world views/self views.

PTSD: is a failure to integrate the trauma experience with existing beliefs.

Symptoms are cause by: non reconciling trauma info into active memory, but avoiding it because of emotional pain - occilating between intrusions and defence mechanism (avoidance)

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15
Q

Briefly outline the ‘history’ of trauma respose theories.

A

Psychoanalytical (intrapsychic conflic) –> Conservation of Resources (COR) –> Behavioural (Mowrer’s two-factor-theory ) —> cognitive (information/emotional processing theory [Foa], socio-cognitive theories [Resick], Ehlers and Clark’s cognitive model of PTSD) —> integrated cognitive theory (Brewin’s Dual-representational theory)

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16
Q

In Ehlers and Clark’s cognitive model of PTSD, how do they explain trauma response?

A

This theory explains both the development and MAINTENANCE of PTSD.

It suggests PTSD is caused by the negative appraisal of trauma and resulting symptoms. and that these appraisals can lead to maladaptive cognitive and behavioural stratergies (avoidance/though suppression).

marked by disturbances in autobiographical memory of the event.

17
Q

What does it mean to say that ‘psychological abuse’ is a unifying concept?

A

That the lasting effects of abuse, whether sexual, physical or psychological tend to be related to associaed and embedded psychological experiences. i.e all childhood abuse is unified by a psychological component.

18
Q

What 5 forms does psychological maltreatment take?

A

Spurning, Terrorising, isolating, corrupting/exploiting, denying emotional responsiveness.

19
Q

Describe the current use/situation of pharmalogical treatments of PTSD. How do tehy help sufferers of PTSD?

A

May help with some symptoms or comorbid illness (e.g anxiety and depression). No medication specific for PTSD, very few studies. Medicine targeted at adrenergic, serotonergic and benzodiazepine systems. May help a person benefit from therapy without being overwhealmed.

Some sucess with adrenergic reaction reductions (propranolol) - adrenaline implicated in strong recall, so this drug may help to reduce intrusive symptoms/hyperarousal.

SSRIs (selective serotonin reuptake inhibitors) potentially helpful for avoidance, arousal and numbing symptoms

20
Q

Is crisis intervention (PTSD preventional treatments) or CISD a good way to prevent PTSD? why or why not?

A

Highly debatable with mixed study results.

Some evidence that information that information about upcoming procedures and potential reposnses (i.e normalisation) reduces stress. But gowing evidene suggest that it does not have the intended effect.

CISD (mitchell) has been misused in the prevetion of PTSD (was initially only for emergency responders).

21
Q

What are the 7 phases of Mitchells CISD (critical incident stress debriefing)?

A
  1. Introduction (orientation to the process)
  2. Fact phase (groups members describe their roles and tasks during the incident, clarify what occured)
  3. Thought phase (remembering what they thought during the incident)
  4. Reaction phase (talk about worst part of experience)
  5. Symptom phase (review own physical, emotional, behavioural and cognitive symptoms)
  6. Teaching phase (provide information and normalise reactions, teach coping stratergies)
  7. Relating phase (summary and recommendations)
22
Q

In PTSD prevention treatment have Behavioural Program (BP) for prevention of PTSD (e.g Foa, 4x 2 hour sessions) and CBT treatment of ASD diagnosed people been supported?

A

Yes some support suggesting better than just supportive counselling.

23
Q

List the possible treatments of PTSD

A
  • Pharmalogical treatments (no specific treament, targets symptoms, adrenal, serotonin)
  • Preventative treatment (CISD/stress debreifing/brief intervention has mixed evidence, not effective. Some evidence for modifed behaviour program and CBT treatment of ASD)
  • Psychodynamic therapies (modern therapies closely related to cognitive theories, with more emphasis on the therapeutic relationship and developmental issues - includes constructivist therapies that involve reconstructing the event)
  • Cognitive-Behavioral therapies
  1. Stress Inoculation Training (SIT) (based on two-factor theory -classical and operant conditioning)
  2. Exposure-Based treatments (in vivo or imaginal) e.g Prolonged Exposure ‘PE’ (Foa)
  3. Cognitive Processing Therapy ‘CPT’ (Resick) - focus on the meaning of trauma and distorted beliefs.
  • Eye movement desensitization and reprocessing therapy (EMDR)
24
Q

What is Prolonged exposure? (treatment)

A

The combonation of repeated detailed prolonger recall of the traumatic event (imaginal) and behavioural exposures outside therapy (in vivo). To reduce anxiety.