Week 6 Flashcards

1
Q

What is an attitude

A

“An organisation of beliefs, feelings and behavioural tendencies towards significant objects, groups, events or symbols” (Hogg & Vaughan 2005)
Evaluate: liking vs disliking, beneficial vs harmful
Subjective: not necessarily based upon fact/ knowledge
Explicit vs implicit
Learned
Enduring but possible to change

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2
Q

ABC model of attitude: Rosenberg & Hovland 1960

A

Affect
Behaviour
Cognition

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3
Q

How are attitudes formed

A

Imitation and role models
Conditioning- reinforcement
Experience
Social norms

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4
Q

Why are attitudes formed

A

Social acceptance
To protect out self esteem
To express what we believe
To avoid punishment
To understand the world
To express who we are

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5
Q

Do attitudes predict behaviour

A

Yes but complicated
LaPiere 1934
Wicker 1969
Attitudes can be a good way of predicting behaviour under certain conditions:
-when they’re measured specifically
-when an attitude is formed through experience
-when there is more at stake
-when there are fewer potential barriers
-when the attitude is repeatedly expressed
Davidson &Jaccard 1979

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6
Q

Theory of planned behaviour (Azjen, 1991)

A

Perceived social pressure
Attitudes. —> intentions—> behavioural change
Perceived control

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7
Q

Why is attitude predicting behaviour important to doctors

A

Attitudes can then be used to predict:
-adherence to lifestyle advice
-concordance with treatment
-engagement with non-pharmacological interventions
-uptake of screening tests
-willingness to attend appointments

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8
Q

Measuring attitudes

A

Difficult
Behavioural observation: easy to perform, no specialist equipment, time consuming & unreliable (Hawthorne Effect-the alteration of behaviour by the subjects of a study due to their awareness of being observed)
Covert measurement: eg EMG, Galvanic skin response, more objective, non-directional, false positives
Self report scales: eg Likert, Osgoods semantic Differential cheap, quick, easy, assume attitudes are fixed, dependent on honesty and self awareness
Responder bias: people tend to always agree/disagree, people generally avoid extreme responses, people generally choose responses that make them look good, tend to choose socially acceptable responses

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9
Q

Changing attitudes

A

Cognitive dissonance
Self perception —> attitudinal change
Persuasive communication

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10
Q

Cognitive dissonance (Festinger 1957)

A

Human have an innate desire for consistency
Inconsistency= dissonance
Ways to resolve dissonance:
- gain new info that overrides a dissonant cognition
-reduce the importance
-change attitudes

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11
Q

Dissonance based interventions

A

Growing evidence
Induced cognitive dissonance
-belief disconformation
-free choice
-hypocrisy (contradictions between thinking and behaviour)
-effort justification
-induced compliance

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12
Q

Self perception theory (Bem 1967)

A

Traditional view: attitudes determine behaviour
Bem’s self perception theory: behaviour determines attitudes

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13
Q

Persuasive communication

A

Yale attitude change approach (Hovland 1953)
Source
Message
Audience
Elaboration likelihood model (Petty 1980): central vs peripheral

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14
Q

Is fear persuasive

A

Good evidence that fear can be a motivator for attitudinal/ behavioural change (Leventhal 1967)
However too much fear prevents attitudinal/ behavioural change (Janis & Feschbach 1953)

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15
Q

Brief intervention the 5 As

A

Ask
Advise
Assess
Assist
Arrange

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16
Q

Developmental psychology

A

Maturation and learning
Human development is a continual and cumulative process
Plasticity- capacity for change in response to negative or positive life experiences
History and culture has a strong influence on attributes and competences that individuals acquire

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17
Q

Infancy

A

New born reflexes and states
Infants sensory capabilities
Basic learning processes
-habituation
-classical conditioning- combining 2 stimuli to produce a new learned response
-operant conditioning -ability to learn based on our behaviours and any following reward or punishment
-observational learning

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18
Q

Emotional development

A

Emotions from birth: contentment, disgust, distress and interest
Emotions from 2-7 months: anger, fear, joy, sadness, surprise
Emotions from 12-24 months: embarrassment, envy, guilt, pride, shame

19
Q

Temperament

A

Is defined as individual difference in emotional, motor and attentional reactivity and self regulation
These are seen as the emotional and behavioural building blocks of adult personality
Hereditary influences
Home environmental influences
Cultural influences
Stability of temperament

20
Q

Development of self-concept

A

Proprioceptive feedback
Self differentiation in infancy
Self recognition in infancy
Self esteem

21
Q

Attachment

A

An intense emotional relationship that is specific to two people that endures over time and in which prolonged separation from partner is accompanied with stress and sorrow
Reciprocal relationship- 2 way relationship
Process of attachment- synchronised routines
Theories of attachment

22
Q

Phases of attachment (Schaffer and Emerson)

A

Pre attachment phase; last 3 months of age, preference for contact with human beings from 6 weeks manifest as nestling, gurgling, smiling
Indiscriminate attachment; lasts up 7 months, allows strangers to look after them without noticeable distress provided stranger provides adequate care, starts to discriminate between familiar and unfamiliar people
Discriminate attachment; 7-8 months, actively tries to stay close to certain people becomes distressed when separated (separation anxiety), requires infant to be able to discriminate between care giver and others
Multiple attachment phase; 9 months onwards, strong additional ties formed, fear of stranger weakens but strongest attachments remains

23
Q

Lorenz and Harlow

A

Lorenz in 1935 showed that non human animals form storing bonds with the first moving object they encounter
Called imprinting- occurs during a brief critical period and is irreversible
Harlow showed in experiments that rhesus monkeys spent most time clinging to cloth parent- need for contact comfort
They use this surrogate as a secure based to explore the environment

24
Q

Bowlby

A

Synchrony- action between main caregiver and infant produces an attachment: useless after 36 months (critical period)
Infant attached to main caregiver: main caregiver bonded to infant
Infants display innate tendency to attach to an adult (monotrophy) and this qualitative different from other later attachments (not necessarily with natural mother)

25
Ainsworth stranger test to identify attachment type
Anxious-avoidant type Secure attachment Anxious resistant Disorganised/disorientated
26
Secure attachment type
Infant plays happily when main caregiver is there whether stranger is there or not Main caregiver is largely ignored because he/she can be trusted Clearly distressed when main caregiver leaves and play is reduced Seeks immediate contact when main caregiver returns is quickly calmed and resumes play Distress caused by main caregivers absence not being alone Main caregiver treated differently from stranger (can provide some comfort)
27
Anxious resistant type
Infant is fussy and wary when mother is present Cries more Difficulty using main caregiver as secure base Very distressed when main caregiver leaves and seeks contact on return but simultaneously shows anger and resists contact Actively resists strangers efforts to make contact
28
Anxious avoidant type
Infant indifferent to main caregiver Play is little affected by whether main caregiver is present or absent Actively ignores or avoids main caregiver on there return Distress caused by being alone As easily comforted by main caregiver as by stranger that is both adults treated in similar way
29
Disorganised/disorientated type
A combination of resistant and avoidant patterns Reflect confusion about whether to approach or avoid the caregiver When reunited with caregiver they might be dazed or freeze or move closer and then quickly move away
30
Cultural variations in attachment classifications
% that fall into the different categories differ from culture to culture Differences across culture due to different child rearing practices across cultures Some debate around what qualifies as an secure or an insecure attachment varies from culture to culture
31
Factors that influence attachment security
Sensitive responsive caregiving associated with secure attachment Inconsistent, neglectful over intrusive and abusive caregiving predict insecure attachments Environmental factors such as poverty and a stormy relationship between caregivers Secure attachments during infancy play a predictive role in intellectual curiosity and social competence in later adulthood
32
Aggression
Changes in aggression as children age Sex differences Antisocial behaviour Is aggression a stable attribute Individual differences Popularity and aggression Cultural and sub-cultural influences Parental conflict and children’s aggression
33
Altruism
Origins of altruism As children grow Sex differences Role taking and altruism Empathy Cultural and social influences Role upbringing and parents
34
Moral development
3 moral components Affective Cognitive Behavioural
35
Cognitive development- Piaget
The changes that occur in children’s mental abilities over the course of their lives Cognitive equilibrium Child as a constructivist Schemas- organisation and adaptation Adaptation consists of- assimilation and accommodation
36
Vygotsky- Social cultural perspective
Social cultural theory The role of culture in intellectual development Tools of intellectual adaptation Zone of proximal development Guided participation Scaffolding
37
Parenting
4 patterns of parenting Authoritarian Authoritative Permissive Uninvolved Behavioural control versus psychological control
38
What does abuse and neglect mean
In the GMC guidance ‘abuse or neglect’ means physical, emotional or sexual abuse including fabricated or induced illness and emotional or physical neglect which has led or may lead to significant harm to a child or young person
39
Possible signs of physical and emotional abuse
Unexplained or repeated injuries Injuries in shape of object eg belt Injuries not likely to happen given the age or ability of child Disagreement between child’s and parents explanation of injury Obvious neglect of child Fearful behaviour Aggressive or withdrawn behaviour Afraid to go home
40
Possible signs sexual abuse
Difficulty walking or sitting Stained or bloody underwear Genital or rectal pain, itching, swelling, redness or discharge Bruises or other injuries in genital or rectal area Soiling or wetting pants or bed after being potty trained Withdrawing from activities and others Talking about or acting out sexual acts beyond normal sex play for age
41
Preparing children for hospital
Small children do not like being separated from family encourage parents to stay Before admission; children books about hospitals, hospital visit, videos On admission; show children instruments reduce fear, distraction strategies no time to think, highest level of stress occurs waiting in operating room corridor
42
What might upset a child in hospital
Pain Eating new unfamiliar food New smells Strange sounds Different routines Lots of new strange people Illness itself
43
How can children react to a hospital stay
Suffer nightmares Anxious Cry a lot-fear of unknown Throw tantrums Refuse to eat Refuse to speak Become withdrawn-lost confidence and frightened Afraid to be on own Return to earlier stages of development
44
Implications for practice
Find out exactly how child views causes of illness and reasons for treatment Their ability to assimilate info is limited and they often distort what they’re told Address magical thoughts appropriately often they are a coping/defence mechanisms, tell truth, match level of comprehension and think about stages of development