chapter 2 notes.ppt
TRANSCRIPT
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Chapter 2
An Integrative Approach to Psychopathology
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One-Dimensional vs. Multidimensional Models
• One-Dimensional Models
– Could mean a paradigm, school, or conceptual approach
– Could mean an emphasis on a specific cause of abnormal behavior
– Problems occur hen information from other areas is ignored
• Multidimensional Models
– Interdisciplinary, eclectic, and integrative
– !"ystem# of influences that cause and maintain suffering
– Dras upon information from several sources
– $ie abnormal behavior as multiply determined
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Multidimensional Models of Abnormal Behavior
• %iological Influences
• %ehavioral Influences
• &motional Influences
• "ocial Influences
• Developmental Influences
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Multidimensional Models of Abnormal %ehavior 'cont()
Figure 2.1
Judy’s case one-dimensional or multidimensional models
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!he "nteraction of Genetic and #nvironmental #ffects
• 2he Diathesis-"tress Model
– Psychopathology is the result of the interaction of an inherited
tendency and events in a person3s life(
– &4ample5 alcoholism
• 6eciprocal *ene-&nvironment Model
– An inherited tendency creates the very environmental ris7 factors
that trigger genetic vulnerabilities(
– &4amples5 Depression, divorce, impulsivity
• +on-*enomic Inheritance of %ehavior
– *enes are not the hole story
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$euroscience Contributions to Psychopatholoy
• 2he 8ield of +euroscience
– 2he role of the nervous system in disease and behavior
• 2he Central +ervous "ystem 'C+")
– %rain and spinal cord
•2he Peripheral +ervous "ystem 'P+")
– "omatic and autonomic branches
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+euroscience Contributions to Psychopathology 'cont()
Figure 2.4
Divisions of the nervous system (from Goldstein, 1994)
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$euroscience and the Central $ervous %ystem
• 2he +euron
– "oma – Cell body
– Dendrites – %ranches that receive messages from other neurons
– A4on – 2run7 of neuron that sends messages to other neurons
– A4on terminals – %uds at end of a4on from hich chemicalmessages are sent
– "ynaptic cleft – "mall gaps that separate neurons
• +eurons 8unction &lectrically, but Communicate Chemically
– +eurotransmitters are the chemical messengers
Please choose the button belo that corresponds to the type of operating
system you are using in order to run the !+euron and +eural Impulse# animation5
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+euroscience and the Central +ervous "ystem 'cont()
Figure 2.5
Transmission of information from one neuron to another
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$euroscience and Ma&or $eurotransmitters in Psychopatholoy
• +orepinephrine 'or noradrenaline)5 part of the endocrine system,
implicated in many disorders
• "erotonin5 idespread effects, inc( mood regulation
• Dopamine5 implicated in schi9ophrenia and Par7inson3s
• *amma Aminobutyric Acid '*A%A)5 inhibits arousal:an4iety
Choose the button belo that corresponds to the type of operating system you areusing in order to run the !"ynaptic 2ransmission# animation5
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Overvie'( $euroscience and Brain %tructure
• 2o Main Parts
– %rainstem and forebrain
• 2hree Main Divisions
– ;indbrain
– Midbrain
– 8orebrain
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$euroscience and the Divisions of the Brain
• ;indbrain
– Medulla – ;eart rate, blood pressure, respiration
– Pons – 6egulates sleep stages
– Cerebellum – Involved in physical coordination
• Midbrain
– Coordinates movement ith sensory input
– Contains parts of the reticular activating system '6A")
• 8orebrain 'Cerebral Corte4)
– .ocation of most sensory, emotional, and cognitive processing
– 2o speciali9ed hemispheres 'left and right) <oined by the corpuscallosum
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$euroscience and Brain %tructure
• .obes of Cerebral Corte4
– 8rontal – 2hin7ing and reasoning abilities, memory
– Parietal – 2ouch recognition
– Occipital – Integrates visual input
– 2emporal – 6ecognition of sights and sounds, long-term memorystorage
• .imbic "ystem
– 2halamus – 6eceives and integrates sensory information
– ;ypothalamus – Controls eating, drin7ing, aggression, se4ualactivity
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+euroscience and the Divisions of the %rain 'cont()
Figure 2.6b (cont.)
Maor structures of the !rain
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+euroscience and the %rain "tructure 'cont()
Figure 2.6c
The lim!ic system
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Peripheral $ervous and #ndocrine %ystems
• "omatic %ranch of P+"5 Controls voluntary muscles and movement
• Autonomic %ranch of the P+"
– "ympathetic and parasympathetic branches
– 6egulates cardiovascular system = body temperature
– Also regulates the endocrine system and aids in digestion
• 2he &ndocrine "ystem5 ;ormones
• 2he ;ypothalamic-Pituitary-Adrenalcortical A4is ';>PAC a4is)
– Integration of endocrine and nervous system function
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+euroscience5 Peripheral +ervous and
&ndocrine "ystems 'cont()
Figure 2.8
The sym"athetic nervous system (red lines) and "arasym"athetic nervous system (!lue lines)
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+euroscience5 Peripheral +ervous and
&ndocrine "ystems 'cont()
Figure 2.9
#ocation of some of the maor endocrine $lands
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"mplications of $euroscience for Psychopatholoy
• 6elations %eteen %rain and Abnormal %ehavior
– &4ample5 Obsessive compulsive disorder 'OCD)
– &4perience Can Change %rain "tructure and 8unction
– 2herapy Can Change %rain "tructure and 8unction
– Medications and psychotherapy
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Psycholoical Contributions to Psychopatholoy
• Conditioning and Cognitive Processes
– 6espondent and operant learning
– .earned helplessness
– Modeling and observational learning
– Prepared learning
• Cognitive "cience and the ?nconscious
– Implicit memory, "troop paradigm
• Cognitive-%ehavioral 2herapy
– 8ocus on maladaptive thin7ing and actions
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!he )ole of #motion in Psychopatholoy
• 2he +ature of &-Motion
– 2o e-licit or e-vo7e motion
– Intimately tied ith several forms of psychopathology
• Components of &motion
– %ehavior, physiology, and cognition
– &4ample of fear
• ;armful "ide of &motional Dysregulation
– Anger, hostility, emotional suppression, illness, and
psychopathology
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2he 6ole of &motion in Psychopathology 'cont()
Figure 2.15
%motion has three im"ortant and overla""in$ com"onents& !ehavior, co$nition, and "hysiolo$y
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Cultural* %ocial* and "nterpersonal +actors in Psychopatholoy
• Cultural 8actors
– Influence the form and e4pression of normal and abnormal behavior
• *ender &ffects
– &4erts a strong and pu99ling effect on psychopathology
•
"ocial 6elationships
– 8re@uency and @uality related to mortality, disease, and
psychopathology
– Interpersonal Psychotherapy
• "tigma of Psychopathology is Culturally, "ocially, and Interpersonally"ituated
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,ife-%pan and Developmental "nfluences Over Psychopatholoy
• .ife-"pan Developmental Perspective
– Addresses developmental changes
– "uch changes influence and constrain hat is normal and abnormal
• 2he Principle of &@uifinality
– Concept in developmental psychopathology
– "everal paths to a given outcome
– Paths may operate differentially at different developmental stages
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%ummary of the Multidimensional Perspective of Psychopatholoy
• Multiple Causation
– Is the rule, not the e4ception in e4plaining normal and abnormal
behavior
• 2a7e a %road, Comprehensive, "ystemic Perspective
– Addressing biological, psychological, social, cultural, and
developmental factors
• ?seful in ?nderstanding the Causes of Psychopathology and its
Alleviation