stressorsmediators outcome pearlin - stress process
Post on 19-Dec-2015
213 views
TRANSCRIPT
![Page 1: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/1.jpg)
![Page 2: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/2.jpg)
STRESSORS MEDIATORS OUTCOME
PEARLIN - STRESS PROCESS
![Page 3: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/3.jpg)
DIFFERENCES WITH SRRS
![Page 4: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/4.jpg)
![Page 5: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/5.jpg)
![Page 6: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/6.jpg)
STRESS PROCESS
• 1. MUST LOOK AT CONTEXT AND MEANING
![Page 7: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/7.jpg)
DIMENSIONS OF STRESSFUL LIFE EVENTS
• DESIRED VS. NOT DESIRED
• UNEXPECTED VS. EXPECTED
• POSITIVE VS. NEGATIVE PREEXISTING CONTEXT OF EVENT
• NEGATIVE POST-EVENT CONTEXT– SECONDARY STRESSORS
![Page 8: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/8.jpg)
STRESS PROCESS (CONT.)
• 2. EVENTS NOT ISOLATED BUT EMBEDDED IN SOCIAL POSITIONS – GENDER, SOCIAL CLASS, ETHNIC
• 3. EVENTS NOT ISOLATED BUT INTERCONNECTED - STESS PROLIFERATION - PRIMARY AND SECONDARY STRESSORS
• 4. EMPHASIZES SOCIAL ROLES - OVERLOAD, CONFLICT, CAPTIVITY
![Page 9: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/9.jpg)
NEW CATEGORIES OF STRESSORS (WHEATON)
• 1. CHRONIC STRESSORS
• 2. LIFETIME TRAUMAS
• 3. DAILY HASSLES
• 4. DISASTERS
![Page 10: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/10.jpg)
DISASTERS
• 9/11 – 30% MDD or PTSD over next month
• Almost all had some symptoms
• Transient – few had disorder after 6 months
• Cambodian refugees – 50% had MDD after 20 years
• Social cause of chronic disorder
![Page 11: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/11.jpg)
![Page 12: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/12.jpg)
MEDIATORS
• WHY SOME PEOPLE WITH MANY STRESSORS HAVE LOW DISTRESS
• WHY SOME PEOPLE WITH FEW STRESSORS HAVE HIGH DISTRESS
![Page 13: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/13.jpg)
MEDIATORS (TURNER)
• SOCIAL RESOURCES
• 1. SUPPORT - BEING CARED FOR, BELONGING, WANTED
• ONE INTIMATE
• STRONG FAMILY TIES, RELIGION
• 2. MATERIAL SUPPORT
![Page 14: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/14.jpg)
SOCIAL COMPARISON
• STRESSFULNESS DEPENDS ON REFERENCE GROUP
• INCOME
• PARAPLEGICS
• DOWNWARD COMPARISONS BETTER THAN UPWARD COMPARISONS
![Page 15: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/15.jpg)
CONTROL
• ACTIVE COPING BETTER THAN PASSIVE COPING (MASTERY VS. FATALISM)
![Page 16: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/16.jpg)
![Page 17: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/17.jpg)
OUTCOMES
• STANDARDIZED SCALES LIKE CES-D
• CONTINUOUS – FROM MILD TO SEVERE
• INDICATOR OF DISTRESS
• GENERAL NOT DIAGNOSTIC
![Page 18: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/18.jpg)
![Page 19: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/19.jpg)
TREATMENT
• ONLY THEORY WITH NO DIRECT TREATMENT ASPECT
• CHANGE ENVIRONMENT
• MUCH DISTRESS TRANSIENT (9-11)
• IMPORTANCE OF INFORMAL SUPPORT
![Page 20: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/20.jpg)
CRITICISMS OF SOCIAL
• IGNORES HOW MENTAL SYMPTOMS ARE DEEPLY ROOTED IN INDIVIDUALS NOT SITUATIONS
• NOT GOOD FOR EXPLAINING MOST SERIOUS TYPES OF MENTAL ILLNESS
• UNSPECIFIC TREATMENT COMPONENT
![Page 21: STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS](https://reader036.vdocument.in/reader036/viewer/2022081519/56649d3a5503460f94a1463b/html5/thumbnails/21.jpg)
STRENGTHS
• BETTER AT EXPLAINING DISTRESS THAN PARTICULAR MENTAL ILLNESSES
• BETTER AT LOOKING AT GROUP, RATHER THAN AT INDIVIDUAL, DIFFERENCES
• EMPHASIS ON EXTERNAL AND CURRENT CAUSES OF DISTRESS