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Causal Factors and Viewpoints - Coggle Diagram
Causal Factors and Viewpoints
Risk Factors and Causes of Concerning Presentations
Etiology
: Causal patterns
Necessary cause: You absolutely need to have X for disorder Y to occur
Sufficient cause: There are many different causes, and one to two of these are enough. If X occurs, then Y will also occur
Contributory cause: Something that increases the risk, but doesn't guarantee a mental health difficulty. If X occurs, the probability of Y occurring increases.
Reinforcing contributory cause
: A condition that tends to maintain maladaptive behaviour that is already occurring
Risk factor vs Causes
Risk factor
: If only X occurs before Y, X is a risk factor for Y
Distal risk factors
: Risk factors occurring early in life that do not show their effects for many years that may contribute to a predisposition to develop a disorder
Proximal risk factors
: Factors that operate shortly before the occurrence of the symptoms of a disorder
Some proximal risk factors may also double up as distal risk factors for another condition
Variable risk factor
: If X can be changed
Fixed marker
: If X cannot be changed
Variable marker
: If changing X does not lead to a change in Y
Causal risk factor
: If changing X leads to a change in Y
Feedback and Bi-directionality
Feedback
: The effects of the causes can serve as feedback that influences the causes (e.g. hostile behaviour towards others that make others shun an individual, which in turn results in the individual continuing to be hostile)
Bi-directionality
: Mutual, two-way influences
Diathesis-Stress Models
Diathesis
: A
predisposition
toward developing a disorder that can derive from biological, psychological, or sociocultural causal factors; a relatively distal necessary or contributory cause that is
insufficient
to cause a disorder
Diathesis-stress models: Combination of diathesis and stress to cause a disorder
Additive model
: Diathesis and stress add up
Interactive model
: Some amount of diathesis must be present before stress will have any effect
Stress
: Response of individual to taxing demands. When stress exceeds the person's ability to adapt, that's when problems arise
Protective factors
: Factors that
buffer
against the likelihood of a negative outcome among those with some risk factors
Can lead to
resilience
: The ability to adapt successfully to even very difficult circumstances
General Causes of Psychopathology
Bio-Psycho-Social
model: Biological, psychological, and social factors
all interact
and play a role in psychopathology and treatment
Biological Perspective
Genetic Vulnerabilities
Abnormalities in the structure or number of chromosomes can be associated with major defects or disorders
Polymorphisms
: Naturally occurring variations of genes. Genetically vulnerable people have a large number of polymorphisms of genes that operate together in an additive or interactive fashion to increase vulnerability.
Genotype-Environment Interactions
: Genetic factors that contribute to diathesis to develop psychopathology that only happens if there is a significant stressor
Genotype
: A person's total genetic endowment
Genotype-Environment Correlation
: Genotype shapes the environmental experiences, thus affecting the phenotype in important ways
Passive Effect: Genetic similarity of parents and children (e.g. highly intelligent parents providing a highly stimulating environment for children)
Evocative Effect: Genotype may evoke particular kinds of reactions from social and physical environment (e.g. happy babies draw out more positive responses from others)
Active effect: The child seeks out or builds and environment that is congenial (niche-building) (e.g. extraverted children seek out company)
Study methods
Family history method: Observe samples of relatives of each case to see whether the incidence increases in proportion to the degree of hereditary relationships. Limitation: People that are more closely related also tend to share similar environments --> hard to tease out nature vs nurture
Twin method: Identical twins and concordance rates (percentage of twins sharing the disorder) that differ from dizygotic twins. Studying identical twins that have been reared apart.
Separating genetic and environmental factors
Shared
environmental influences (children in a family more similar) vs
non-shared
environmental influences (children in a family more different)
Adoption method: Capitalise on how adoption creates situation in which individuals who do not share a common family environment are still genetically related. Compare rates of disorder between biological parents of children with and without disorders, or compare rates of disorder between children with biological parents with and without disorders
Linkage analysis: Using known locations on chromosomes of genes for other inherited physical characteristics or biological processes to infer the location of genes for disorders. Limitation: Disorders are influenced by many different genes spread over multiple chromosomes
Association studies: Have two groups of people, one with and one without disorder. Then compare frequencies of certain genetic markers with known locations on chromosomes to infer location
Brain Dysfunction and Neural Plasticity
Neural plasticity: Flexibility of the brain in making changes in organisation and function in response to various factors (e.g. diet, etc.)
Neuro-transmitter and hormonal abnormalities
Neurotransmitter imbalances caused by psychological stress
Monoamines: Single amino acid
Serotonin: Thinking and processing information from environment, behaviours and moods.
Norepinephrine: Emergency reactions, attention, orientation, basic motives
Dopamine: Pleasure and cognitive processing
Glutamate, gamma aminobutyric acid
Medications
Agonists: Facilitate the effects of neurotransmitter on the post-synaptic neuron
Antagonists: Inhibit or oppose the effects of a neurotransmitter on a post-synaptic neuron
Hormonal imbalances
Hormones: Chemical messengers secreted by a set of endocrine glands
Hypothalamic-pituitary-adrenal (HPA) axis
Malfunctioning of this system has been implicated in various forms of psychopathology
Temperament
: Child's reactivity and characteristic ways of self-regulation. Early temperament forms the basis from which personality develops
Five Dimensions of Temperament
: Fearfulness; Irritability and frustration; Positive affect; Activity level; Attentional persistence and effortful control
Fearfulness and Irritability = Neuroticism (disposition to experience negative affect)
Positive affect and Activity level = Extraversion
Attentional persistence and effortful control = Constraint or Control
Inhibition: Fearful; risk factor for development of anxiety disorders
Impact: Importance of biochemical factors and innate characteristics in behaviour; effects of psychological events are always mediated through CNS; require multiple perspectives to fully understand psychopathology
Psychological Perspective
Psychodynamic: The unconscious
Behaviour results from the interaction of three components of personality
Id: Pleasure principle, primary process thinking
Ego: Reality principle, mediates the demands of the id and the real world, secondary process thinking
All three subsystems are striving for different goals --> mental conflicts. If unresolved, intrapsychic conflicts lead to mental disorder
Anxiety develops when there is conflict between the id and the superego, or when ego-defense mechanisms (irrational protective measures) come up
Superego: Executive branch, consciences, morality
Behavioural Perspective: Study of directly observable behaviour. Behaviour is learned
Classical conditioning: Many physiological and emotional responses can be conditioned
Generalisation and discrimination
Generalisation
: A response is conditioned to one stimulus and can be evoked by other similar stimuli. Can lead to maladaptive behaviour.
Discrimination
: Learning to distinguish between similar stimuli and to respond to them based on which ones are followed by reinforcement
Operant conditioning
Observational learning: Learning through observation alone, without directly experiencing an unconditioned stimulus or reinforcer
Impacts: Maladaptive behaviour results from the failure to learn necessary adaptive behaviours or competencies and/or the learning of ineffective of maladaptive responses
The Cognitive-Behavioural Perspective: How thoughts and information processing can become distorted and lead to maladaptive emotions and behaviour
Schemas: Underlying representations of knowledge that guides current processing of information. Can be sources of psychological vulnerabilities because some of our schemas or self-schemas can be distorted or inaccurate, leading to distortions in thinking
Assimilation: Working new experiences into existing schemas
Accommodation: Changing existing frameworks to incorporate new information (goal of psychological therapies)
Nonconscious mental activity: Mental processes occurring without our awareness
Attributions: Assigning causes to thing that happen
Attribution style: Characteristic way in which individual tends to assign causes to bad or good events
Cognitive Therapy: The way we interpret events and experiences determines our emotional reactions to them. Using techniques to alter a client's negative cognitive bias
Social Perspective: Life experiences that could be risk or protective factors
Early Deprivation or Trauma
Deprivation of essential resources
Institutionalisation: Significantly less warmth and physical contact, less intellectual, emotional, and social stimulation, lack of encouragement and help in positive learning
Neglect and abuse at home: Negative effects on development. Abused children have the tendency to develop abusive characteristics themselves
Disorganised attachment style
Separation from parents: Increased vulnerability to stressors in adulthood
Problems in parenting style
Parent-child relationship is always
bidirectional
: The behaviour or each person affects the behaviour of the other.
Parental psychopathology: Parents with various forms of psychopathology have children who are at a higher risk of developing psychopathological problems as well
Parenting styles
Authoritarian: Lower in social and academic competence, conflicted, irritable, moody
Permissive: Impulsive and aggressive, inconsiderate
Neglectful: Low self-esteem, conduct problems, low social competence
Marital discord and divorce
Marital discord
Severe cases of marital discord already exposes children to other stressors
Children with parents with high levels of overt conflict have greater disposition to behave aggressively toward both peers and parents, have conflict in own romantic relationships
Divorce
For parents: Could be beneficial
For children: Delinquency, anxiety, depression, may experience divorce themselves, but can be favourable (most children adapt well)
Low socio-economic status and unemployment: More stressors
Maladaptive peer relationships
Bullying
Bullies are both highly proactively aggressive (initiating aggressive behaviour) and reactively aggressive (respond aggressively)
Cyberbullying: Depression, anxiety
Popularity vs Rejection
Too aggressive or too withdrawn
Prejudice and Discrimination in Race, Gender, and Ethnicity
Access discrimination: Members of a certain group are not hired
Treatment discrimination: Certain people are given a job, but are paid less and receive fewer opportunities for promotion
Impacts: How environmental factors can influence the occurrence of mental disorders; programmes to improve social conditions; community facilities for the early detection, treatment, and long-range prevention
Cultural Perspective: The impact of culture on the definition and manifestation of mental disorders
Many psychological disturbances are
universal
Ideas about normal or abnormal psychopathology differ in different places around the world
Individual personality development reflects the larger society
4 Ps as a Framework for Case Formulation
Predisposing factors: Genetic factors. What underlies the problems? What may have pt the person at risk for the problems?
Precipitating factors: What was the recent trigger of the problems? (usually in the period of the last 6 months)
Perpetuating factors: What keeps the problems ongoing? Why don't the problems simply go away?
Protective factors: What offsets the problems? What are the person's strengths to deal with the problems?