Hawkins 1 Understanding Psychopathology Abnormal Psychology Jasmine D. Hawkins Alan Eby, Psy. D. Abnormal Psychology 310-01 September 7, 2015 Hawkins 2 Issue 1: In Health and Exercise Science there are many disciplines, such as athletic training, occupational therapist, and nutrition specialist. In any of these health professions, many psychological disorders can arise, whereas a health professional one will have to approach the patient and/or situation in the right manner. In my profession as a pediatric dentist, I will most likely come in contact with a child or parent that has a phobia of the dentist. The fear of the dentist can cause serious anxiety, which is two psychological disorders that will I will have to confront. The anxiety and fear of the dentist can cause refusal of preventative care. Dental care is the window into many diseases beyond what happens in the mouth. Gum disease, for example, has been connected to stroke, diabetes, and heart disease. As a dentist special training is necessary so that patient's anxiety can be eased during their visit. This course will help give me the knowledge of how to identify and approach different psychological disorders so that I can be an assisting hand in my patients getting the help that they need. Even though I cannot ethically or professionally give care, I can be the link between my patients and the resources that they need. Taking this course can also help me to relate to the patients' needs. As a dentist it will be important to know which medications or levels of certain medication will counteract the medications that they are currently on, and/or trigger or inhibit certain neurotransmitters that can have a negative effect on their disorder. Issue 2: In psychopathology two models are used one is a linear model. This model states that there is one influence for an individual’s behavior. The other model states that the causes of psychological disorders are not one-dimensional, but multidimensional. In the multidimensional model, it discusses three major influences: biological, psychological, and social. None of these influences acts alone and are highly influenced by each other. To begin, I will discuss the biological influences. Hawkins 3 Biological influences are the qualities that are inherited, and that cannot be changed or altered. Examples of biological influences are genetics, hormonal imbalances in the brain, physical deficit, or overly excited/inhibitory neurotransmitters within the brain. Over the years, scientists have identified how genetics contributes to psychological disorders and behaviors. In a research done by Rutter in 2006, his findings were that genetics attribute to half of a person’s cognitive abilities and personality traits. The scientist has used the Diathesis-Stress Model, to examine the relationship between genes and the environment. Diathesis is the inclination in which a person is more susceptible to developing the disorder than others when stressors or events come about. A person with a low diathesis is less likely to be susceptible to the disorder when compared to a person with a high diathesis. An example of the Diathesis-Stress Model would be, after birth some mothers experience postpartum depression while other mothers do not. The reasoning is thought because of genetic predisposition. The mothers who experience postpartum depression have gene susceptibility towards the disorder once the stressor is present. There is evidence that genes play a role in psychopathology, but many researchers state that it will only account for less than half of the cause for psychological disorders. Secondly, psychological influences include behavioral, cognitive, and emotions; such as trauma, maladaptive peer relationships, and situations. Scientists looked closely at classical conditioning. In 1988, Robert Rescorla stated, having two events to occur close in time has no significance on the outcome. It is the combination of judgments and cognitive function to determine the final outcome. Pavlov found that it is the complex cognitive functioning of information combined with emotional functioning is what is involved in conditioning. In other aspects psychological influences, Martin Seligman examined learned helplessness, where rats encountered situations where they experienced no control. The rats would receive shocks on Hawkins 4 occasions. The findings showed that the rats could function if they could learn to cope with the shocks by avoiding them. On the other hand, if the rats found that their behavior had no effect on the environment, and they continued to be shocked occasionally regardless of what they did. The rats would develop depression because they could not find a way to cope. The way in which we think positive, or try to “keep hope alive” is important because in a study held in 2002, results showed that their participants had added up to seven years on their life for thinking positive. Another aspect within the area of behavior and cognitive there is social learning. Social learning is learning through an experience from someone else. An example of this would be seeing a classmate cheat on a final, even though a person doesn’t go through it, by seeing those repercussions is enough to trigger something in the mind to say cheating it bad. There is also prepared learning that states that as humans we learn by preparing to fear objects or situations that can be contributed to survival even without contact. An example would be the fear of snakes, when we might have never come in contact with a snake yet we fear them because of the knowledge of the dangers they can cause. Another example of psychological psychopathology is an implicit memory. Implicit memory is when a person reacts to a situation that based on things that happened in their past, but the exact event cannot be remembered. Emotion is another discipline under psychological influences, it is interconnected with other the areas previously discussed. Certain emotions can be contributed to psychological disorders and/or can define them. Some of the emotions can be anger, anxiety, or sadness. Emotions which are short-term and moods which a long-term can affect a person's cognitive function. As stated previously when talking about the study from 2002, a positive mood can change the outlook of your impression and associations with others. Hawkins 5 All of these psychological influences can contribute to a psychological disorder, but also modify the brain and its structure. Thirdly, social/cultural influences are socioeconomic status, being subjected to prejudice and/or discrimination, social changes, and employment. Culture and/or society can have major influences on how a person responds or thinks about particular situations in life. In some cultures, superstitions are highly enforced and must be passed down generation to generation. A great example of this is Friday the 13th. Some people develop extreme fear anxiety because of the thought that something bad will happen to them. Another example in some other culture the bride must wear a veil to spare her from the evil eye. Gender and image can be a major social influence because how society expects someone to look, especially females because it can cause eating disorders. Interpersonal factors such as relationship can play a role in how social influences affect health and behavior. Having a low socioeconomic status, social changes, or unemployment in some cultures can result in shunning from other members in society. This can cause low self-esteem, stress, depression, and/or other psychological disorders. Research has shown that the most interpersonal connections made or more contact with others a person has, can increase their happiness and lifespan. The biological influences are the foundation of psychopathology because biology is the building blocks of a person. In the picture, the rocks represent the biological influences because the rocks are the foundation of the river. A persons’ genetics and physiology cannot be changed just like a rock. No matter how you try to change it, it will still remain a rock. The water is the psychological influences because all the water from the waterfall flows into the river. The many different aspects of the psychology flow together to make it psychological influences. The plant life would consist of the social influences. Social influences surround a person and can have different levels of impact based on the stressor or person. The plant life surrounds the river and can have different effects on the river. Hawkins 6 Issue 3: In my experience in a Baptist church, mental illness was not something that was addressed. When I grew older and became more knowledgeable about how things worked in my church, my pastor would always say, “one of our members in our congregation is or has been under the hand of affliction…please make sure you keep them in your prayers”. This statement was normally given after they have been treated or hospitalized. The affliction could mean various things, such as mental or physical illness, unclean spirit, financial, or marital/family issues. The answer for any of these things was and remains, prayer. This is one reason in why I consider myself more spiritual rather than a religious. I do believe that prayer can change things, but in some situations I feel that other measures need to be taken. Another reason is in my church many people still look at the seven deadly sins as, you are going to hell if you don’t change and get prayer. It is even to the point where thinking outside of the norms within my church can have you judged as, “you’re crazy” or mentally unstable. I think that churches/religions should start to look past evil and holy, and consider other options for why someone’s behavior is the way that it is. I still feel that many churches in smaller areas still treat mental illness as a punishment or a bad thing. People of power within the church should be taught how to identify people with mental illness, and where to find the resources out there so that people can get the help they need. I think everyone should look for spiritual meaning whether you are mentally ill or not, because having something to believe in beyond what we can see or feel, and having something that gives life positive meaning that can help focus our energy into an enlightening path. When we don’t have human contact for support, we at least have our spiritual beliefs to use as a support system. Issue 4: The biggest stigma that I have would be, the majority of people who suffer from mental illness is dangerous and hard to understand. My stigma stems from how people with mental Hawkins 7 illness are portrayed in society, especially through media. It also stems from my own ignorance because in my community mental health is something that is acknowledged. My family is strong believers in going to church to fix problems. My ignorance is my reason for why it would be hard for me to be helpful to someone with mental illness because I don't know how to address someone who might have a psychological disorder. I also cannot first handedly understand what a person who deals with a mental problem goes through, so it would be hard for me to relate. This class can be the knowledge to my ignorance and help me teach others in my community about mental illness, and to eliminate their stigmas or fears.