PSYCHOLOGY (8th Edition) David Myers PowerPoint Slides Aneeq Ahmad Henderson State University Worth Publishers, © 2006 1 States of Consciousness Chapter 7 2 States of Consciousness Consciousness and Information Processing Sleep and Dreams Biological Rhythms The Rhythm of Sleep Sleep Disorders Dreams 3 States of Consciousness Hypnosis Facts and Falsehoods Is Hypnosis an Altered State of Consciousness? Drugs and Consciousness Dependence and Addiction Psychoactive Drugs Influences on Drug Use 4 States of Consciousness Near-Death Experiences 5 History of Consciousness 1. Psychology began as a science of consciousness. 2. Behaviorists argued about alienating consciousness from psychology. 3. However, after 1960, mental concepts (consciousness) started reentering psychology. 6 Waking Consciousness • Behaviorism’s rejection of consciousness- by 1960, study of consciousness abandoned due to behaviorism wanting to only study observable events. • In comparison with unconscious processing, conscious processing has limited capacity, is relatively slow, and processes pieces of information serially. • Study of consciousness nearly- LOST 7 Characteristics and Benefits of Daydreams • • • • • • • Occurs in private world Begins spontaneously Triggered by internal or external stimuli or cues (Klinger, 1990) Deals most often with life concerns Lack of self-awareness Dissociation from waking Benefits – puts one in a positive orientation – Avoids negative emotional tone – Keeps Mind active – Might even keep up with lack of REM that diminishes in adulthood. 8 Neuroscience & Consciousness Neuroscientists believe that consciousness emerges from the interaction of individual brain events much like a chord that is created from different musical notes. 9 Forms of Consciousness AP Photo/ Ricardo Mazalan Stuart Franklin/ Magnum Photos Christine Brune Bill Ling/ Digital Vision/ Getty Images Consciousness, modern psychologists believe, is an awareness of ourselves and our environment. 10 Consciousness & Information Processing The unconscious mind processes information simultaneously on multiple tracks, while the conscious mind processes information sequentially. Conscious mind Unconscious mind 11 Sleep & Dreams Sleep – the irresistible tempter to whom we inevitably succumb. Mysteries about sleep and dreams have just started unraveling in sleep laboratories around the world. 12 Biological Rhythms Biological rhythms are controlled by internal “biological clocks.” 1. Annual cycles: On an annual cycle, geese migrate, grizzly bears hibernate, and humans experience seasonal variations in appetite, sleep, and mood. Seasonal Affective Disorder (SAD) is a mood disorder people experience during dark winter months. 13 Biological Rhythms 2. 28-day cycles: The female menstrual cycle averages 28 days. Research shows menstruation may not affect moods. 14 Biological Rhythms 3. 24-hour cycles: Humans experience 24-hour cycles of varying alertness (sleep), body temperature, and growth hormone secretion. 4. 90-minute cycles: We go through various stages of sleep in 90-minute cycles. 15 Rhythm of Sleep Illustration © Cynthia Turner 2003 Circadian Rhythms occur on a 24-hour cycle and include sleep and wakefulness, which are disrupted during transcontinental flights (jetlag). Lark- morning person; Owl- Night person; Light triggers the suprachiasmatic nucleus to decrease (morning) melatonin from the pineal gland and increase (evening) it at night fall. Shift work- light interrupts 24 hour clock; Phase delay Shift- we are on a 25 hour clock due to how late we stay up. ( people your age are larks) 16 Sleep Stages Measuring sleep: About every 90 minutes, we pass through a cycle of five distinct sleep stages. Hank Morgan/ Rainbow 17 Awake & Alert During strong mental engagement, the brain exhibits low amplitude and fast, irregular beta waves (15-30 cps). An awake person involved in a conversation shows beta activity. Beta Waves 18 Awake but Relaxed When an individual closes his eyes but remains awake, his brain activity slows down to a large amplitude and slow, regular alpha waves (9-14 cps). A meditating person exhibits an alpha brain activity. 19 Characteristics of Sleep Stages • • • • Stage 1- hallucinations- false sensory experiences such as seeing something in the absence of external visual stimulus; hypnagogic sensations- falling, floating weightlessly Stage 2- sleep spindlesbursts of rapid rhythmic brain wave activity; sleep talking Stage 3/4- slow wave sleep, delta waves, sleep walking, bedwetting REM sleep- paradoxical sleep, dreams 20 Sleep Stages 1-2 During early, light sleep (stages 1-2) the brain enters a high-amplitude, slow, regular wave form called theta waves (5-8 cps). A person who is daydreaming shows theta activity. Theta Waves 21 Sleep Stages 3-4 During deepest sleep (stages 3-4), brain activity slows down. There are large-amplitude, slow delta waves (1.5-4 cps). 22 Stage 5: REM Sleep After reaching the deepest sleep stage (4), the sleep cycle starts moving backward towards stage 1. Although still asleep, the brain engages in lowamplitude, fast and regular beta waves (15-40 cps) much like awake-aroused state. A person during this sleep exhibits Rapid Eye Movements (REM) and reports vivid dreams. 23 90-Minute Cycles During Sleep With each 90-minute cycle, stage 4 sleep decreases and the duration of REM sleep increases. 24 Why do we Sleep- Age Differences? • • • • Newborns spend nearly 2/3 of their day asleep, while adults spend no more than 1/3 Sleep patterns are influenced by genes, as indicated by the fact that sleep patterns among identical twins are similar. Sleep is also influenced by culture. Allowed to sleep unhindered, most people will sleep 9 hours a night. Teenagers typically need 9 hours of sleep but now average nearly 2 hours less sleep than teenagers of 80 years ago 25 Negative Effects • William Dement believes the majority are dangerously sleep deprived. One effect of this state is promote weight gain by increasing the hormone ghrelin and decreasing the hormone leptin. Another is that sleep deprivation may suppress the functioning of the body’s immune system and alter metabolic and hormonal functioning in ways that mimic aging and are conducive to hypertension and memory impairment. Another indication of hazards of this state is the rate of accidents tends to increase immediately after the spring time change in Canada and the US. 26 Why do we sleep? We spend one-third of our lives sleeping. Jose Luis Pelaez, Inc./ Corbis If an individual remains awake for several days, they deteriorate in terms of immune function, concentration, and accidents. 27 Sleep Deprivation 1. Fatigue and subsequent death. 2. Impaired concentration. 3. Emotional irritability. 4. Depressed immune system. 5. Greater vulnerability. 28 Accidents Frequency of accidents increase with loss of sleep 29 Sleep Theories 1. Sleep Protects: Sleeping in the darkness when predators loomed about kept our ancestors out of harm’s way. 2. Sleep Recuperates: Sleep helps restore and repair brain tissue. 3. Sleep Helps Remembering: Sleep restores and rebuilds our fading memories. 4. Sleep and Growth: During sleep, the pituitary gland releases growth hormone. Older people release less of this hormone and sleep less. 30 Major Sleep Disorders • • A persistent difficulty in falling or staying asleep is characteristic of insomnia. Sleeping pills and alcohol may make the problem worse since they tend to reduce REM sleep. The sleep disorder in which a person experiences uncontrollable sleep attacks is narcolepsy. People with severe cases of this disorder may collapse directly into REM sleep and experience a loss of muscular tension. This disorder may be linked to low levels of the neurotransmitter orexin, which is linked to alertness. 31 Major Sleep Disorders • Individuals suffering from sleep apnea stop breathing while sleeping. This disorder is especially prevalent among overweight men. • Night Terrors- extreme fright, rapid breathing; early in night during stage 4. Same is true of episodes of sleepwalking and sleeptalking, problems that run in families. Happens to young children in whom this stage tends to be the lengthiest and deepest. 32 5 Perspectives on Why we Dream? • • • • Lucid Dreams- dreams experienced during REM sleep are vivid, emotional, and bizarre. Manifest Dreams- actual content of dream Latent Content- symbolic version of true meaning of dream in Freud's view, were all forms of "wish-fulfillment" — attempts by the unconscious to resolve a conflict of some sort, whether something recent or something from the recesses of the past 33 5 Perspectives on Why we Dream? • • • • • Information Processing- REM sleep facilitates memory- Brain scans show link between REM and memory Physiological Functioning- REM provides brain with stimulation. Supported by infants spending time in REM sleep Activation Synthesis- says dreams are the burst’s attempt to make sense of this activity. Bursts are believed to be given their emotional tone by the limbic system. All researchers agree we need REM sleepDeprivation causes REM reboundREM sleep does occur in other mammals. Animals such as fish, whose behavior is less influenced by learning do not dream. Finding supports the information processing theory of dreaming. 34 Hypnosis • • • • • Hypnosis is a social interaction in which a hyponist suggests that a subject will experience certain feelings or thoughts for example. Most people are somewhat hypnotically suggestible. The idea that we can relive childhood experiences through hypnosisreferred to as age regression- has been supported by research. Research studies show that hypnotically refreshed memories combine fact with fiction. An authority figure in a legitimate context can induce people- hypnotized or not- to perform unlikely acts. 35 Hypnosis • • • • Posthypnotic suggestion- helps people alleviate headaches, asthma, stress related skin disorders Hypnosis- works on treatment of obesity, but not drug and alcohol, DOES alleviates pain Skeptics believe that hypnosis may reflect the workings of normal consciousness. This helps support the social influence theory of hypnosis. Hilgard has advanced the idea of a dissociation, or split, between different levels of consciousness. He believes there is a spilt between sensory and emotional aspects of pain. 36 Sleep Disorders: Insomnia 1. Somnambulism: Sleepwalking. 2. Nightmares: Frightening dreams that wake a sleeper from REM. 3. Night terrors: Sudden arousal from sleep with intense fear accompanied by physiological reactions (e.g., rapid heart rate, perspiration) that occur during SWS. 37 Sleep Disorders: Insomnia 4. Narcolepsy: Overpowering urge to fall asleep that may occur while talking or standing up. 5. Sleep apnea: Failure to breathe when asleep. 38 Dreams The link between REM sleep and dreaming has opened up a new era of dream research. 39 What do we Dream? 1. Negative Emotional Content: 8 out of 10 dreams have negative emotional content such as fears of being attacked. 2. Failure Dreams: People commonly dream about failure, being attacked, pursued, rejected, or struck with misfortune. 3. Sexual Dreams: Contrary to our thinking, sexual dreams are sparse. Sexual dreams in men are 1 in 10; and in women 1 in 30. 4. Dreams of Gender: Women dream of men and women equally; men dream more about men than women. 40 Why do we dream? 1. Wish Fulfillment: Sigmund Freud suggested that dreams provide a psychic safety valve to discharge unacceptable feelings. The dream’s manifest (apparent) content may also have symbolic meanings (latent content) that signify our unacceptable feelings. 2. Information Processing: Dreams may help sift, sort, and fix a day’s experiences in our memories. 41 Why do we dream? 3. Physiological Function: Dreams provide the sleeping brain with periodic stimulation to develop and preserve neural pathways. Neural networks of newborns are quickly developing; therefore, they need more sleep. 42 Why do we dream? 4. Activation-Synthesis Theory: Suggests that the brain engages in a lot of random neural activity. Dreams make sense of this activity. 5. Cognitive Development: Some researchers argue that we dream as a part of brain maturation and cognitive development. All dream researchers believe we need REM sleep. When deprived of REM sleep and then allowed to sleep, we show increased REM sleep called REM Rebound. 43 Dream Theories Summary- KNOW THIS CHART 44 Hypnosis http://iddiokrysto.blog.excite.it A social interaction in which one person (the hypnotist) suggests to another (the subject) that certain perceptions, feelings, thoughts, or behaviors will spontaneously occur. Hypnos: Greek god of sleep 45 Mesmerism http://www.general-anaesthesia.com Credit for the popularity of hypnosis goes to Franz Anton Mesmer, a physician, who mistakenly thought he discovered “animal magnetism.” Some of his patients experienced a trancelike state and felt better upon waking up. Franz Mesmer (1734 - 1815) 46 Aspects of Hypnosis 1. Posthypnotic Suggestion: Suggestion carried out after the subject is no longer hypnotized. 2. Posthypnotic Amnesia: Supposed inability to recall what one experienced during hypnosis. 47 Hypnotic Feats Strength, stamina, and perceptual and memory abilities similarly affect those who are hypnotized and those who are not hypnotized. 48 Facts and Falsehood Those who practice hypnosis agree that its power resides in the subject’s openness to suggestion. Can anyone experience hypnosis? Yes, to some extent. Can hypnosis enhance recall of forgotten events? No. 49 Facts and Falsehood Can hypnosis force people to act against their will? No. Can hypnosis be therapeutic? Yes. Self-suggestion can heal too. Can hypnosis alleviate pain? Yes. Lamaze can do that too. 50 Is Hypnosis an Altered State of Consciousness? Courtesy of News and Publications Service, Stanford University 1. Social Influence Theory: Hypnotic subjects may simply be imaginative actors playing a social role. 2. Divided Consciousness Theory: Hypnosis is a special state of dissociated (divided) consciousness (Hilgard, 1986, 1992). (Hilgard, 1992) 51 Mimi Forsyth Both Theories 52 Drugs and Consciousness Psychoactive Drug: A chemical substance that alters perceptions and mood (effects consciousness). 53 Dependence & Addiction Continued use of a psychoactive drug produces tolerance. With repeated exposure to a drug, the drug’s effect lessens. Thus it takes greater quantities to get the desired effect. 54 Withdrawal & Dependence 1. Withdrawal: Upon stopping use of a drug (after addiction), users may experience the undesirable effects of withdrawal. 2. Dependence: Absence of a drug may lead to a feeling of physical pain, intense cravings (physical dependence), and negative emotions (psychological dependence). 55 Misconceptions about Addiction Addiction is a craving for a chemical substance, despite its adverse consequences (physical & psychological). 1. Addictive drugs quickly corrupt. 2. Addiction cannot be overcome voluntarily. 3. Addiction is no different than repetitive pleasure-seeking behaviors. 56 Psychoactive Drugs Psychoactive drugs are divided into three groups. 1. Depressants 2. Stimulants 3. Hallucinogens 57 Depressants Depressants are drugs that reduce neural activity and slow body functions. They include: 1. Alcohol 2. Barbiturates 3. Opiates 58 Alcohol 1. Alcohol affects motor skills, judgment, and memory…and increases aggressiveness while reducing self awareness. Ray Ng/ Time & Life Pictures/ Getty Images Daniel Hommer, NIAAA, NIH, HHS Drinking and Driving 59 Barbiturates 2. Barbiturates: Drugs that depress the activity of the central nervous system, reducing anxiety but impairing memory and judgment. Nembutal, Seconal, and Amytal are some examples. 60 Depressants http://opioids.com/timeline 3. Opiates: Opium and its derivatives (morphine and heroin) depress neural activity, temporarily lessening pain and anxiety. They are highly addictive. 61 Stimulants Stimulants are drugs that excite neural activity and speed up body functions. 1. 2. 3. 4. 5. 6. Caffeine Nicotine Cocaine Ecstasy Amphetamines Methamphetamines 62 Caffeine & Nicotine Caffeine and nicotine increase heart and breathing rates and other autonomic functions to provide energy. http://office.microsoft.com/clipart http://www.tech-res-intl.com 63 Amphetamines Amphetamines stimulate neural activity, causing accelerated body functions and associated energy and mood changes, with devastating effects. National Pictures/ Topham/ The Image Works 64 Ecstasy Greg Smith/ AP Photos Ecstasy or Methylenedioxymethamphet amine (MDMA) is a stimulant and mild hallucinogen. It produces a euphoric high and can damage serotonin-producing neurons, which results in a permanent deflation of mood and impairment of memory. 65 Cocaine Cocaine induces immediate euphoria followed by a crash. Crack, a form of cocaine, can be smoked. Other forms of cocaine can be sniffed or injected. http://www.ohsinc.com 66 Hallucinogens Ronald K. Siegel Hallucinogens are psychedelic (mindmanifesting) drugs that distort perceptions and evoke sensory images in the absence of sensory input. 67 Hallucinogens Hemp Plant http://static.howstuffworks.com 1. LSD: (lysergic acid diethylamide) powerful hallucinogenic drug (ergot fungus) that is also known as acid. 2. THC (delta-9-tetrahydrocannabinol): is the major active ingredient in marijuana (hemp plant) that triggers a variety of effects, including mild hallucinations. 68 Drugs Summary- KNOW CHART 69 Influences on Drug Use The graph below shows the percentage of US highschool seniors reporting their use of alcohol, marijuana, and cocaine from the 70s to the late 90s. 70 Influences on Drug Use The use of drugs is based on biological, psychological, and social-cultural influences. 71 Marijuana Use The use of marijuana in teenagers is directly related to the “perceived risk” involved with the drug. 72 Near-Death Experiences (From “Hallucinations” by R.K. Siegel. Copyright © 1977 Scientific American, Inc. All rights reserved.) After a close brush with death, many people report an experience of moving through a dark tunnel with a light at the end. Under the influence of hallucinogens, others report bright lights at the center of their field of vision. 73 Mind-Body Problem Near-death experiences raise the mind-body issue. Can the mind survive the dying body? 1. Dualism: Dualists believe that mind (nonphysical) and body (physical) are two distinct entities that interact. 2. Monism: Monists believe that mind and body are different aspects of the same thing. 74 Stress and Health Chapter 14 75 Stress and Health Stress and Illness Stress and Stressors Stress and the Heart Stress and the Susceptibility to Disease Promoting Health Coping with Stress 76 Stress and Health Promoting Health Managing Stress Modifying Illness-Related Behaviors Thinking Critically About: Alternative Medicine – New Ways to Health, or Cold Snake Oil 77 Stress Psychological states cause physical illness. Stress is any circumstance (real or perceived) that threatens a person’s well-being. Lee Stone/ Corbis When we feel severe stress, our ability to cope with it is impaired. 78 Stress and Causes of Death Prolonged stress combined with unhealthy behaviors may increase our risk for one of today's four leading diseases. 79 Behavioral Medicine Centers for Disease Control (CDC) claim that half of the deaths in the US are due to people’s behaviors (smoking, alcoholism, unprotected sex, insufficient exercise, drugs, and poor nutrition). Psychologists and physicians have thus developed an interdisciplinary field of behavioral medicine that integrates behavioral knowledge with medical knowledge. 80 Health Psychology Health psychology is a field of psychology that contributes to behavioral medicine. The field studies stress-related aspects of disease and asks the following questions: 1. 2. 3. 4. How do emotions and personality factors influence the risk of disease? What attitudes and behaviors prevent illness and promote health and well-being? How do our perceptions determine stress? How can we reduce or control stress? 81 Stress and Illness Stress can be adaptive. In a fearful or stress- causing situation, we can run away and save our lives. Stress can be maladaptive. If it is prolonged (chronic stress), it increases our risk of illness and health problems. Example for youStressor- final exam; stress reactionemotional response to the exam; Thus, stress is not merely a stimulus or a response. Rather, it is the process we cope with environmental threats and challenges 82 Stress and Stressors Stress is a slippery concept. At times it is the stimulus (missing an appointment) and at other times it is a response (sweating while taking a test). 83 Stress and Stressors Stress is not merely a stimulus or a response. It is a process by which we appraise and cope with environmental threats and challenges. Bob Daemmrich/ The Image Works When short-lived or taken as a challenge, stressors may have positive effects. However, if stress is threatening or prolonged, it can be harmful. 84 The Stress Response System Canon proposed that the stress response (fast) was a fight-orflight response marked by the outpouring of epinephrine and norepinephrine from the inner adrenal glands, increasing heart and respiration rates, mobilizing sugar and fat, and dulling pain. 85 The Stress Response System The hypothalamus and the pituitary gland also respond to stress (slow) by triggering the outer adrenal glands to secrete glucocorticoids (cortisol). 86 Stress Response between Men and Woman • Men socially withdraw, turn to alcohol, or become aggressive while women seek and give support called tend and befriend. This is due to oxytoxin, a stress moderating hormone associated with pair bonding in animals and released by cuddling, massage, and breastfeeding in humans 87 General Adaptation Syndrome EPA/ Yuri Kochetkov/ Landov According to Selye, a stress response to any kind of stimulation is similar. The stressed individual goes through three phases. 88 Stressful Life Events Catastrophic Events: Catastrophic events like earthquakes, combat stress, and floods lead individuals to develop psychological disorders such as being depressed, sleepless, and anxious. 89 Significant Life Changes The death of a loved one, a divorce, a loss of job, or a promotion may leave individuals vulnerable to disease. 90 Daily Hassles Rush hour traffic, long lines, job stress, and becoming burntout are the most significant sources of stress and can damage health. The stresses that accompany poverty and unemployment, for example, are often compounded by racism, may account for the higher rates of hypertension among residents of impoverished areas 91 Stress and the Heart Stress that leads to elevated blood pressure may result in Coronary Heart Disease, a clogging of the vessels that nourish the heart muscle. Occurs due to smoking, obesity, physical inactivity, high fat diet, high cholesterol Plaque in coronary artery Artery clogged 92 Personality Types Type A is a term used for competitive, harddriving, impatient, verbally aggressive, and anger-prone people. Type B refers to easygoing, relaxed people (Friedman and Rosenman, 1974) Also showed tax accountants show increases in blood cholesterol. Shows link between coronary warning and stress. Type A personalities are more likely to develop . coronary heart disease. 93 Pessimism and Heart Disease Pessimistic adult men are twice as likely to develop heart disease over a 10-year period (Kubzansky et al., 2001). 94 Stress & Susceptibility to Disease A psychophysical illness is any stress-related physical illness such as hypertension or headaches. Hypochondriasis is a misinterpretation of normal physical sensations as symptoms of disease. 95 Stress and the Immune System B lymphocytes fight bacterial infections, T lymphocytes attack cancer cells and viruses, and microphages ingest foreign substances. During stress, energy is mobilized away from the immune system making it vulnerable. Lennart Nilsson/ Boehringer Ingelhein International GmbH 96 Stress and Colds People with the highest life stress scores were also the most vulnerable when exposed to an experimental cold virus. 97 Stress and AIDS Stress and negative emotions may accelerate the progression from human immunodeficiency virus (HIV) to acquired immune deficiency syndrome (AIDS). UNAIDS/ G. Pirozzi 98 Stress and Cancer Stress does not create cancer cells. Researchers disagree on whether stress influences the progression of cancer. However, they do agree that avoiding stress and having a hopeful attitude cannot reverse advanced cancer. 99 Stress and Immune Conditioning If the immune system can be suppressed through conditioning, researchers believe that immuneenhancing responses can be inculcated to combat viral diseases. 100 Health-Related Consequences Kathleen Finlay/ Masterfile Stress can have a variety of health-related consequences. 101 Promoting Health Promoting health is generally defined as the absence of disease. We only think of health when we are diseased. However, health psychologists say that promoting health begins by preventing illness and enhancing well-being, which is a constant endeavor. 102 Coping with Stress Reducing stress by changing events that cause stress or by changing how we react to stress is called problem-focused coping. Emotion-focused coping is when we cannot change a stressful situation, and we respond by attending to our own emotional needs. 103 Perceived Control Research with rats and humans indicates that the absence of control over stressors is a predictor of health problems. 104 Explanatory Style People with an optimistic (instead of pessimistic) explanatory style tend to have more control over stressors, cope better with stressful events, have better moods, and have a stronger immune system. 105 Social Support Bob Daemmrich/ Stock, Boston Supportive family members, marriage partners, and close friends help people cope with stress. Their immune functioning calms the cardiovascular system and lowers blood pressure. 106 Managing Stress Having a sense of control, an optimistic explanatory style, and social support can reduce stress and improve health. 107 Aerobic Exercise Can aerobic exercise boost spirits? Many studies suggest that aerobic exercise can elevate mood and wellbeing because aerobic exercise raises energy, increases selfconfidence, and lowers tension, depression, and anxiety. 108 Biofeedback, Relaxation, and Meditation Biofeedback systems use electronic devices to inform people about their physiological responses and gives them the chance to bring their response to a healthier range. Relaxation and meditation have similar effects in reducing tension and anxiety. 109 Life-Style Ghislain and Marie David De Lossy/ Getty Images Modifying a Type-A lifestyle may reduce the recurrence of heart attacks. 110 Spirituality & Faith Communities Regular religious attendance has been a reliable predictor of a longer life span with a reduced risk of dying. 111 Intervening Factors Investigators suggest there are three factors that connect religious involvement and better health. 112 Managing Stress: Summary How can stress be managed? 113 Modifying Illness-Related Behaviors The elimination of smoking would increase life expectancy more than any other preventive measure. 114 Why Do People Smoke? 1. People smoke because it is socially rewarding. 2. Smoking is also a result of genetic factors. Russel Einhorn/ The Gamma Liason Network 115 Why Do People Smoke? 3. 4. Nicotine takes away unpleasant cravings (negative reinforcement) by triggering epinephrine, norepinephrine, dopamine, and endorphins. Nicotine itself is rewarding (positive reinforcement). 116 Biopsychosocial Factors: Smoking 117 Helping Smokers Quit Smoking decreased in Western countries, especially in higher socioeconomic groups and more educated groups. 118 Ways to Quit Smoking Here are a few pointers on how to quit smoking: 1. 2. 3. 4. 5. 6. 7. Set a quit date. Inform family and friends. Throw away all cigarettes. Review successful strategies. Use a nicotine patch or gum. Abstain from alcohol. Exercise. 119 Smoking Abstinence Programs Smoking abstinence programs for teens provide: 1. 2. 3. Information about the effects of smoking Information about peer, parent & media influence Ways to refuse cigarettes 120 Do Programs Work? Paul J. Milette/ Palm Beach Post Prevention programs do have an effect on smoking. 121 Obesity and Weight Control Fat is an ideal form of stored energy and is readily available. In times of famine, an overweight body was a sign of affluence. 122 Body Mass Index (BMI) Obesity in children increases their risk of diabetes, high blood pressure, heart disease, gallstones, arthritis, and certain types of cancer, thus shortening their lifeexpectancy. 123 Obesity and Mortality The death rate is high among very overweight men. 124 Social Effects of Obesity When women applicants were made to look overweight, subjects were less willing to hire them. 125 Physiology of Obesity Fat Cells: There are 30-40 million fat cells in the body. These cells can increase in size or increase in number (75 million) in an obese individual (Sjöstrum, 1980). 126 Set Points and Metabolism When reduced from 3,500 calories to 450 calories, weight loss was a minimal 6% and the metabolic rate a mere 15%. The obese defend their weight by conserving energy. 127 The Genetic Factor Identical twin studies reveal that body weight has a genetic basis. Courtesy of John Soltis, The Rockefeller University, New York, NY The obese mouse on the left has a defective gene for the hormone leptin. The mouse on the right sheds 40% of its weight when injected with leptin. 128 Activity Lack of exercise is a major contributor to obesity. Just watching TV for two hours resulted in a 23% increase of weight when other factors were controlled (Hu et al., 2003). 129 Food Consumption Over the past 40 years average weight gain has increased. Health professionals are pleading with US citizens to limit their food intake. 130 Trading Risks Although cigarette smoking has declined over the years in the Americas, obesity is on the rise. 131 Losing Weight In the US, two-thirds of the women and half of the men say that they want to lose weight. The majority of them lose money on diet programs. 132 Plan to Lose Weight When you are motivated to lose weight, begin a weight-loss program, minimize your exposure to tempting foods, exercise, and forgive yourself for lapses. Joe R. Liuzzo 133 Alternative Medicine Other medicinal ways of achieving health 134 135