Presentation is loading. Please wait.

Presentation is loading. Please wait.

BASIC ASSUMPTIONS 1. EXTERNAL ENVIRONMENT LEADS TO MENTAL CONDITION LIFE EVENTS, CHRONIC STRAINS, SOCIAL ROLES 2. CURRENT ENVIRONMENT MOST IMPORTANT.

Similar presentations


Presentation on theme: "BASIC ASSUMPTIONS 1. EXTERNAL ENVIRONMENT LEADS TO MENTAL CONDITION LIFE EVENTS, CHRONIC STRAINS, SOCIAL ROLES 2. CURRENT ENVIRONMENT MOST IMPORTANT."— Presentation transcript:

1

2 BASIC ASSUMPTIONS 1. EXTERNAL ENVIRONMENT LEADS TO MENTAL CONDITION LIFE EVENTS, CHRONIC STRAINS, SOCIAL ROLES 2. CURRENT ENVIRONMENT MOST IMPORTANT

3 ASSUMPTIONS (CONT.) 3. GROUPS HAVE DIFFERENT EXPOSURE TO STRESSORS AND RATES OF DISORDER 4. FOCUS ON COMMUNITY POPULATIONS NOT CLINICAL CASES

4

5 I. DURKHEIM SUICIDE (1897) SUICIDE RATES VARY SYSTEMATICALLY WITH SOCIAL CONDITIONS

6 CAUSES OF SUICIDE 1. LACK OF CONNECTION TO SOCIAL GROUPS AND MEANING SYSTEMS - EGOISTIC (ALTRUISTIC) 2. LACK OF CONSTRAINT OVER BEHAVIOR – ANOMIC (FATALISTIC) FOCUS ON SOCIAL NOT INDIVIDUAL

7 II. MILITARY PSYCHIATRY LESSONS OF WWI HUGE PROPORTION OF PSYCHIATRIC CASUALITIES LED TO PRESCREENING OF ALL DRAFTEES IN WWII

8 MILITARY PSYCHIATRY HUGE PROPORTION OF PSYCHIATRIC CASUALTIES IN WWII OVERALL 25%; OVER 70% FOR LONG STRETCHES AVERAGE SOLDIER WOULD BREAKDOWN AFTER 80 DAYS OF CONTINUOUS COMBAT

9 EFFECT OF COMBAT HIGHLY PRESCREENED NO INDIVIDUAL PREDISPOSITIONS PREDICTED BREAKDOWNS WHAT DID? LENGTH OF COMBAT BEST PREDICTOR CAUSE WAS ENVIRONMENTAL NOT INDIVIDUAL

10 EFFECT OF COMBAT TREATMENT NEAR UNITS 2/3 RETURNED TO UNITS WITHIN 2 DAYS MINORITY MORE LASTING PROBLEMS (PTSD)

11 MAJOR REORIENTATION ENVIRONMENT CAUSE OF MUCH DISORDER - “EVERYONE HAS THEIR BREAKING POINT” FOCUS ON ENTIRE POPULATION NOT JUST TREATED CASES TREATMENT SHOULD BE IN COMMUNITY NOT HOSPITALS

12 III. STRESS THEORY AMBIGUITY OF “STRESS” HERE: STRESSORS = CAUSES DISTRESS = EFFECTS

13 HANS SELYE PHYSIOLOGIST STUDIED STRESS IN ANIMALS STRESS RESULTED FROM DISTURBANCES OF EQUILIBRIUM - CHANGE

14 SELYE (CONT.) ENVIRONMENTAL CAUSES – TEMPERATURE, FOOD, CROWDING STRESSORS CAUSE PROBLEMS BY WEAKENING IMMUNE SYSTEM GAS - GLOBAL ADAPTATION SYNDROME ANY DISTURBANCE OF EQUILIBRIUM CAN LEAD TO GAS

15

16 HOLMES AND RAHE MILITARY PSYCHIATRISTS TRANSLATE STRESS THEORY AND WWII TO CIVILIANS STARTED WITH SAILORS MANY OTHER GROUPS SRRS IN 1968

17

18 HOLMES AND RAHE SRRS STANDARDIZED SCORE NEGATIVE - DEATH, DIVORCE, JAIL AND POSITIVE - MARRIAGE, HAVE CHILD, XMAS BOTH CAN DISTURB EQUILIBRIUM FOCUS ON CHANGES SUM NUMBER AND GET SCORE

19 H+R LIFE EVENTS RELATED TO BOTH MENTAL AND PHYSICAL HEALTH (NON-SPECIFIC) LESS THAN 150 - FEW HEALTH PROBLEMS OVER 300 - 80% HAVE PROBLEMS OVERALL MODERATE CORRELATION WITH HEALTH PROBLEMS

20 CRITICISMS OF SRRS IGNORES CONTEXT AND MEANING ONLY NEGATIVE ARE STRESSFUL WHAT IS CAUSE AND EFFECT? NOT UPDATED IGNORES DIVERSITY OF RESPONSES

21 GRADE DISTRIBUTION 90 – 100AN = 45 88B+N = 15 80 - 86BN = 69 76 - 78C+N = 36 60 - 74CN = 65 50 - 58DN = 20 32 - 48FN = 11


Download ppt "BASIC ASSUMPTIONS 1. EXTERNAL ENVIRONMENT LEADS TO MENTAL CONDITION LIFE EVENTS, CHRONIC STRAINS, SOCIAL ROLES 2. CURRENT ENVIRONMENT MOST IMPORTANT."

Similar presentations


Ads by Google