Social Psychology: Clinical and Counselling

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Questions and Answers

How does the concept of 'anticipated aversive repercussions contingent on creating an undesirable impression' directly relate to the experience of social anxiety, and what are the potential implications for intervention strategies targeting this specific cognitive component?

It directly causes the gut feeling of dread. Interventions could target reshaping expectancies.

Within the framework of hopelessness theory, how do the dimensions of internality, stability, and globality interact to potentiate depressive symptoms, and what specific interventions can attenuate the impact of pessimistic attributional styles on future negative outcome expectancies?

Attributing negative outcomes to internal, stable, and global factors increases depressive symptoms. Interventions can target modifying dysfunctional causal attributions for imagined outcomes.

Given the potential for both false-positive and false-negative errors in clinical diagnosis, what specific cognitive strategies and debiasing techniques can clinicians employ to mitigate the impact of anchoring bias and confirmation bias on their assessment of client symptomatology?

Clinicians should pause and consider revising the earlier assessment. They should be taught to be more evenhanded in their questioning.

How might the principles of self-presentation theory be integrated with cognitive-behavioral techniques in the treatment of social anxiety disorder, specifically targeting the interplay between self-presentational motivation, social self-efficacy, and negative outcome expectancies?

<p>By identifying cognitive-social targets for change. Interventions should seek to modify social self-efficacy and self-presentational motivation.</p> Signup and view all the answers

In what specific ways can interventions informed by hopelessness theory be adapted to address the unique cognitive and emotional challenges faced by individuals with hopelessness depression, particularly with regard to modifying generalized negative outcome expectancies and fostering a sense of empowerment and agency?

<p>The therapeutic goal shifted away from hopelessness and toward hopefulness. Those therapies should engender the expectation that desirable outcomes will occur.</p> Signup and view all the answers

How do findings from studies on diagnostic overshadowing and attributional biases inform the development of interventions designed to enhance clinicians' awareness of and sensitivity to the influence of contextual factors (e.g., socioeconomic status, cultural background) on diagnostic decision-making?

<p>Clinicians may inaccurately anchor their diagnosis of the client by learning of labels applied by other mental health professionals.</p> Signup and view all the answers

How can culturally informed adaptations of self-presentation theory and hopelessness theory enhance the effectiveness of interventions targeting social anxiety and depression in collectivistic societies, where the self-concept is often interdependent and interconnected?

<p>In collectivistic cultures, a person may be more likely to feel embarrassed and humiliated for other people, which affects therapy.</p> Signup and view all the answers

Considering the ethical implications of labeling effects and diagnostic confirmation bias, what strategies can be implemented to promote greater transparency and client-centeredness in the diagnostic process, empowering clients to actively participate in the interpretation and management of their mental health concerns?

<p>Avoid labels. Remember that labels can result in a loss of supportive services, low self-esteem and self-efficacy, and increased depression.</p> Signup and view all the answers

What are the essential components of a theoretically integrated treatment protocol that draws upon both self-presentation theory and hopelessness theory to address comorbid social anxiety and depression, and how might such a protocol optimize outcomes by targeting shared cognitive and behavioral mechanisms?

<p>Tretment shoud focus on increasing hopefulness and modifying social-self efficacy, which can be done through social skills.</p> Signup and view all the answers

In light of recent advances in translational research, what novel pharmacological or neuromodulatory interventions hold promise for augmenting the efficacy of social-psychologically informed therapies for social anxiety and depression, and what ethical considerations must guide the integration of biological and psychosocial approaches?

<p>These advances were not discussed in the text.</p> Signup and view all the answers

How does the interplay between ecological validity and internal validity influence the design and interpretation of social psychological research on the etiology and treatment of psychological disorders, and what methodological innovations can enhance the real-world applicability of findings from laboratory-based studies?

<p>Basic research is said to possess high levels of internal validity, but lacks external validity. Applied research tends to have greater external validity, but weaker internal validity.</p> Signup and view all the answers

How does understanding social comparison contribute to the way people express their feelings of loneliness, envy and/or sadness through the use of technology, in particular cell phones?

<p>People commented with envy and sadness in her voice on the public use of cell phones by others, saying, &quot;A cell phone for me would be a waste because I don't have anything to say and I don't have anyone to talk to.&quot;</p> Signup and view all the answers

What are the implications of labeling someone as deviant rather than in need of help, and what are the potential consequences for the individual's access to supportive services and overall well-being?

<p>This stigma can even result in a loss of supportive services, low self-esteem and self-efficacy, and increased depression.</p> Signup and view all the answers

Explain the significance of distinguishing between false-positive and false-negative diagnostic judgments in the context of mental health care, and discuss the potential ramifications of each type of error for patient outcomes and treatment efficacy.

<p>A false positive exists when a diagnostic label is inappropriately given to a client. A false negative is where a diagnosis should have been made, but was not.</p> Signup and view all the answers

Describe how a clinician's initial impression or hunch about a client's condition can lead to confirmation bias, and explain how this bias might inadvertently influence the types of questions asked and the interpretation of information gathered during the assessment process.

<p>Given the existence of a tentative hunch about the nature of a client's problem, confirmation bias is the tendency to be more likely to try to confirm the hunch rather than try to disconfirm it.</p> Signup and view all the answers

Explain the roles of rational emotive therapy (RET) and social skill therapies in reducing social anxiety and bolstering or helping improve self efficacy.

<p>RET is designed to help clients by reducing or eliminating their irrational and unrealistic concerns. Social skill therapies may reduce symptoms of social anxiety by bolstering the client's sense of social self-efficacy.</p> Signup and view all the answers

How does making a self-enhancing attributional style (i.e., global and stable for positive events) for the positive events that happen to oneself have a positive effect, and what is the general mechanism for this effect?

<p>It will promote the growth of hopefulness. Hopefulness, in turn, is thought to offset depression, causing a person's mood to lift.</p> Signup and view all the answers

In the Penn Resiliency Program, what is the significance of both shifting attributional styles and obtaining behavioral skills at the same time?

<p>It is true that shifting one's attributional style can provide hope that problems will dissipate and that some change is possible. However, modifying explanatory biases does not provide the behavioral skills required to enact or realize that hope of change.</p> Signup and view all the answers

Describe the difference in approach and treatment method between clinical psychologists and counselling psychologists?

<p>Clinical psychologists usually have an area of specialty and treat people with serious mental illness. In contrast, counselling psychologists have a more general approach to treatment and focus more on psychologically healthy individuals.</p> Signup and view all the answers

How does the concept of ‘anchoring’ apply to mental illness, and what would be some ways a therapist could fall victim to the ‘anchoring’ effect?

<p>In a clinical context, the anchoring effect is defined as a bias that occurs when a therapist's first impression about the nature of a client's problem artificially constricts the therapist's subsequent assessments.</p> Signup and view all the answers

Outline an experiment that demonstrates the anchoring effect, and explain what the experimental results mean for the real world.

<p>One experiment initially told mental health practitioners that the patient might be psychotic, while the other half were not given any information. the professionals that were told the patient was psychotic were more likely to judge that the client was mentally ill and in need of therapy.</p> Signup and view all the answers

Can individuals without mental health problems show bias in the same way that mental health practictioners can? And what is the possible outcome if people are affected by this bias?

<p>Yes, they fall into trap unconsciously. You may not that you are being affected in the first place, it is hard to catch yourself and make corrective changes.</p> Signup and view all the answers

What does current research suggest about the level of competence in mental health services due to racial bias among mental health practitioners, and what possible effects could this bias have?

<p>Evidence showing differential rates of clinical diagnosis is especially interesting given that there is little objective evidence for actual differential prevalence of schizophrenia in the two groups.</p> Signup and view all the answers

How long does it take for people to recognize their mental health illness, and what impact does the amount of time spent trying to recognize the illness have?

<p>This was not discussed in provided text.</p> Signup and view all the answers

Under what general circumstances could a patient be suffering from the wrong diagnosis?

<p>The answer to this question can be reached on the basis of several studies, including, Rosenhan (1973) and Goddard (2011).</p> Signup and view all the answers

Explain, in detail, how specific attributions people make for why unfortunate things happen determines whether they become prone to depression with long lasting negative expectations?

<p>The attributional model proposed that people are depressed because of the attributions they make for why unfortunate things happen. According to the model, people who are prone to depression make pessimistic attributions that cause them to believe that there is nothing they can ever say or do to change their unfortunate circumstances.</p> Signup and view all the answers

Why do current clinicians still carry forward bias from previous decades in cases such as those described in Rosenhan's research from the 1970s?

<p>Rosenhan's (1973) research provides evidence showing how false-positive errors are sometimes made in clinical decision making and how the consequences of such errors can harm the very people whom professionals are trying to help.</p> Signup and view all the answers

Why may scientists be better equipped to identify those suffering from a mental illness than the general public?

<p>This was not addressed in the text.</p> Signup and view all the answers

Briefly explain the study by Voelz, Haeffel, Joiner, & Wagner (2003), its aim, methodology, and the impact it had on this field of research.

<p>In this study, depressed inpatients were assessed at intake to a psychiatric hospital and again at discharge approximately nine days later. Patients received standard cognitive-behavioral treatment to see what effects it would have.</p> Signup and view all the answers

Why are client-centered approaches that promote greater transparency and client-centeredness important when managing mental health concerns?

<p>This was not specifically stated in the text, but can be inferred.</p> Signup and view all the answers

People may have difficulties socializing as a result of their background. How impactful and pervasive can this become across various demographics?

<p>This was not addressed in the text.</p> Signup and view all the answers

Describe and outline a scenario where a new graduate of Psychology may use social psychological concepts.

<p>This cannot be answered from the text.</p> Signup and view all the answers

Briefly describe how the views of clinical and social psychologists have come together. What are some general effects?

<p>As noted at the outset of the chapter, scholars who have originated theory, research, and practice at the intersection of social psychology and abnormal/clinical psychology have constructed a special type of applied psychology.</p> Signup and view all the answers

When the social worker is talking with Deena would is considered confirmation bias and give a specific prompt question to Deena the worker may ask?

<p>The clinicians bias makes it more likely, for the worker, to ask &quot;Have you ever felt shy and awkward when speaking with people?&quot;</p> Signup and view all the answers

Deena had negative thoughts towards herself. Explain to her that her thoughts may be irrational, give a summary statement about how to deal with mental health challenges due to these irrational thoughts, and the impacts to her overall self-being?

<p>Those results suggest that mental health professionals can sometimes hold culturally derived biases that result in false-positive diagnoses.</p> Signup and view all the answers

According to chart 5.1, what is considered, True Positive. If a person suffers from depression what would be required to be diagnosed as a, True Positive?

<p>Client appropriately receives treatment for a condition that he or she actually has; potential to benefit from treatment exists</p> Signup and view all the answers

Given current mental health advancements, is Institutionalization the appropriate method to use to cure, or, treat a patient; explain?

<p>In 2010, Goddard travelled to the United States during a time of personal stress and upheaval. While there, he was admitted to a psychiatric institution and diagnosed with bipolar disorder. He felt that he was misdiagnosed, and yet he was not allowed to leave the institution for 21 days</p> Signup and view all the answers

Given past cases such as Deena, what is the purpose for trained clinicians to ask disconfirmatory questions?

<p>The implication for improving clinical assessment and making it more accurate is that counselors should be taught to be more evenhanded in their questioning.</p> Signup and view all the answers

What are some helpful methods that have worked with young at risk patients suffering from negative mental issues?

<p>The Penn Resiliency Program (Gillham et al., 2007) is an excellent example of a psychotherapeutic intervention that was carefully crafted to target change in cognitive-social processes identified by the hopelessness model as being important mediators of depressive symptomatology.</p> Signup and view all the answers

Flashcards

Social Anxiety

Extreme upset and distress in social situations.

Loneliness

Sad yearning for intimacy due to perceived lack of friendships.

Self-presentation theory (SPT)

A cognitive-social framework applied to understanding socially anxious people, where individuals manage impressions others form of them.

Social self-efficacy

A person's level of confidence in their ability to convey an image.

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Negative outcome expectancies

Anticipated aversive repercussions contingent on creating an undesirable impression.

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Negative outcome expectancy

The belief that one will be humiliated or embarrassed in public.

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Anticipatory embarrassment

Emotion from expecting short-term harm to one's social reputation.

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Individualism-collectivism

Defining personal identities as independent or interdependent.

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Collectivistic Societies & Social Anxiety

People from collectivistic societies reported that their cultural norms were more accepting toward quiet and withdrawn behaviors

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Self-presentation theory

A model that explains how symptoms of social anxiety might be reduced (and prevented)

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Martin Seligman

A respected social psychologist, has spearheaded pioneering efforts to build bridges between social psychology and clinical psychology.

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Seligman's animal experiments

Administered painful electric shocks that could not be avoided or escaped

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Learned helplessness

Humans who are depressed, had become psychologically helpless

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Attributional Reformulation

Adding components that were missing in the animal model

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Negative outcome

State of mind related to negative outcome expectancies or helplessness.

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Attribution (internal, external, stable, unstable, global, specific)

Dysfunctional causal attributions for imagined outcomes

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Hopelessness theory

Model suggests that depressive symptoms occur when a vulnerable person experiences negative events.

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Pessimistic explanatory style

A bias in interpreting aversive life events.

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Causal attribution (unstable and specific)

thinking that a low mark on an exam is due to insufficient effort spent studying

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Meta-analysis

A method for combining results from different studies to improve the treatment of depression

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Cognitive social processes

Identified by the hopelessness model as being important mediators of depressive symptomatology.

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Cognitive restructuring

Involves modifying explanatory style for negative events, along with problem solving skills acquisition

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Therapeutic setting

An influence that helps clinicians to see apparent problems where none exists

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Labeling effect

A tendency to perceive clients in ways that are erroneous owing to the reactive effects of an existing psychiatric label

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Rosenhan

The study also illustrates the biasing effects that labels derived from first impressions can have on subsequent assessments

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Group stereotype

Bias resulting from labeling that can be induced by culturally provided labels and culturally acquired stereotypes

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Confirmation bias

When clinicians tend to seek out information that confirms their initial hunches, and to ignore relevant information that disconfirms their initial hunches

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human

Clinicians are at times susceptible to falling victim to the same decision making biases as laypeople.

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Anchoring

Anchoring is a bias that occurs when a therapist's first impression about the nature of a client's problem artificially constricts the therapist's subsequent assessments

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Reduce biases

Efforts to reduce biases in treatment, research, and training are central in the work of clinical and social psychologists.

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Study Notes

  • This chapter is about applying social psychology to clinical and counselling psychology
  • It details the origins, diagnosis, treatment, and prevention of psychological disorders.

Deena's Case

  • Deena, a 20-year-old college student, is anxious, lonely, and depressed
  • She struggled with schoolwork due to focus issues and felt overwhelmed by backlogged homework.
  • Deena described herself as a loner with online video games as her only hobby, which she was losing interest in
  • She often went to movies alone and ate lunch by herself in the cafeteria while reading a newspaper
  • Deena expressed envy and sadness about others' cell phone use, feeling she had no one to talk to and that no one would want to talk to her.
  • She was overly concerned with her appearance, spending most of her money on clothes, fitness, hair care and makeup.
  • Deena felt overwhelmed and considered cancelling her date, fearing she would be boring
  • She was pessimistic, discouraged, and bothered by her anxiety and sadness instead of happiness

Key Questions about Deena

  • How might social psychological theory be useful in understanding Deena's emotional difficulties?
  • Can social psychological theory and research be useful in helping to alleviate Deena’s anxiety and depression?
  • In trying to diagnose Deena’s problems, what potential biases should one guard against?

Chapter Objectives

  • Apply social psychological theory and research findings to understand emotional distress
  • Utilize social psychological theory and research to guide intervention strategies
  • Avoid mistakes during diagnostic assessment.

Origins of Psychological Disorders

  • Social psychology helps uncover factors influencing the onset and resolution of emotional and behavioral disorders.
  • The three subdomains of focus are: origins, treatment/prevention, and diagnosis of psychological disorders.

Social Anxiety

  • Social anxiety, or social phobia, involves unpleasant emotions experienced during social interactions
  • Symptoms include feeling tense, uptight, prone to embarrassment, blushing, dread of speaking to strangers, apprehension about meeting new people, and avoidance of social gatherings
  • It can cause awkward and inhibited behavior and feelings of isolation and depression
  • Anticipatory dread can cause people to avoid social situations, leading to detachment, isolation, loneliness, and depressive symptoms.

Loneliness

  • Loneliness is the sad yearning for intimacy resulting from perceived deficiencies in friendships, categorized as social or emotional.
  • Social loneliness relates to the discrepancy between desired and actual number of friends, while emotional loneliness is determined by the discrepancy between desired and actual intimacy.
  • Loneliness can be a stepping-stone to depression

Depression

  • Depression's signs include feeling tired, worn out, overwhelmed, unable to cope, worthless, lacking interest in pleasurable activities, feeling sad, and having low energy
  • Qualitative research helps understand the lived experience of depression, enabling researchers and clinicians to design better treatments and reassure clients that their experiences are shared.
  • The experience of depression is described in terms of loss and emptiness

Social Psychological Roots of Social Anxiety

  • Social anxiety exists on a continuum of unpleasant emotions during interactions, varying in intensity, especially in unfamiliar social settings.
  • Social phobia/social anxiety disorder involves a pervasive, self-defeating fear of interpersonal situations, with exaggerated feelings of inadequacy

Social Anxiety Disorder Definition

  • Social anxiety disorder is marked fear or anxiety about social situations where the individual is exposed to possible scrutiny by others

Self-Presentation Theory (SPT)

  • Self-presentation theory offers a blueprint for understanding the origin, maintenance, and treatment of social anxiety
  • SPT assumes individuals try to manage or control others' impressions of them because these impressions influence how others behave towards them
  • People can influence how others treat them by strategically controlling their communicated impressions.
  • SPT states that social anxiety arises when there is high self-presentational motivation and low self-efficacy
  • Self-presentational motivation is the degree to which people care about how others perceive them.

Key Factors in Social Anxiety (SPT)

  • High self-presentational motivation and low self-efficacy leads to negative outcome expectancies.
  • Those with high self-presentational motivation and low social self-efficacy respond with fear due to pessimistic expectancies about their future, with the gut feeling of dread caused by the expectation of bad things happening due to failure to convey the desired impression.
  • Negative outcome expectancies are anticipated aversive repercussions contingent on creating an undesirable impression, like not receiving a desired consequence or receiving an undesirable one
  • In social anxiety disorder, these expectancies often involve being convinced of humiliation or embarrassment in public, resulting in social rejection.
  • Anticipatory embarrassment is the emotion resulting from expecting short-term harm to one's social reputation.
  • Embarrassment is contextually defined and a temporary condition caused by the situation.

Cultural Influences on Social Anxiety

  • Cross-cultural differences in the prevalence of social anxiety disorders are related to individualism-collectivism
  • Vulnerability is influenced by the degree a culture encourages defining personal identities as independent or interdependent.
  • In Western countries embarrassment/humiliation responds to individual threats, negative outcome to self-interests
  • Collectivistic cultures: feeling embarrassment/humiliation can arise from other’s threats, someone may experience negative outcome when other’s welfare is in jeopardy
  • Collectivistic countries experience more frequent, intense social anxiety.

Research Supporting Self-Presentation Theory

  • Scientific literature reports an inverse relationship linking social self-efficacy to social anxiety.
  • Low self-efficacy is associated with high anxiety, and high self-efficacy with low anxiety.
  • Overreliance on others is positively associated with social anxiety symptoms, and negative expectancy research show persons with social anxiety disorder overestimate negative interpersonal interactions (“harmfulness”)
  • Anxiety-prone individuals anticipate that catastrophe results from minor social blunders.
  • Overestimating negative repercussions simply connotes greater self-presentational motivation.
  • Desire for approval demonstrates self-presentational motivation.

Understanding Social Anxiety

  • SPT helps to elaborate on factors involved in social anxiety in young people
  • Root causes are: high self-presentational motivation with low self-efficacy

Social Expectancies

Assessment was made using The Social Expectancies Questionnaire, which measures strength, +ve/-ve outcome expectancies (i.e., accepting rejection)

  • Two groups were compared by how high their anxiety was: assessment through The Social Anxiety Scale-Revised
  • One group showed greater anticipation of rejection, had +ve correlation linking social anxiety and fear of rejection

A Social Psychological Model of Depression

  • The human condition is stressful
  • It is how people think about stressful events that influence mental health, and how one explains past events can affect vulnerability to depression symptoms.
  • Explanations for difficulties are called causal attributions and some people respond with pessimistic explanations.
  • People who habitually offer pessimistic explanations may be at risk for developing depressive symptoms.

Learned Helplessness Model

  • Seligman's model became known as the learned helplessness model of depression
  • There were series of experiments where dogs received stresses, such as painful electric shots
  • Later, the dogs didn't avoid the electric shocks/ make any attempts to cope
  • Researchers suggested there was nothing the dogs could to change, and as such, became helpless.

Attributional Reformulation

  • The attributional reformulation of the learned helplessness theory of depression suggests that depressed people make pessimistic attributions that cause them to believe they cannot change their circumstances
  • Technical state of mind is known as negative outcome/ helplessness
  • Helplessness is said to prompt the depression symptoms

Applying the attributional reformulation model to Deena

  • Deena was convinced that the fellow she met in the library would reject her and she could change the outcome
  • Dysfunctional causal attributions were the reasons for the imagined outcome (anticipated rejection)
  • Deena believed she had a boring personality and was unlovable- classified as internal, stable, and global attribution

Hopelessness Theory of Depression (HTD)

  • States depressive symptoms are likely when +ve/-ve environmental circumstances will not make a difference
  • Risk of depression is determined by a vulnerable person’s co-occurrence with characteristically negative style of interpreting causes of aversive life events/ pessimistic explanation/ depressogenic attribution style/consistency is perceptual response across events
  • Someone who thinks the root cause will never change and undermines their whole life/ displays pessimistic attribution style

Stable Attributions

  • They present a broad class of diverse causes connecting 1 thing: the person thinks it endures over time- not likely to change (I.e., one’s physical attractiveness)
  • One who is considered unattractive also means the person feels that un/attractiveness affects many sides of their life: example of global attribution (attractiveness leads to failure in life)
  • Someone who cannot understand knowledge on certain topics will undergo constant stressful academic event.
  • Example: attributing poor grade from insufficient studying is due to unstable and specific because it can change over time + control over studying (unlikely to see the repercussions over other spheres in personal life)

Stable and Global Attributes

  • Creates positive expectancies
  • Allows one to be more hopeful about the future and protects them against lapsing into depression
  • An unpleasant event increases thoughts when having the opposite attribution to an unpleasant event

Hopelessness Expectations

  • The theory, in itself, types the anticipatory cognitions
  • This all works towards the mediating role of generalized -ve outcome expected
  • Hopelessness is not occurring or changing since situation means they are disempowered
  • This type of depression generates + ve/ -ve results of globalized generalized

Hopeless Depression Characteristics

  • Increased reliance on interpersonal actions
  • Reduced self-esteem, with apathy and lethargy

Hopefulness

  • One may alter low things clients describe bad things and to enhance + ve attributes
  • Literature has demonstrated what self-perception theory can be improved

The Treatment and Prevention of Psychological Disorders

  • Explores how mental health might change for the treatment
  • Some have also suggested that cognitive-behavioural treatments should be assessed to reduce social approval

Self-Presentation Theory

  • Has suggestions and implications on where to treat the social disorder
  • By modifying + bolsters: the self-efficacy + self-presentation, to treat clients in new therapies
  • The other techniques + interventions are to improve the + ve impact of the + helps reduce depression by reducing + taking irrational concerns regarding the client.

Other Effective Interventions

Interventions include social skill that has been tested

  • This provides mastering situations
  • Research shows that those were taught had reduced amounts of anxiety/ high self-esteem

Hopelessness Theory

  • H.T (Hope Theory) suggest to engineer clients’ environments/ setting is easy to achieve on a daily + result basis

New Approaches

  • Encourages clients to use enhancing attributional style, this style is opposite to pessimistic style.
  • These styles + their efficiency are to increase levels of hopefulness and help prevent further depression

Penn Resiliency Program

  • A theory- based intervention preventing on-set depression
  • Prevents depression + changes on-set to improve cognitive restructures + build skills on problem - solving

Reducing Errors and Biases Among Professionals

  • The training can also be developed to provide education in the cognitive error
  • It has also allowed therapists to recognize how to test bias, helping to improve the patients and the therapy.

The Diagnosis of Psychological Disorders

  • Focus shifts from the clients to therapist to diagnose patients for a variety of disorders such as depression, anxiety, drug test +, etc…
  • With so many disorders, one must account to check one disorder on the list. This diagnosis would have to remain objective to help others

Incorrect Diagnostic Judgements

  • One will falsely diagnose clients with anxiety, but can often to false -ve as well
  • All bias will result in low success rate regarding the clinic
  • Following will provide what contributes to distorted perceptions among people in mental + high trained healths

How Judgmental Errors Can Lead Us to See What We Expect To See

  • There was controversial research in the early 70’s by Rosenhan testing how “Sane” vs “Insane” may affect one or the other negatively and vice versa.
  • The pseudo patients expressed that “they are hearing voice”, resulting in their confinement because there were cases in which false information was given. A
  • All who came in were labeled based. Once patients took notes regarding how others had acted, they pathologized the behaviour as being in shock
  • One study noted those who were discharged often were diagnosed for similar issues to their past, some of their friends recognized the symptoms

Biases in Clinical Decision Making

  • Providing + interpreting labelling with accurate judgements regarding mental health issues is found to be a challenging diagnosis
  • Research has conveyed that there were multiple factors to consider based on clients’ info
  • It can sometimes influence + make an influence past the clients

The effects of group stereotypes on clinical judgements

  • Some who don’t notice culture + race can be induced and bias one’s treatment, if labelling based on a group or stereotype.
  • All should provide clients to not get in the ways
  • Therapist needs to assess gender/race/economic status and social status
  • One who conducts experiment where there are different races of + ve / -ve disorders may feel to diagnose those a case/ or different label

Gender Bias

There is bias from therapists, giving women the short end of the stick (diagnosed on different things from the male counterpart)

The effect of anchoring and confirmation bias

  • These labels and stereotypes work as an anchor
  • Stereotypes act to be more sensitive with time given for clients with social anxiety disorder.
  • The information is not given immediately and has its own + ve/ -ve influence
  • But therapists are to seek even+ better assessments. Therapists are in fact better than lay people.

Errors and Bias

May occur due because people in general fall for cognitive distortion because the welfare can be ruined if low success

  • Those who undergo tests+ the proper training, one can learn to understand all the different concepts
  • For one: some mental health is tested
  • As a result: the therapist can provide an analysis vs personal views and is more suited to understand what can be improved, the technique has to be tailored.

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