Wakefield's Definition of Disorder

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Questions and Answers

How can altering beliefs through cognitive dissonance influence behavior?

Altering beliefs can lead individuals to change their behaviors, as thoughts dictate behavior and vice versa, creating a loop of cognitive dissonance.

What is the role of unconditional positive regard in personal growth?

Unconditional positive regard facilitates acceptance of oneself, promoting growth despite painful feelings which serve as cues for future development.

Discuss the significance of creating your own myth in developing a unique perspective.

Creating your own myth allows you to value your individual experiences and lessons, fostering personal meaning and connection to broader narratives.

How do art and fiction help individuals relate to their experiences?

<p>Art and fiction provide familiar archetypes and stories that resonate with personal experiences, enabling empathy and reducing feelings of isolation.</p> Signup and view all the answers

What can be inferred about the relationship between environment and genetics in shaping human behavior?

<p>Human behavior is influenced by genetics predisposed towards certain traits which are then shaped and defined by the surrounding environment.</p> Signup and view all the answers

How do life events tied to developmental goals affect recall in early life?

<p>They are more easily recalled because they are linked to significant developmental milestones.</p> Signup and view all the answers

What brain areas are involved in the processes of retrospection and prospection, and what do they support?

<p>The vmPFC, dmPFC, and PCC are involved, supporting the ability to project oneself into different times and places.</p> Signup and view all the answers

What role does autobiographical reasoning play in narrative identity?

<p>It helps derive semantic meaning from episodic events and is essential for avoidance learning.</p> Signup and view all the answers

In what way do tension memories contribute to meaning-making in college students?

<p>Tension memories, particularly those involving mortality or relationships, are most linked to efforts to integrate meaning.</p> Signup and view all the answers

How is wisdom connected to negative life situations according to studies on different age groups?

<p>Wisdom is often defined by negative experiences that yield lessons, enhancing self-efficacy and competence in coping.</p> Signup and view all the answers

How does ambivalence affect decision-making according to the content?

<p>Ambivalence can paralyze effective action, making it difficult to make choices.</p> Signup and view all the answers

What role does conscience play in moral behavior?

<p>Conscience acts as a mental agency that punishes behaviors deviating from internal and external norms.</p> Signup and view all the answers

How is transference defined in psychological terms?

<p>Transference is the process of displacing feelings from one relationship onto another, influencing expectations.</p> Signup and view all the answers

What are the two groups of delusions distinguished by Kraepelin?

<p>Kraepelin distinguished manic depressive insanity and dementia praecox.</p> Signup and view all the answers

What is the significance of short-term sacrifice in moral behavior?

<p>Short-term sacrifice reflects altruism and enhances social bonds over transactional relationships.</p> Signup and view all the answers

According to Jaspers, how are delusions characterized?

<p>Delusions are strongly held beliefs that remain unaffected by counter-evidence and often contain bizarre content.</p> Signup and view all the answers

In what way does psychotherapy influence the tendency towards benevolent self-deception?

<p>Psychotherapy makes individuals aware of their motives, encouraging more informed decision-making.</p> Signup and view all the answers

How do moral behaviors facilitate the transmission of cultural knowledge?

<p>Following established norms allows for a stable personality, which aids in the passing down of cultural practices.</p> Signup and view all the answers

What does Wakefield imply by the term 'harmful dysfunction' in relation to mental disorders?

<p>Wakefield defines 'harmful dysfunction' as a mechanism failing to perform its naturally selected function, resulting in harm according to cultural standards.</p> Signup and view all the answers

How do social conditions like poverty relate to Wakefield's definition of mental disorders?

<p>Wakefield notes that while many undesirable conditions, such as poverty, are socially undesirable, they do not qualify as mental disorders.</p> Signup and view all the answers

Explain the significance of the 'evolutionary criterion' in assessing mental disorders according to Wakefield.

<p>The evolutionary criterion suggests that a disorder implies lowered survival or reproduction, yet some disorders do not impact these aspects, challenging the notion that all disorders are maladaptive.</p> Signup and view all the answers

What does Wakefield state about the role of professionals in defining disorders?

<p>Wakefield argues that professionals may work on conditions that are not truly disorders and can also make errors in judgment regarding what constitutes a disorder.</p> Signup and view all the answers

In what way does Wakefield refute the idea that all societal stigmas are indicative of real disorders?

<p>Wakefield asserts that while some stigmatized conditions are indeed real disorders, others, like HIV, complicate the notion that stigma correlates directly to legitimacy as a disorder.</p> Signup and view all the answers

What are 'statistical deviances' according to Wakefield, and how do they relate to mental disorders?

<p>Statistical deviances refer to traits that can be considered positive or negative, indicating that not all deviations from the norm are necessarily indicative of a disorder.</p> Signup and view all the answers

How does Wakefield differentiate between expected and unexpected distress in terms of mental disorders?

<p>Wakefield explains that certain intense responses, like grief or stress, are normal and expected, while unexpected distress, such as PTSD, may signal a disorder.</p> Signup and view all the answers

What is the sociological fallacy noted by Wakefield regarding mental disorders and evolutionary pressures?

<p>The sociological fallacy asserts that human behaviors cannot be entirely explained by evolutionary pressures, as it ignores cultural influences and the complexity of human psychology.</p> Signup and view all the answers

What role does cerebral asymmetry play in the development of psychosis according to the speciation hypothesis?

<p>Cerebral asymmetry is greater in men, and this is associated with a higher prevalence of psychosis in men.</p> Signup and view all the answers

How does Nesse's cliff's edge hypothesis explain the relationship between social function and the onset of psychosis?

<p>Nesse's hypothesis states that a combination of alleles enhances social function until they exceed a threshold, leading to social dysfunction and potentially psychosis.</p> Signup and view all the answers

Describe how delusions reflect ancestral social challenges.

<p>Delusions, such as persecutory beliefs, may originate from ancestral challenges like mistrust and jealousy, which were adaptive in social contexts.</p> Signup and view all the answers

What is the connection between creativity and psychosis as mentioned in the content?

<p>There is a link between psychosis and creativity through cognitive flexibility, divergent thinking, and unique associations.</p> Signup and view all the answers

In what ways does prolonged brain development contribute to variations in personality and intelligence?

<p>Prolonged brain development allows for greater variability in personality and intelligence, with extreme variations potentially leading to psychosis.</p> Signup and view all the answers

What evidence suggests that psychosis can be considered a maladaptive byproduct of the social brain?

<p>Psychosis may arise from the same genetic factors that facilitate social development, reflecting a maladaptive outcome of social brain evolution.</p> Signup and view all the answers

How might delusions assist individuals in coping with their social environment?

<p>Delusions could provide a coping mechanism by helping individuals navigate perceived social threats or challenges.</p> Signup and view all the answers

What is the significance of reading intentions of others in relation to psychosis?

<p>Reading intentions is crucial for social interactions, and deficits in this ability may manifest in the form of paranoid delusions.</p> Signup and view all the answers

What is the prevalence of delusions among nonclinical samples, according to the studies mentioned?

<p>Approximately 10% of nonclinical samples report having delusional beliefs.</p> Signup and view all the answers

How do paranoid delusions function as a defense mechanism?

<p>Paranoid delusions may protect against feelings of depression and low self-esteem by attributing negative experiences to external factors.</p> Signup and view all the answers

What distinguishes the 'poor me' mindset from the 'bad me' mindset in relation to persecution?

<p>'Poor me' individuals feel that their persecution is undeserved, while 'bad me' individuals believe they deserve their suffering.</p> Signup and view all the answers

In the self-attribution model, how do implicit and explicit self-esteem differ?

<p>Implicit self-esteem is an automatic, often unconscious understanding of self, whereas explicit self-esteem consists of conscious reflections on self-worth.</p> Signup and view all the answers

What is one suggested evolutionary advantage of psychosis according to the evolutionary paradox?

<p>Psychosis might offer a hypervigilant perspective within social groups, which could be beneficial for survival.</p> Signup and view all the answers

Describe the feedback loop associated with unstable self-esteem in paranoid patients.

<p>The feedback loop involves making extreme external attributions to stabilize self-esteem, which leads to a cycle of negative self-representations.</p> Signup and view all the answers

What role does life experience play in constructing the self according to the content?

<p>Life experiences dictate whether individuals may identify as 'poor' or 'bad' me, influencing their self-concept.</p> Signup and view all the answers

How do delusions correlate with self-serving bias (SSB), particularly in paranoid individuals?

<p>Paranoid individuals display a higher self-serving bias, which aligns with their tendency to develop persecutory delusions.</p> Signup and view all the answers

What is the implication of the group selectionist hypothesis regarding schizophrenia?

<p>The hypothesis suggests that individuals with schizophrenia may provide a protective hypervigilant trait to their social groups, despite individual selection pressures.</p> Signup and view all the answers

How are delusions more common than hallucinations based on the statistics provided?

<p>Statistically, 20% of individuals exhibit delusions compared to only 6% experiencing hallucinations.</p> Signup and view all the answers

Flashcards

Social Control Theory of Mental Disorders

The idea that mental disorders are simply used to control society and do not reflect genuine biological or psychological issues.

Biological Lesion Theory of Mental Disorders

The theory that mental disorders correspond to physical abnormalities in the brain or body.

Value Concept of Mental Disorders

The view that mental disorders are defined by their negative impact on an individual's well-being and functioning in society.

Professional Treatment Definition of Mental Disorders

The notion that mental disorders are whatever mental health professionals choose to treat.

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Statistical Deviance Theory of Mental Disorders

The concept that mental disorders are characterized by unusual variations in behavior or thinking compared to the average population.

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Unexpectable Distress/Disability Theory of Mental Disorders

The idea that mental disorders involve significant distress or impairment in daily functioning.

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Biological Disadvantage Theory of Mental Disorders

The theory that mental disorders represent a biological disadvantage in terms of survival or reproduction.

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Harmful Dysfunction Theory of Mental Disorders (Wakefield)

A theory that suggests mental disorders occur when a mental mechanism, shaped by evolution, fails to perform its intended function and causes harm based on societal norms.

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Bring a gift or not?

The tendency to bring a gift to a social event even when it's not explicitly required. It helps us take a clear action when facing uncertainty, which is crucial for effective behavior.

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Conscience

A mental mechanism punishing actions that deviate from accepted internal and external standards. Anticipating guilt discourages immoral behavior, leading to predictable behavior and cultural transmission.

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Transference

A mental process where feelings toward a previous relationship are redirected to a new person. These past experiences shape our expectations and influence how we perceive others.

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Transference: Inflexibility

A pattern of behavior that is resistant to change, often based on early childhood experiences. It creates a predictable personality but can be inflexible in new situations.

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Delusions

A state of belief that persists despite conflicting evidence or experiences. It often involves bizarre or impossible content, making it difficult to distinguish from reality.

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Manic depressive insanity

A category of mental illness characterized by episodic mood swings, including mania and depression. It resembles modern bipolar disorder.

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Dementia praecox

A category of mental illness distinguished by gradual decline in cognitive function. This concept is similar to modern schizophrenia.

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Jaspers' definition of delusions

A belief that is held with strong conviction, remains unaffected by contradictory experiences, and often includes bizarre or impossible content. It is distinct from normal beliefs and represents a significant dysfunction.

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Developmental Goals and Memory

Events in your life that align with your developmental goals are more easily remembered.

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Default Mode Network (DMN)

The brain network involved in remembering the past and imagining the future, including the ventromedial prefrontal cortex (vmPFC), dorsomedial prefrontal cortex (dmPFC), and posterior cingulate cortex (PCC).

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Narrative Identity

The construction of a personal life story that helps us make sense of our experiences and find purpose.

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Theory of Mind (ToM)

The ability to understand that others have different thoughts and feelings from our own.

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Meaning Making and Tension

Moments in our lives that involve significant tension, especially those related to mortality or important relationships, are more likely to be meaningful and lead to efforts to integrate them into our narrative identity.

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Delusions as a defense mechanism

Delusions can be a way for individuals to cope with low self-esteem or depression by attributing negative experiences to external factors instead of internal ones, protecting their self-image.

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Poor Me delusions

A type of delusional belief where individuals believe they are being persecuted or targeted by others and that their suffering is undeserved.

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Bad Me delusions

A type of delusional belief where individuals believe their suffering is deserved due to their own actions or thoughts, often linked to feelings of shame and guilt.

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Continuously constructed self

The concept that a person's self-perception and understanding of themselves is constantly evolving based on life experiences and interactions with the world.

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Self Attribution Model

A model that explains delusional beliefs as a way to maintain a stable self-esteem, with shifting attributions and self-perceptions.

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Implicit Self-Esteem

The automatic, often unconscious, understanding of one's self-worth.

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Explicit Self-Esteem

The conscious reflection and evaluation of one's self-worth.

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Evolutionary Paradox of Psychosis

The idea that psychosis, particularly delusional thinking, might be a byproduct of an evolved part of the human brain, possibly related to enhanced cognitive abilities.

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Group Selectionist Hypothesis

The hypothesis suggesting that individuals with psychotic symptoms, particularly delusional beliefs, might have evolved as a way to provide heightened vigilance for groups, ensuring safety from threats.

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Advantages of Psychosis

The idea that psychotic experiences, while potentially problematic, might also offer advantages in some contexts.

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Speciation Hypothesis of Psychosis

A hypothesis suggesting that psychosis arose as a byproduct of the evolutionary leap in language development. This involved the independent development of the two brain hemispheres for greater functional diversity, leading to prolonged brain plasticity and rapid growth.

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Maladaptive Byproduct of Social Brain

The idea that psychosis is a maladaptive byproduct of the genes that regulate social development. A certain combination of these genes can lead to increasing social benefits until they reach a point of dysfunction.

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Delusions as Social Challenges

Delusions in psychosis often reflect themes related to ancestral social challenges, like mistrust, jealousy, or perceived threats. These themes were crucial for survival in the past.

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Theory of Mind and Delusions

The ability to understand the mental states of others (Theory of Mind) plays a role in delusions, particularly in paranoid individuals. They interpret others' actions based on a skewed perspective.

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Psychosis and Creativity

A connection exists between psychosis and creativity, especially in areas like divergent thinking and the ability to make unique associations.

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Schizotypy and Divergent Thinking

Schizotypy is a personality trait characterized by unusual thoughts, behaviors, and experiences. Studies suggest a link between schizotypy and divergent thinking, a skill often associated with creativity.

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Latent Inhibition and Psychosis

Reduced latent inhibition, a tendency to filter irrelevant stimuli, is found in people with psychotic disorders. This suggests a possible role for dopamine receptors in their unusual experiences.

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Sexual Selection and Psychosis

The link between psychosis and creativity might be explained by sexual selection, which favors traits that enhance reproductive success. Creative individuals might have been more desirable partners, even if this came with the risk of psychosis.

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Unconditional Positive Regard and Growth

This concept emphasizes that accepting yourself despite flaws allows for growth and change. Unconditional positive regard doesn't mean condoning negative behaviors, but rather acknowledging the capacity for improvement. Painful emotions act as signals for necessary growth, guiding us towards better outcomes in life.

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Limbic System & Therapy

The limbic system regulates emotions and instinctual behaviors. Downregulating the top-down control from the prefrontal cortex allows for greater influence from bottom-up signals, such as those received during therapy. This promotes self-awareness and allows for revisions in belief systems. However, if the bottom-up signals align with existing beliefs, it can lead to psychological harm.

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Cognitive Dissonance & Behavior Change

You can change cognitive patterns by actively changing your behavior. Treating yourself with kindness and respect acts as a cue for your brain, leading to cognitive dissonance with negative self-talk. It's not just pretending, as cues influence our thoughts, allowing for a shift in perspective.

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Creating Your Personal Myth

Our unique experiences and perspectives shape our stories, which hold individual value and meaning. Embracing our own myth involves engaging with dreams, symbols, and metaphors to integrate our lived experiences and create a personal narrative. This integration reduces alienation and allows us to connect with others through the universal language of stories.

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Art and Fiction: Connecting with Humanity

Art and fiction offer a lens to understand human experiences through parallels with archetypes. They provide solace by showing that others have felt similar emotions, anxieties, and desires. This resonates with our own lives and reduces feelings of isolation, reminding us that we are not alone in our struggles.

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Study Notes

Wakefield's Definition of Disorder

  • Myth of a myth of mental disorder
    • Used for social control
    • Not all mental disorders have a physical cause
  • Value concept
    • Socially undesirable
    • Varies across eras
    • Many undesirable conditions are not disorders (e.g., poverty)
  • Whatever professionals treat
    • Professionals treat conditions that aren't disorders
    • Professionals' judgments may be flawed
  • Statistical deviance
    • Positive and negative traits can be statistically unusual
  • Unexpected distress/disability
    • Extreme responses are normal (e.g., grief, stress)
    • Abusive relationships aren't automatically disorders
  • Biological disadvantage
    • Implies disorder is curable by improving survival/reproduction, which is not necessarily true
    • Some disorders don't affect survival/reproduction
    • Non-disorders can affect survival/reproduction (social rejection, poverty)
    • Evolved mechanisms may not always be adaptive in modern environments
  • Better argument for disorder
    • Mental mechanisms that fail to fulfill their function and cause harm according to cultural standards
    • Misfunction of mechanisms can cause harm

Harmful Dysfunction (Wakefield)

  • Mechanisms failing to perform naturally selected function and cause harm according to cultural standards
  • Example: preference for sweets
    • Reinforced by pleasure, and sugar consumption was limited in EEA
    • But unlimited access today might lead to harm
    • Neurocircuitry is fine but dysfunctional now
  • How to identify an adaptation:
    • Identify features of trait (cognitive, behavioral, emotional, neurological, physiological)

Emotion

  • Emo
    • Highly organized to promote unique function
    • Reward motivation: pursuit of goals
    • Aversive motivation: avoiding harm
    • Co-ordinated whole-body responses
    • High degree of order
  • Depression
    • Psych: loss of motivation
    • Bio: neuro dysfunction
    • Cog: learned helplessness
    • Behavioural: lack of reinforcers
    • 12-17% lifetime rate (persistent hard to solve problems)
    • Altered motivation, not just loss of motivation, may cause issues
  • Function of depression: Energy reallocation
    • Evolved response to situations needing prolonged reallocation of limited energy
    • Different patterns for sickness, starvation and melancholia
    • Learned helplessness: sense of control isn't default
    • Motivation/learning deficits
    • Triggers: painful state, avoidance
    • It isn't always bad to avoid danger, but sometimes avoidance learning is maladaptive
  • Depression's function : Energy reallocation hypothesis
    • Depression as an energy reallocation response to situations requiring large-scale energy shifts in the body
    • In terms of melancholia, learned helplessness maps onto a different pattern of reallocation - one that emphasizes painful experience

Experience & Memory

  • Amygdala encodes memories while active, while the cholinergic system is a primary player in memory consolidation during REM
  • Elevated cholinergic activity during wake, which stimulates the thalamus and facilitates the transmission of sensory experiences into the cortex
  • Suppressed adrenergic activity during sleep, to dampen emotional tone without interfering with memory consolidation
  • Memory during REM is processed and strengthens and loses emotional tone over time

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