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PSYC1030 - Study Notes
PSYC1030 - Study Notes
Assessment
Research = 6%
Online Quiz = 9% (10th-12th December)
Lab Report draft = 0% (14th December)
Lab Report = 35% (18th January)
Final Exam = 50%
Compliance
Compliance strategies
1
o Cialdini (1978): asked for people to take part in an experiment, then said it started at
7am (56% agreed); saying that it started at 7am from the start showed 31% agreeing.
o Used car salespeople let people take the car away and say how great it is, then later
reveal a lot of hidden cost to the buyer.
Door in the face technique: asking for a large thing, then a more reasonable request
Cialdini (1975): asked for college students to spend 200 hours counseling juvenile delinquents
(nobody agreed), then asked if they would be willing to chaperone a group of juvenile
delinquents to the zoo (50% agreed). Just asking the second one showed 17% agreeing)
Reciprocation
Doing something nice for somebody who does something nice for you
Regan (1971): buying a coke for somebody then asking to buy raffle tickets
We feel compelled to repay a favour even if the generosity comes from a complete stranger
(free gifts from companies)
Reciprocal concessions: if someone makes a concession to us, we feel obliged to make a
concession (politics etc), meeting people halfway (asking for something higher, then making the
concession and expecting the other person to make a concession)
Contrast effects: people are only good at making relative judgements (salespeople can take advantage
by showing expensive things then selling the more reasonable thing)
Obedience: an authority commands us to change our behaviour (Milgram’s 1963 electric shock
experiment).
Empathy: people will be less obedient if they are in contact with the person
Clear cut point for disobeying (smaller increments make it less clear when to stop)
Belief that authority will take responsibility will increase obedience
High status of the authority figure will increase obedience
Biological explanations
o Amygdala regulates aggression
o Genetic link to criminal behaviour
o Alcohol reduces risk assessment capabilities
o Social psychologists: investigate social factors and patterns of thinking aggression
Observational learning explanations (modelling)
2
o People learn to behave watching others so people behave aggressively because they see
others doing the same thing
o strong indication that TV = violence in children but aggressive kids watch violent TV so
there is an unclear loop
o Josephson (1987): children played more aggressively after watching a violent TV
program than when they watched a non-violent TV program. Effect was enhanced when
a cue was used (walkie talkies like the police officers in the program)
o The copy-cat effect: people witness or hear about acts of violence then repeat
o Werther effect: high profile suicide = increase in suicide and accidental death rates
o Copy-cat crimes against others: suicides = single-passenger car fatalities, murder-
suicides = multiple-passenger car fatalities, Plane hijackings, school shootings, product
tampering etc…
Social cognitive explanations: people develop aggressive tendencies due to maladaptive thinking
o People have dysfunctional and aggressive belief structures (people see the world
through a lens of mistrust)
o The challenges is to allow people to change their belief systems
Ostracism
Kip Williams’ Ball throwing paradigm: people being ostracized = lower mood, self-esteem, sense
of belonging, sense of control over their lives, sense that life is meaningful and a heightened
awareness of death
Cyberostracism: participants know that somebody has been instructed to ostracize them but still
feel these effects (it is thought that our negative reaction to ostracism is an evolutionary
response which bypasses logic)
Aggression and rejection: ostracized individuals showed more aggression.
Baumeister (2001): people were told they were not liked and that they were likely to have
troubles being accepted by others all their life. These people displayed interpersonal aggression
to strangers (maybe a trigger for mass-murder etc?)
3
Altruism: voluntary helpfulness motivated by concern about the welfare of people rather than reward
Prejudice: unfavourable attitude towards a social group and its members (prejudgment)
Cognitive: beliefs/stereotypes
Affective: feelings (usually negative) about a group
Behavioural: intentions to behave in negative ways
Sexism
Men are competent and independent while women are warm and expressive
People who violate the stereotype are sub-typed
Disconfirming evidence of stereotypes are explained away or attributed to other factors
Men justify power be legitimizing the myths
Bartol & Butterfield (1976): female leaders were valued less (could not be detected during
1980s)
1960s: work attributed to women was downgraded relative to the man’s but this has
disappeared
Hostile sexism: women exaggerate problems they have; when women lose, they complain
Benevolent sexism: in a disaster, women deserve to be saved before men; men should sacrifice
their lives in order to provide financially; women should be cherished by men
o Traditional and puts women on a pedestal but reinforces their subordination
Racism
Until recently, racist attitudes were seen as scientific orthodoxy (races differed in intelligence,
sophistication and morality)…this lead to the holocaust. This is old fashioned racism
People act differently to the way in which they truly feel
o LaPiere (1934): travelled with a Chinese American couple and were only refused entry in
1/250 places yet only 1% of places said that they would when they were called up.
Aversive racism: people want to maintain a non-prejudiced self-image subconsciously harbor
negative feelings towards minorities which leaks out in situations where behaviour can be
justified
o Gaetner & Dovidio (1986) investigated this somehow
4
o When people are described in negative ways, people are more hostile to minorities
which people can legitimize by focusing on the person’s negative traits rather than their
race.
o When looking through the lens of stereotypes, unthreatening behaviour can be re-
interpreted as aggressive
Duncan (1976): students observed on TV an argument between a black man and a white man
during which one person lightly shoved the other. 15% said that when the white person pushed,
it was violent while 75% said that it was violent when the black person pushed.
Correll et al. (2002): made a computer game in which people had to either shoot or not shoot
people. people were much more likely to mistakenly shoot an unarmed black person and less
likely to not shoot an armed one than with white people.
Those who attribute a failure to discrimination are less likable than those who take it on the chin
People understand the negative consequences of claiming discrimination. When asked what
they would do, so many people said they would do something about it yet almost nobody did
anything when put into practice.
Stereotype threat
o When stigmatized groups are conscious that other people might treat them differently,
they feel anxiety and their performance was impeded.
o Steele & Aronson (1995): black and white students anticipate taking a very difficult test
that was defined as being a test of intellectual ability or just a laboratory exercise then
completed ambiguous word fragments. Black students wrote race-related anxiety words
on the word fragment task and did a lot worse on the test when it was described as a
diagnostic test of intellectual ability.
Self-fulfilling prophecies: expectations of a person change the way in which you interact with
them which changes their behaviour in line with negative expectations
o Rosenthal and Jacobson (1968): IQ test and told teachers that certain students were
particularly bright (the students were assigned randomly) and were seen to improve far
quicker than the rest of the students.
Aboriginal disadvantage
Health
Education
Employment
Housing
Racism
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Reconciliation
Clinical help
o Grief counseling
Anti-racism strategies
Types of racism
Reactions to racism
Anger – 67%
Feeling sorry for the perpetrator – 31%
Sadness – 28%
Shame – 17%
Physical reaction – 12%
Responses to racism
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Facilitating cooperation between groups
creating policies and practices
Promoting non-racist media
Eliminating systematic racism
Attitudes
Yale studies focused on 4 factors for change in attitude: communicator, audience, message and channel
Hovland & Weiss’s study using a scientific paper and asking people if they believed it
o More credible sources have more effect on attitude than non-credible immediately
o The sleeper effect sees the credibility evening out over time as people forget who said it
Discounting: initially given less credence due to the unreliable source
Disassociation: the message content and the source is uncoupled over time
Attractiveness: attractive people are more persuasive only for a strong message, not a weak one
Fear is often used but high fear messages are often less effective, but depends on whether
information is provided with how to respond to the message
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Self-esteem: extremes were less easily persuaded by messages
Gender and age: mixed results, not very clear
Central route
o the issue is important to us
o Time to think about the issue
o Cognitive capacity to think about the issue
Peripheral route
o Limited time to think
o In a good mood
o Distracted
o Issue is not important
Hypocrisy
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Positive self-concept is inconsistent with feelings of hypocrisy
When people were made mindful of their prior water usage, they were more likely to take
shorter showers to conserve water
Impression formation
Configurational model
o Gestalt principles: the whole is greater than the sum of its parts
o Central and peripheral traits
o A single word was changed in a person’s description and a person’s impression was
completely changed
Schemas
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o It’s easier to think about being killed by something normal so we assume it happens for
often (falling plane parts vs shark attacks etc)
Representative heuristic: people judge the likelihood of group membership by comparing
features of particular case to the prototype
o 70 lawyers and 30 engineers, person likes building things, is he more likely to be a
lawyer or engineer? Representative heuristic says engineer but probability says lawyer
Attribution: The process by which people infer the causes of their own and others’ behaviour
Social perception is motivated by the need to predict and control the environment
o Situational factors: stimuli
o Dispositional factors: personality
Kelley’s covariation model: we attribute a behaviour to the cause with which it covaries over
time
o Person attribution: varies across people (consensus) – Tom is angry
o Target attribution: varies across targets (distinctiveness) – Tom is only angry with Chuck
o Situational attribution: depends on how often the behaviour occurs (consistency) – Tom
only angry with Chuck when they go shopping
Errors in attribution
o attribution is highly rational but can be biased
o The tendency to attribute another’s behaviour to their qualities rather than to a
situation
o The pro and anti-Castro speeches were said to be either freely written or assigned
o
Actor-observer bias: tendency to attribute own behaviour to external factors and others’
behaviours to dispositional causes
Self-serving bias: tendency to attribute successes to internal factors and failures to external
False consensus effect: see own behaviour as typical to maintain self-esteem
We sometimes distort our attributions to look good and feel better about situations
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gaze, facial expression, posture, touch
60-65% of communication
Judging leadership ability requires nonverbal cues more
Nonverbal cues are more important when it conflicts with verbal cues
Children rely more on verbal cues
Words = facts, nonverbal = emotion, attitude and interpersonal info
Emblems: gestures which replace or stand in for spoken language
Illustrators: nonverbal which complement/clarify meanings (hand gestures etc)
Emotion: facial expressions
o 6 basic emotions: Happiness, surprise, sadness, fear, disgust & anger
Deception
True: pupils dilate, more blinking, speech errors, hesitations, higher pitch
False: smiling, longer latencies, shrugging, head and body movement, longer statements, faster
speech
Accuracy in detecting deception: listening to it in speech only is much easier to correctly
determine if someone is lying because the voice is less easily controlled than the face.
Micro-expressions may be used to detected liars as they are difficult to control
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Health: a state of complete physical, emotional and social well-being
Health psychology: specialization in understanding the relationships between psychological
factors and health and illness
o Health promotion: illness prevention
o Clinical health: applying psychology in illness diagnosis and treatment
Models of health
Stages of intervention
Levels of intervention
Individual - counseling
Small-group – smoking cessation groups
Community – nonsmoking areas
Population – changing whole attitudes towards smoking
Policy development – changing smoking laws
smoking has been proven to cause cancer, heart disease, miscarriage etc
studies have found that not smoking or quitting smoking vastly increases life expectancy
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States of change
o Precontemplation
o Contemplation
o Preparation
o Action
o Maintenance
o Relapse
Stress: circumstances which threaten one’s well-being and tax one’s coping abilities
Frustration
o Pursuit of a goal is thwarted: failures and losses
Conflict: Incompatible motivations
o Approach-approach – least stressful (choosing between two desirables)
o Avoidance-avoidance – most stressful (choosing between two undesirables)
o Approach-avoidance – vacillation (the goal is desirable and undesirable)
Change: alterations in one’s living requirements
o measured by the social re-adjustment rating scale (SRRS)
Pressure: expectations/demands for someone to behave in a certain way
Responding to stress
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cortisol and adrenaline/noradrenaline release
o Behavioural response: coping efforts
Adaptive and maladaptive coping
General adaption syndrome: model of body’s stress response
o Alarm reaction (resistance drops)
o Resistance (coping begins as physiological response stabilizes)
o Exhaustion (can lead to collapse)
Constructive coping: healthy efforts to deal with stress
o confronting problems, task oriented, action focused, realistic
Effects of stress
Social support: various types of aid, higher levels of support related to immune function
Optimism: associated with effective immune functioning, stress is dealt with effectively, seek
social support, positive appraisals of events
Piagetian tasks
o Object permanence (A not B) understood before 2 years
o Conservation: understood 9-11 years
Older adults
o Negative stereotypes have a negative effect
o Talking in a patronising tone will cause older adults to speak, move and think slower
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o Subliminally priming people for old age stereotypes produce deteriorated and shaking
handwriting as well as slower walking
Senses
o Vision: 20cm fixed, adult vision by 8 months
o Hearing: sound localization, listening preferences (mother’s voice etc)
o Taste: sweet things are preferred
o Touch: skin-skin contact is important in early development
o Smell: 1 month – recognise mum’s smell
Reflexes
o Moro(startle): arms spread out then contract in when support is removed
o Grasping: hand will close around things
o Rooting: finding the boob (stroking the baby’s cheek turns their head)
o Suckling: will suck on things put in its mouth (breast-feeding)
o Stepping: will step when walking is simulated
Temperament: easy, difficult, slow to warm up
Baby experiments
o Reflexes, habituation, surprise etc must be used since babies can’t talk
o Preferential sucking technique: babies suck a dummy to make a tape play
o Preferential looking: babies look at things they’re more interested in (human faces)
o Habituation: babies look at one thing until bored then another (can tell male from
female)
o Violation of expectation paradigm: pushing the block off and seeing if the baby looks
longer at things that seem impossible (6 months old will look longer)
Nature vs Nurture
o Plasticity: brain doubles in size in the first two years of life
o Gene-environment interactions
o Genetics drive us to particular environments for the nurture so they’re intertwined
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o Baby loves because mother provides security (infants want to feel safe)
o Babies goal is to be close to the caregiver
o Separation anxiety
o attachment behaviour coupled with locomotion, synced to feeding and mating
Secure base model
o If there’s no danger, explore
o If there’s a threat, seek proximity to the caregiver
Attachment classifications
o A: anxious avoidant
30% of infants
Explore, no distress, no proximity seeking at reunion with mother, less
avoidance of strangers
Mothers report disliking contact with infants
o B: Secure
55% of infants
Explore after warming up, prefers mum, distressed and seeks contact at reunion
with mother
Mothers are more sensitive, spend time face-to-face, quick response to crying
o C: Anxious ambivalent
15%
Can’t cope properly, little exploration, hysteria, aggressive at reunion
Mothers are inconsistence in responses to infants
o Influenced by culture, baby and parent personalities
Critical period hypothesis: there’s a critical period for attachment to occur, after which lifelong
psychological malfunction will ensue
o Challenges: Harlow’s study shows that female isolates were better mothers the second
time around, isolates housed with juveniles recovered, orphans have overcome effects
of early deprivation
1000 gestures and words – 5 years old – has been reached by Koko the gorilla after 40 years
Babies are born with a Universal ear (linguistic sensitivity) – can discriminate between similar
sounds but lose it soon after
High pitch voice when talking to babies – “motherese” – babies prefer it (protoconversation)
Babies babble – try to sound like the language they will learn (deaf babies babble with hands)
start pointing before speaking: to show something or to replace words – helps learn language
Joint attention: look to see what people are talking about when they speak to map words
Deaf parents with hearing children put their kids in front of the TV, didn’t work
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Indeterminacy problem: infants can distinguish what people are talking about when they point
at something – associate words with whole objects – difficult to teach parts of the object
First words: Object names (ball), simple actions (give) and pragmatic functors (bye-bye)
Language learning across cultures is uniform
Overextensions: learns “moon” and calls all round things “moon”
o theory that they just want to talk
Underextensions: only calls their dog a “dog”
9 new words per day until age 6
2 word stage - “Telegraphic speech”: leave out words
Word order errors: very rare (teddy eat vs eat teddy)
3 word stage: language complexity increases – errors are noticeable (eg blowed up/bloweded
up) – U curve: get it right early and later but wrong in between
Nature: language is built in
o Innate: poverty of input: children can say things they’ve never heard and learn
grammatical rules then apply them
Nurture: repeated by children
o social learning theory: children are corrected then rewarded when the conversation is
able to continue
Early deprivation of language: cannot develop fully – limited telegraphic speech
must learn sign language before age 7 for full fluency
must learn second language before age 7 to have no accent
“theory of mind”: predict and explain behaviour with reference to people’s internal mental
states – we can infer what other people are thinking and feeling
the ability to recognise that people have different mental states to yours
Altruism: toddlers can recognise what other people want and can help them
Contrastives: understand that other people have other opinions after age 3
Visual perspective taking task: child can tell which way the experimenter can see a picture when
they’re looking at it from different sides
Understanding desire: “I want – you want” test – child tries to understand what other people
want to read
False belief test: child watches one person put a ball in a basket then leave the room, another
person moves it and the first person comes back. They ask the child “where will they think the
ball is?” and 5 years olds can understand that the person will think it’s in the basket even though
it’s not.
Age 3: fail perspective swapping tasks
Autism:
o Life without theory of mind?
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o Developmental disorder
o Difficulty with social relationships
o Difficulty with non-verbal and verbal communication
o Insistence on repetition
o poor judgement of false belief
o Difference, not a deficit
Piaget: interested in the biological basis of intelligence and developed his stage theory
Thinking is based on actions: babies grab things and suck on them to construct information
Schemas: formed through learning
Assimilation and accommodation: taking in environmental elements and modifying responses
Stages of development
o Infancy: Sensori-motor development
Reflexes
Modifiable starting-state schemas: Basis for later schemas
Development of concepts is constructed through action on the world
Object permanence is not understood (A not B error)
Caused by the development of a schema – A is a part of the object so
they look for it there
Object permanence: understanding that objects exist when they are not visible
is not reached until age 2
Development of mental representations marks the end of infancy
o Early Childhood: Preoperational Thought
Understand object permanence at 9-11 years
Baby reflexes are lost
Don’t need to touch everything anymore
Egocentrism: without regard for other peoples’ perspective
3 mountains task: child attributes their own perspective to a doll which is on the
other side of the mountains
nonconservation: failure to recognise that quantities do not change despite
changes in appearance
Conservation of numbers
Transitional logic: can’t decide
o Middle childhood: Concrete Operational Thought
Coordination of 2 perspectives
Conservation of mass, conservation of liquid (clay and water movement)
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Start thinking logically
o Formal Operational thought: adolescence & Adulthood
Possibility
Can think logically, abstractly and hypothetically
Puberty – adulthood
Questioning the theory:
o importance of action
o Thalidomide tragedy: children couldn’t grasp things but still could develop beyond
infancy, though the development was delayed
o Infants which are born blind show no major disruption of
cognitive development even when early action schemas
are atypical
o Mental representation: object permanence in the dark –
infants start to look for toys when lights are off
o Egocentrism: conversational perspective taking: children
simplify their speech for younger peers
o Child friendly perspective taking tasks can be passed
o Children do better on the “naughty teddy” conservation
task than the standard coin row spreading task
o Repeated questioning: children feel that they need to change their answer if they think
they’re wrong
Piaget
o Moral dilemmas investigated reasoning about moral issues
o Once children have pre-operational thinking, they can think about right and wrong
o Piaget’s moral stories: cup breaking story
o Piaget’s stages of moral development
Heteronomous morality: 4-8 y/o
Subject to another’s law
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Outcomes are the most important
Autonomous morality: 8 y/o - adult
Subject to one’s own law (thinking for ourselves)
Laws are relative and socially constructed
Intentions are the most important
Kohlberg
o Took Piaget’s work further
o tested 84 boys fromKohlberg’s
5-adult Moral Dilemma I
o 6-stage developmental progression
Joe is a 14-year-old boy who wanted to go to camp very much. His father
promised him he could go if he saved up the money for it himself. So Joe
worked hard at his paper route and saved up the $100 it cost to go to camp and
a little more besides. But just before camp was going to start, his father
changed his mind. Some of his friends decided to go on a special fishing trip,
and Joe’s father was short of the money it would cost. So he told Joe to give
him the money he had saved from the paper route. Joe didn’t want to give up
going to camp, so he thinks of refusing to give his father the money.
Should Joe refuse to give his father the money? Why or why not?
o
Kohlberg’s stages of moral development
Preconventional morality: age 0-9, individual perspective, concrete and ego centric
o 1. Joe should give the money because he’ll get punished
o 2. Joe shouldn’t give the money because he can do whatever he wants
Conventional Morality: adolescents and adults, Member of society perspective,
interpersonal
o 3. Joe shouldn’t give the money because he has sacrificed and worked hard for it
o 4. Joe shouldn’t give the money because respect for property is important
Postconventional Morality: Minority of Adults, universal reasoning, prior to society
perspective
o 5. Joe shouldn’t give the money because each person is free and entitled to the use of
his property
o 6. Based on personal conscience, not social contract. (Theorised: Gandi, Dalai Lama,
Mother Theresa)
Gender differences
o Women are most often in stage 3 (reasoning towards relationships/cooperation)
o Men are most often in stage 4 (reasoning towards justice)
Domains of reasoning about right and wrong
o Moral rules vs social convention
Morality = harm welfare and fairness
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Social convention = social order and organization (can be changed)
Children as young as 4 can distinguish between moral rules and conventional
rules
The role of parents
o Discipline: harsh discipline is linked to hostility and aggression
o No effect on moral development
o
Parenting Styles
o Authoritarian: my way or the high way
Children maintain punishment/reward orientation
o Authoritative: rules are there for a reason and parents are loving
Socially responsible and altruistic
o Indulgent: everything is okay
Children have a lack of social responsibility and have problems with authority
o Neglectful: ignore kids entirely in terms of discipline
Children have a lack of social responsibility and have problems with authority
Definitions
Tasks of adolescence
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Forge an identity: decide you they are and how they fit into society
o love, work, ideology
Boys
Girls
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What would adolescents change about themselves?
Identity
Achievement: A crisis was experienced and a resolution was found, identity has been found
o I’ve thought about my career and it’s the right choice
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Foreclosure: A commitment was made before any crisis happened so identity has not been
formed as the choice was not made freely
o I’m like my dad, if it works for him it’ll work for me
Moratorium: The middle of a crisis, not sure what to do but know that a choice needs to be
made
o I don’t know how capable I am and I can’t choose a course of study until I figure it out
Diffusion: No crisis or commitment has been made yet
o I haven’t thought about it so I guess I’ll wait until something better comes along
Forging an identity
o Long process (age 21 usually)
o May have different statuses across domains (love, work, ideology)
o Associated with: open mindedness, high self-esteem, psychological well-being
Survival
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Havelock Ellis (1890s-1930s)
Female hysteria
people satisfied with their sex lives are more likely to rate physical health as excellent and say
they’re happy
People with more satisfying sex lives report being more in love, satisfied and committed to their
partner
Oxytocin: linked to feelings of love
Problems
Promiscuity: divorced parents, body image, sexual abuse, low self-esteem, victim of social
stigma
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Disorders: paraphilias, frotteurism, vaginismus, hypoactive sexual desire, erectile dysfunction,
sexual aversion etc
Job interviews:
Employee evaluation
Hawthorne’s studies
Changed lighting in factory worker rooms and found improvement no matter what he did
Hawthorne effect: just by being watched by Hawthorne, productivity increased
Any changes to work conditions seemed to increase productivity
Theory X = traditional
Theory Y = modern
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Motivation
Intel’s CEO works in a cubicle like everyone else and they are more productive
If everyone gets a pay cut, people see it as fair and will be more accepting
Employers need to be more empathetic or employees will rebel/leave/steal etc
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o Trait (the player) vs State (the game)
o Cognitive (thoughts) and somatic (body)
o Paralysis by analysis: cognitive and somatic reaction
o Caused by importance placed on outcome and uncertainty
Group/team dynamics
o Group cohesion (team building)
o Leadership
o Communication
Health and well-being
o Psychological and physical well-being
o Injuries
o Substance abuse/eating disorders
o Burnout and overtraining
Growth and development
o Children’s development through sport
o Aggression
o Character development and sportsmanship
Types of therapy
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o Maladaptive behaviour is learned
o Can be tested
o Present problems vs historical causes
o Classical conditioning: pairing urges to drink with people and places etc
o Operant conditioning: pairing tantrums and positive outcomes
o Problems:
Excesses
Deficits
Inappropriate behaviour
o Trigger (stress) behaviour (nail biting) consequences (bad fingernails)
Cognitive behaviour therapy: Aaron Beck
o We’re not just stimulus-response machines
Thoughts about situations influences emotions and behaviour
Psychological problems do not arise from events but meanings we give to them
o Event (failed exam) interpretation (I’m stupid) Behavioural response (sad, reduce
study effort)
o Changing ways of thinking in CBT
o
o Activity scheduling: activities client has enjoyed is scheduled
o Behavioural experiments: testing out theories
Evaluation of psychotherapy
o
Treatment is not always effective obviously
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Depends on the therapist as some may not be as enthusiastic as others
Evaluations of therapy need to be concerned with:
o The ability for therapist to deliver therapy
o Client satisfaction
o Cost-effectiveness
Mental Health: a state of emotional and social wellbeing in which people can function normally
Mental illness: a group of illnesses which affect the brain
Diagnostic and statistical manual of mental disorders (DSM-IV)
o Axis I: clinical syndromes – Major depressive disorder
o Axis II: chronic problems (personality and developmental disorders) – Opiate
dependence
o Axis III: Medical conditions – back injury/chronic pain
o Axis IV: Environmental stressors - Unemployment
o Axis V: global assessment of functioning (percentage scale) – 50% at intake (what does
this mean?)
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o At least 2 weeks with 5 symptoms:
Persistent sad mood (most of the time)
Loss of interest or pleasure
Increase or decrease in appetite or weight
Increase or decrease in sleep
Psychomotor agitation/retardation
Fatigue
Worthlessness/guilt
Difficulty concentrating
Thoughts of death or suicidal thoughts/plans
o Must not be coupled with drug use
o Must not be accounted for by other disorders or transient problems
Dysthymia: long lasting depressed mood (2 years) with 2 or more symptoms
o Appetite, sleep, fatigue, self-esteem, concentration, hopelessness
Bipolar
o Manic episodes: euphoric, grandiosity, ideas, distractibility, goal directed, hedonistic
o Bipolar I: major depression and mania
o Bipolar II: major depression and hypomania
o Cyclothymia: hypomania and mild depression
Bereavement: emotional upset
o 40% are fearful at some point that they’re going crazy
o Hallucinations and suicidal thoughts
Suicide risk factors
o Demographics (elderly, male, alone)
o Prior attempts
o Family history
o Medical illness
o Psychosis
o Substance abuse
o Access to means
20% of people over their lifetime, varies with age, gender and culture
Depression: 7-20% of people in lifetime, more in women, symptoms of depression is much more
prevalent (48%)
Bipolar: only about 1%, associated with higher SES (socioeconomic standing)
Anxiety disorders: 10% affected in the past year, more women, 25% receive treatment
Causes of mental illness
o Biological: neurotransmitter deficiencies, biological rhythms, genetic risk (twin studies
etc)
o Behavioural: low rate of positive reinforcement, learned helplessness
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o Cognitive: negative thoughts about self
o Pessimistic explanatory style: bad events attributed to internal, stable global factors
o Environmental: trauma, abuse, neglect, hostile emotional, negative life events
o Diathesis stress model: creates vulnerability (diathesis) stress development of
illness
Treatments for mood disorders
o Effective treatments depend on etiology (origin of issue), biology is not destiny
o Antidepressants, diet, electroconvulsive therapy
o CBT
o Behavioural activation
o Interpersonal therapy
o Psychodynamic therapy
Causes/exacerbation of mood disorders
o Neurological illness: parkinson’s, epilepsy, sleep apnoea
o Systemic conditions: infections
o Endocrine disorders: thyroid, post-partum effects (postnatal depression)
o Vitamin deficiencies: (B12, folate)
o Other diseases: cancer, kidney disease
Treatments for anxiety disorders
o Psychoeducation, exposure therapy, cognitive restructuring, medication
Gerontological Principles
1. Increasing heterogeneity with increasing age: comparisons need to be made to the individual’s
history rather than other people as people are more different in old age
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2. Cohort effects: generations are different due to past events/history (eg wars make them more
susceptible to mental illness)
3. Primary vs Secondary aging:
primary is due to time (vision, lung capacity, memory etc) that can’t be controlled
Secondary is due to disease: alzheimer’s or depression
Being old
Psychiatric disorders
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o Underreported & reluctant to seek support
o Belief that depression is normal
o Physical symptoms are a priority over psychological
o Clinical representation may be different to younger people
Greater cognitive and functional decline
May have more chronic, comorbid conditions
Cognitive decline due to depression can just look like dementia
Anxiety
o Symptoms can look like physical illness just like depression
o Phobias are a common cause of anxiety
o Anxiety does not increase with age
Barriers to treatment
o Patient barriers (emphasis on physical symptoms)
o Provider barriers: lack of awareness
o Mental health delivery system barriers: time and money problems
Martin Seligman
Learned helplessness
Nikki and the weeds story
Authentic happiness
Created and developed positive psychology
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o Subjective states: experience and positive emotions (well-being, contentment,
optimism)
o Individual traits: character strengths, virtues, humanity, creativity, excellence etc
o Institutions: places which can enrich human potential (nurturance, altruism etc)
3 paths to happiness
o The pleasant life: past, present, future (blessings, savouring, mindfulness, appreciation)
o The good life: strengths and virtues, achieving flow (who am I, who are my friends,
building strengths)
o The meaningful life: (being loyal, dependable, going beyond norms to help)
Signature strengths
o Wisdom & knowledge
o Courage
o Love
o Justice
o Temperance
o Transcendence
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