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PSY333 Lec 6

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University of Toronto St. George
Sayyed Mohsen Fatemi

Lecture 6 (Ch7) 9/26/12 2:07 PM Textbook • Adherence and compliance • Even people with lots of knowledge about disease, delay getting help • Emotional discomfort can be expressed in physical symptoms • Hypochondriac • When patients abide by doctor it adherence or compliance (2 words are interchangeable) • Health belief model= when you believe in something you will take care of it • Relationship between your belief something and what you will do • Reason- action • Planned action- focus on intentionality • When people comply with something, they have intention that it will work for them • Reason action- do it because of evidence and arguments and • Behavioral model- based on reinforcement, people will do what doctors are saying-- people wont violate what doctors are suggesting • We have reasons why patients decline • Some go back to types of medication • How can we tell if patients will comply • Some cardiologist that • Optimism bias o This won’t happen to me • Consumerism- stress oriented way of living • As people are living in these cosmopolitan cities, no report of the past • People have different thresholds • If told that when you get older, you will lose memory-- you probably will • The model in psychology has been on disease- orientation • The disease-oriented model is embedded in the biomedical model o Has contributed to positive psychology § Lets look for the good rather than the disease • Positivist psychology= deeply indulged and steeped into natural sciences (focus on the grace part- what is good about you) o Looking for concrete tangible data • People in lower economic status will wait longer-- social and economic pressures- shows people avoid seeking health and treatment before they really need it • Hypochondria • Illness can be a self-fulfilling prophecy o Imagination impactsour health • 1. How does a mindful oriented perspective in health psychology differ from Orthodox Western Medicine? • Mindfulness lets you reflect on your health internally • When your mindful you pay attention to multiple perspectives • Orthodox- more in medical model- based on pathogenic interactions.. marginalize other factors that influence health • When you’re mindful, you’re in tune to context Medication as planned or as lived • You have all these pre-assigned ideas • Rockture??? • Give examples • You pay attention to observer and actors perspectives • Ex. Doctors that prescribe without mindfulness • Girl with “anxiety attack”, but was actually a seizure- when mindful you build bridges • Grandmother who came in thinking she had a worm in her head- turned out she had a tumor • Don’t equate mindful with just bio-psycho-social • Mindful- starting from the position that you don’t know-- you look at multiple perspectives 2. How do you explain the role of cultural attitudes and stereotypes about old age and their implications for physical decline? • Episodic memory stays the same • People who assumed that they would decline as they got older, when things meant to be meaningful- you wont forget it • When people remember childhood, more tuned to ethical judgments? • Chinese cultures- some studies that say in china, being “old” is different than here in US • When people are told to focus on negativity, they think things will go differently… • Age shouldn’t make you mindless (E LANGER) • 3. What are the implications of attention to variability and biofeedback? How are they different? • Progressive relaxation and removal of tension • When you become mindful you pay attention to variability • Agency- control over all these factors • The more mindful you become to all these factors, this is under my control- as you increase mindfulness, you pay attention to prism of possibility • Ex. Addiction to smoking- pay attention to why you do • Move in line interms of control and empowerment • The more mindful you become, attention to mindfulness increases • Become more mobilized to possibility to overcoming the problem or disseminating the issue 4. Explain regression to the mean and how to can bring mindlessness in the realm of health psychology? • There’s always a regression to the mean- People regress toward their own mean • When we receive compliments or insults realize that next time you will probably move towards the mean • Ex. Tennis serve • “Every time I get praised, I mess up” • When mindless, your more effected by the context • Why smart people do dumb things • Hubris (I am different than you because I am wonderful) 5. How does the psychology of possibility offer a more positive and less evaluative perspective than most scientific research? • Diagnostic tree • Science tries to figure out hypothesis; in psychology you don’t • I psychology, if 1 monkey can speak, monkeys can speak • In science that’s just unwanted noise • Looks at what can be.. not what is • Ex. At Harvard- this is a hammer, this could be a hammer-- what do you do with it? • Possibility psych is non-evaluative (evaluations make people feel uncomfortable) • Alternative ways of living • Ex. Painter with feet 6. How do psychosomatic (or somatoforma0 disorders question the validity of the biomedical model? • No physiological basis of disorder • Ex. Anno O • Validates the meaning for just looking for organic causes • Distinction v illness • Ex. Blind person who didn’t have any physiological symptoms of this • Ex. Man who was paralyzed, but nothing actually wrong with him • Ex. Gambler- when he got back couldn’t see fathers presence-- somatoform? 7. Your friend is supposed to arrive at 8pm for your dinner invitation and arrives at 9:15. How does a passive, aggressive or a mindful assertive mode of expressiveness approach this situation differently? • Passive: let it go- don’t say anything- bottle up emotions • Nonverbal cues: roll-eyes, cold shoulder, hesitation forms • Aggressive- get over worked up • Feel guilt after and lose friends • Hands on hips, across chest, anger, raising voice • Mindful- XYZ- why you come late, it makes me feel ____ please don’t do that- you don’t carry negativity around- you hurt yourself; attack the problem not the person • Passive and aggressive are both bad for your health • Gestalt- foamy layers of life • Ex. Passive when cant accept compliment 1. Deny it- or belittle
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