PSY140 Final: PSY143 ESQ NOTES (W6-12)

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12 May 2018
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WEEK 6 POWERPOINT NOTES
Early Theoretical Perspectives
Of Trauma
EARLY THEORIES OF POSTTRAUMATIC STRESS RESPONSE: CONDITIONING
THEORIES
Mowrers Two-Factor Learning Theory (1960)
Based on the principles of conditioning
The trauma event itself was powerful enough to elicit a fear response acquired
via classical conditioning
Classic Conditioning Pavlovs dog was classically conditioned to salivate at the sound
of a bell
conditioned stimulus (the sound of a bell) is paired with and precedes the
unconditioned stimulus (the sight of food, which makes the dog salivate)
this is repeated until the conditioned stimulus alone (the sound of the bell) is
sufficient to elicit the response (as salivation in a dog)
What this means in Conditioning Theories of Trauma
a neutral stimulus presented within the environment during the event is also
capable of arousing fear through the processes of stimulus generalisation (e.g.,
Keane, Zimering & Caddell, 1985)
In most PTSD theories the conditioned fear response was, and still is, considered to
develop in the context of a dose-response relationship
event characteristics (e.g., severity and duration) determine the strength of the
conditioned response (American Psychiatric Association, 2000, p. 464)
The second factor implicit in the conditioning theory perspective relied on the
principles of Instrumental Conditioning
conditioning that occurs when reinforcement or punishment are used to either
increase or decrease the probability that a behaviour will occur again in the
future
Higher-order conditioning and stimulus generalisation considered responsible for
increased avoidance behaviours of internal and external conditioned cues that elicited
the trauma memory (Fairbank & Nicholson, 1987)
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Keane et al (1985) applied Mowrers Two-Factor Learning Theory to understanding
posttraumatic symptoms in a sample of Vietnam War Veterans
Hypothesis exposure to combat trauma was intense enough to generate
conditioning to many stimuli (including harmless stimuli) in turn, triggering
memories, anxiety and physiological arousal within the individual
Maintenance of such associations and symptomology occurred via the avoidance
strategies engaged in by the individuals
This was because avoidance strategies reduced fear in turn, reinforcing those
strategies (instrumental conditioning)
EARLY THEORIES OF POSTTRAUMATIC STRESS RESPONSE: INFORMATION
PROCESSING AND NETWORK THEORIES
Information Processing Theories grounded in the cognitive school of thought
underpinned by associations between emotion, memory and neuro-physiological
reactivity
takes into account the social cognitive position successful processing of
trauma information requires integration of the trauma information into existing
schemata
Bio-Informational Theory (Lang, 1979, 1994)
emotional experiences are organised and represented in memory networks
Fear memories a network of three broad categories of interconnected points
of information:
1. Stimulus Information a representation of perceptual information (e.g., the
sights and sounds of trauma)
2. Response Information represents the physiological and behavioural reactions
to the trauma event
3. Meaning
Dynamic between these three categories of information results in representations of
the trauma in memory
that enable the individual to respond quickly and appropriately (fight or flight
from danger) should the same or similar event arise in the future
process is facilitated by the storing of the emotion of the event in the memory as
an information structure
(including stimuli responses and the meaning assigned to the initiating stimulus
and response information) (Lang, 1994)
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Foa et al. (1989) encoding of trauma events occurs via a fear network of associated
points of trauma-related information
fear structures in memory comprise:
1. stimulus information about the trauma event
2. response information (physiological and behavioural response)
3. information about the meaning of the stimulus and response elements
Fear network an information structure of escape and avoidance behaviour
different to other memory stores as the meaning assigned within this
structure is one of danger
Foa et al. (1989) meaning of the event, and more specifically the level of significance
in challenging pre-trauma beliefs about safety fundamental to understanding the
development and maintenance of trauma symptoms
This proposition was unlike the theories of information processing put forward
by theorists such as Lang (1977) argued that emotion was central to
understanding trauma reaction
The violation of previously held safety beliefs, coupled with physiological arousal
was suggested by Foa et al. (1989) to create a specific type of representation in
the memory that is differentiated from non-trauma memories
Trauma events were thought to create strong associations between fear nodes that
represent behavioural and physiological responses to the event
unlike the weaker associations of a non-traumatic event and non-fearful or
neutral mood states
These strong associations in turn, lead to a far more readily activated fear
response in the presence of trauma and/or safety belief cues.
Foa et al. (1989) outlined a number of reasons for corrective information being
difficult to integrate in an attempt to explain the development and maintenance of
symptomology
Primary to these reasons
the incompatibility of trauma events (which are uncontrollable and
unpredictable in nature) with pre-trauma models of events occurring in an
individuals life in a controllable and predictable way
Individuals who have widespread fear networks display
heightened attentional biases for threat and fear stimuli
and an exaggerated perception of the likelihood of actual danger
heightened sensitivity to threat cues leads to persistent activation of the fear
network
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Document Summary

Theories: based on the principles of conditioning, the trauma event itself was powerful enough to elicit a fear response acquired. What this means in conditioning theories of trauma : a neutral stimulus presented within the environment during the event is also capable of arousing fear through the processes of stimulus generalisation (e. g. , Higher-order conditioning and stimulus generalisation considered responsible for increased avoidance behaviours of internal and external conditioned cues that elicited the trauma memory (fairbank & nicholson, 1987) The violation of previously held safety beliefs, coupled with physiological arousal : was suggested by foa et al. (1989) to create a specific type of representation in the memory that is differentiated from non-trauma memories. Early theories of posttraumatic stress response: social cognitive. Duration of symptoms (avoidance, numbing and intrusions) is contingent on the ongoing working-through process (as trauma information remains in active memory) thus, when assimilation of the trauma information is prolonged, so too are the corresponding trauma symptoms.

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