To what extent to biological, cognitive & sociocultural factors
influence human relationships? BIO Evolution Hormones & Neurotransmission Marazitti et al (1999) role of serotonin. Low in OCD, new love (6 months). Wedekind (1995) MHC gene in mate selection. Shirt sniffing. Capgras Syndrome COG Markey et al (2007) describe ideal partner & self Chen & Anderson (1999) transference describe liked and unliked significant other. Meet new person w/ rigged description transfer SOCIO Festinger (1950) proximity MIT college students survey Zajonc (1971) familiarity shown photos & rate
Distinguish between altruism & prosocial behaviour Altruism: behaviour that benefits others or has positive social consequences Empathy altruism see empathy aroused help (feel good) Neg-state relief see feel neg. affect help to relieve Empathic joy see desire to act/pos effect on victim help Genetic determinism see unconscious desire to help similar genes help to maximize chances of survival
Prosocial: benefits another person, sometimes at a cost (unclear)
Contrast 2 theories explaining altruism in humans KIN Simmons et al (1977) kidney donors (parents and siblings), and recipient to rate relationship with donors/non-donors. Madsen et al (2007) UK & South Africa sitting against wall (40p 20 seconds, or food). Africa didnt distinguish between cousins & biologically close. Empathy-Altruism Batson et al (1981) Elaine number recall & shocks. Description high/low empathy. Given easy/hard escape. High emp help. Low emp easy escape. Toi & Batson (1982) Carol recording, broke legs. High/low empathy (feelings or information focus). Easy/hard escape (Carol stuck at home or back next week). Given opportunity to help high emp more likely.
Explain cross-cultural differences in prosocial behaviour Whiting & Whiting (1975) 6 countries (US, Japan, India, Kenya, Philippines, Mexico), 3-11yrs children observed helping behaviour. Kenya, Philippines & Mexico most, USA least. Factor chores. Miller et al (1990) role of cultural norms and moral values in perceived social responsibility. 400 interviews USA, Hindus parent/child, friend/friend, person/stranger. Life threatening, moderate, minor. Hindus moral duty for all. US social responsibility as personal choice. Levine et al (2001) 36 US cities, 23 world cities. Helpfulness. Dropped pen, magazine w/ broken leg, blind person crossing, remailing letter. o US - small/med SE cities most helpful. Large NE cities least. o Global blind person Rio de Janeiro, San Jose, Lilongwe, Madrid & Prague every time. Kuala Lumpur & Bangkok . NYC 1/3 o Highest 2 Rio & San Jose o Against simpatico hypothesis fast Copenhagen & Vienna = kind. Kuala Lumpur = not kind.
Factors influencing bystanderism Latane & Darley (1970) Theory of Unresponsive Bystander Diffusion of responsibility Pluralistic Ignorance Evaluation Apprehension Latane & Darley (1968) Cognitive Decision Model (if one is unmet, no help) Notice situation Interpret it as an emergency Accept some responsibility for helping even if others present Consider how to help Decide how to help Diffusion Latane & Darley (1968) 59 females, 13 males. Discussed problems new college students could have via microphone in single booths. Confederate staged seizure. IV number told bystanders. DV time. Alone 85% reported, 4 bystanders, 31% reported. Excuses didnt know what to do, what was happening, fake. Pluralistic Ignorance Latane & Darley (1969) sat in waiting room before experiment. Experimenter fell and cried from next room. Some confederates didnt react. Reacted quicker when alone, not next to confederate. Felt anxious at scream, but others calm, so didnt react. Cognitive Arousal Cost Reward Model Pilliavin et al (1960) Subway Samaritan IVs (type drunk/sober, race black/white, helping models yes/no, size witness group). DVs (frequency & speed of help, race & sex of helper, comments). NYC Subway 11am-3pm. Victims (3 white, 1 black). Collapsed. Model instruction after 70s. 93% helped spontaneously, 60% more than 1 helper.
Biological, psychological and social origins of attraction BIO Neurobiology Fisher et al (2003) blood flow in brains (fMRI) of 20 men and women madly in love. Questionnaire rate love and statement. Look at photos of loved one distraction neutral. Brain reward system activated when looking at loved one. Genes Wedekind (1995) 49 men, 44 women. Body odour plays a role in attraction MHC genes related to immune system protect against pathogens. Women prefer men with unlike MHC genes. Pregnant mice prefer similar. PSYCHOLOGICAL Newcomb (1961) field study, student dorm to see if friendship formation was influenced by attitudes/values. 17 male students. Questionnaires similar attitudes became friends. Markey et al (2007) 103 female, 66 male undergrads (m. age = 19). Questionnaire rating their personality. Described personality ideal romantic partner. Filler questions. All wanted similar partner. Follow up study high love/harmony more typical when different in ways. SOCIAL Festinger et al (1950) MIT students proximity 3 close friends survey. Closer room = more likely to be close or best friends. 65% same building, 41% next door, 22% 2 doors, 10% same hall. Zajonc (1971) Familiarity shown pictures of strangers and rated. Shown more often higher rating.
Discuss the role of communication in maintaining relationships. Attributions Fletcher et al (1987) to see if patterns in attribution related to relationship satisfaction factors (happiness, love, commitment). USA undergrads. Questionnaires. 2 months later, those still in relationship questionnaire & free-response description of relationship. High satisfaction higher dispositional attribution (positive), neg. behaviour (situational). Bradbury and Fincham (1990) meta-analysis happy spouses = focus on positive behaviour as part of their character (dispositional), negative (situational). Unhappy spouses = opposite. Communication Levenson & Gottman (1983) 30 couples observed having a low conflict discussion and high conflict discussion. Marital dissatisfaction high levels expressed negative emotion and return of. Physiological measure taken. Same for unhappy couples (stress response) Gottman & Krokoff (1989) compared 2 longitudinal observations of couples in low/high conflict at home/lab. Only negative sign if it couldnt be resolved. Anger/disagreement not associated with dissatisfaction over time. If solved more satisfied. Avoiding conflict less satisfied.
Role of culture in formation & maintenance of relationships FORMATION Goodwin (1995) passionate love is a Western phenomenon. Marriage culmination of loving relationship. Opposite for arranged. Gupta & Singh (1992) Indian marriages for love decreased love in 5 years. Arranged increased. Dion & Dion (1993) traditional societies marriage is an alliance between 2 families. USA companionship between 2 people in love, not for children or economic/social support. Buss (1994) 2 questionnaires, 10,000 people, 37 cultures. 36/37 women ranked financial prospects higher than men All men want younger, women want older 23/37 males rate chastity more important Love rank USA (1), Iran (3), Nigeria (4), China (6) education, health, ambition, chastity, domestic skills high MAINTENANCE Matsumoto (2004) Americans marry who they love, not love who they marry.
Why relationships change or end EQUITY & SOCIAL EXCHANGE THEORIES Kelley & Thibaut (1959) Social Exchange Theory maintained through cost-benefit analysis. Hatfield (1979) 2000 couples. Deprived, under benefited extramarital sex quicker and more than fairly treated. Clark & Mills (1979) romantic relationships based on sharing & belonging, not equity principles. Individuals interpreted partners tendency to reciprocate as not wanting romantic relationship. ATTACHMENT STYLES Tidwell, Reis & Shaver (1996) less intimacy and enjoyment in interacting with current/potential romantic partners. Lopez et al (1997) seeks closeness, but experiences anxiety/shame because feel unworthy Simpson (1996) tested role of attachment style by how a sensitive topic was discussed. Questionnaire to identify. Discussion. Insecurely attached (preoccupied) anxious and negative strategies negative feelings, harmed relationship. Secure most constructive resolution. STUDIES Flora & Segrin (2003) investigate how shared interests and spending time together was a predictor of relationship quality. Married vs. dating. Interview on emotional. Break up most important predictor was common interests and activities. Staying together quantity of negative feelings. Women frequency own negative feelings (break- up) Duck (1992) meta-analysis to predict end of relationship divorced parents, teen marriages, different backgrounds, lower socio-economic, many previous sexual partners.
Evaluate sociocultural explanations of the origins of violence Social Learning Theory (SLT) Bandura (1961) Bobo doll watch aggression imitated aggression Totten (2003) Canadian study on girlfriend abuse. Use violence to construct masculinity after observing in family as justified and necessary. 30 boys, all used physical and sexual violence against girlfriends if they didnt behave, to control & maintain honour. Subcultures of Violence Theory Wolfgang & Ferracuti (1967) Theory violent values violent behaviour because subcultural values act as form of social control. To defend, maintain honour/status. Berburg & Thorlindson (2005) Iceland survey, 49 public schools, adolescents. How often engaged in violent acts. Large impact of conduct norms on aggressive behaviour many conformed to group norms. Pressure to respond to personal attacks w/ aggression = social control. Deindividuation Theory Zimbardo (1969) female undergrads to shock another student. Half wore coats & hoods, no name tag. Other half normal clothes, name tags, introduced, could see each other. Told something about participant (e.g. honest, critical). Hooded 2x shocks, didnt vary on description. Normal related shock to description. Obscured identity decreased consciousness/accountability
Discuss relative effectiveness of 2 strategies for reducing violence Group Treatment (Duluth) Robertson (1999) 3 problems treating violent men culture/society accept violent behaviour, worked in the past/positively reinforced, unwilling to submit to therapist Shephard (1992) recidivism rates 5yrs post Duluth intervention 40% convicted of assault or police attention. Dutton et al (1997) recidivism higher than stats because abuse is covert. Certain personality traits & substance abuse good indicators. Primary Prevention in Schools Olweus Bullying Prevention Program Olweus (1993) Norway 2500 kids, yrs 5-8. Observations & questionnaires to students/teachers. Teachers trained, supervised lunch & play etc. 50% reduction in bullying incidents. Improved satisfaction, order, discipline etc. Replication lower. Metropolitan Area Child Study (MACS) for Preention of Aggressive Behaviour and Violence in Children MACS Research Group (2002) - 2200 elementary students, USA. Intervention 8 years. Mainly ethnic minority groups, poor. 4 conditions control, full, only classroom, classroom and social skills training for high risk children. No effect on aggression overall, impact on subgroups. Full, low risk school less aggression compared to control. Most effective in full. Ferguson et al (2007) meta-analysis school absed programs. Ineffective overall in reducing bullying/violence. Due to rewards?
Discuss effects of short-term & long-term exposure to violence SHORT Shalev (1995) 12 survivors, PTSD, Israeli bus attack. Interviewed after, and 10 months after. First intrusive, fear, no avoidance coping. Second decreased intrusive, large avoidance coping PTSD Schuster et al (2001) reaction to 9/11. Telephone interviews, 560 adults. Indirect exposure stress. 90% small, 68% moderate, 44% very. NYC worst. 44% anticipated attacks next 5 years. Correlated with TV viewing. LONG Wang et al (2010) depression fro cyber bulling greater than FTF Carney and Hazler (2007) cortisol levels in saliva tested morning & before recess. Anticipation bullying high levels cortisol and anxiety. Long term exposure low cortisol. Mynard et al (2000) Victim scale questionnaire given to British pupils (331). 40% experienced bullying (physical, verbal, exclusion, property damage). Social exclusion more likely PTSD.
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Discuss validity & reliability of diagnosis RELIABILITY Inter-Rater Low Nicholls et al (2000) DSM (.36), ICD (.63), GOS (.87) child eating disorders Low Cooper et al (1972) NYC 2x likely to diagnose schizophrenia. London 2x mania/depression. Same video. High Pedersen et al (2001) Danish GPs use ICD-10. 0.71 reliability depression. Test-Retest Lipton & Simon (1985) NYC hospital rediagnosed. Original 89 schizo 16 re-eval. 15 mood 50 Mary Seeman (2007) schizophrenia diagnosis open to change due to symptoms being misdiagnosed problem of test-retest VALIDITY Rosenhan (1973) 1- 8 healthy people getting into psych hospital Rosenhan (1973) 2 told staff pseudo-patients would come. 41 real
Discuss cultural and ethical concerns in diagnosis Ethical Correct Diagnosis Rosenhan Stigmatization Read (2007) people fear dangerousness and unpredictability of diagnosed. Reluctant to enter romantic relationship. Sato et al (2006) Japan renamed schizo. 40% never informed. Self-fulfilling prophecy Doherty (1975) reject label, improve quicker Discrimination Langer and Abelson (1974) job experience video. Told applicant v patient. Racial Bias Jenkins-Hall & Sacco (1991) European American therapists vs African American depressed/not depressed and European American depressed/not depressed. Confirmation Bias Rosenhan (1973) trouble getting out. Cultural Ballanger et al (2001) variations culturally dont reflect social/medical reality factors of diagnosis, lack of appropriate instruments. Culture bound syndromes Zhang et al (1998) 16 of 20,000 reported mood disorder. Tseng and Hsu (1970) Chinese concerned with body manifest neurasthenic symptoms similar to physical depression Kleinmen (1982) Similar to depression in DSM-III. 87% classifiable as depressed. Mood only given 9% cases. Somatic. Cultural Bias Beck (1982) minority group shows same symptoms as white same disorder, may not be true.
Describe symptoms and prevalence (depression & bulimia) Depression Poongothai et al (2009) Chennai South India, 15.9 prevalence. Patient Health Questionnaire. Depressed mood (30.8%), fatigue (30%), suicidal thoughts (12%) Weisman et al (1996) 19% Beirut, 1.5% Taiwan Levav (1997) increase in Jewish males Bulimia Drewnowski et al (1988) telephone survey, USA studets. 1% women, 0.2% men. 2.2% undergrad women on campus. Keel & Klump (2003) meta analysis. Increase 1970-1993
Analyse etiologies of depression & bulimia Depression Hammen (1997) 4 biological reasons families, meds start/stop, physical symptoms. Hagen et al (2004) evolutionary perspective to signal need and elicit help Genetics Sullivan et al (2000) meta-analysis. 21,000 twins. MZ 2x likely if co-twin had disorder. Genetic influence 31-42% Neurobiological Rampello et al (2000) imbalance of noradrenaline, serotonin, dopamine, acetylcholine Lacasse & Leo (2005) no finite evidence neurotransmitter role Cognitive Ellis (1962) cognitive style theory (psychological disturbances from irrational thinking false conclusions) Beck (1976) negative triad Cognitive Distortion Theory Boury et al (2001) correlation negative automatic thought & depression severity. Sociocultural Brown & Harris (1978) Life Events & Difficulties Scale. 82% depressed recently experience sever life event. Vulnerability model. Bulimia Genetics Kendler et al (1991) twins - increase incidence in families. 2163 twins. 23% concordance MZ, 9% DZ Cognitive Perceptual Distortions - Fallon and Rozin (1985) shown images, indicate own shape, ideal figure, most attractive opposite sex. Cognitive Disinhibition Polivy and Herman (1985) dieters/non dieters taste test. Milkshake. Icecream. Dieters ate more. Sociocultural Jaeger et al (2002) 1750 med/nursing students. 10 silhouettes, BMI, dieting. Sig dissatisfaction northern Mediterranean, European. Non western = lowest. Role of media
Discuss cultural/gender variations in prevalence Depression GENDER Nolen Hoeksema (2001) women 2x likely men, little support women more depressed only because of sex hormones, women have less power/status (sociocultural)/ role strain hypothesis CULTURE Weissman et al (1996) depression v bipolar in 10 countries. Vary 19% Beiruit, 1.5% Taiwan. Onset age 24-34 Bulimia GENDER Makino et al (2004) 11 Western countries. More females. Currin et al (2005) UK. 94/1000 female, 5/1000 CULTURE Makino et al (2004) Western prevalence 0.3-7.3%. Non- western to 3.2% Jaegar et al (2002) nursing students, silhouettes. West/non.
Biomedical, individual, group approaches to treatment BIO - Neale et al (2011) anti-depressants v placebo. Anti- depressants 25% relapse, 42% meds then stopped. Depression. CBT Depression - Paykel et al (1999) 158 patients, 1 depression episode. 29% relapse in CBT group effective as well as meds. Bulimia Wilson (1996) 55% CBT didnt purge after therapy, and those who did, did so less (86% reduction) IPT Depression - Fairburn et al (1993) less effective than CBT post- treatment. 1-6yrs follow up equally effective. Group Bulimia Proulx (2008) 8 week MBCT intervention. Increased control of emotional/behaviour extremes. Depression Kuyken et al (2008) MBCT, meds. Med relapse 60%, MBCT 47%. MBCT 75% off meds, all decreased. Mutlaq & Chaleby (1995) problems in Arab countries.
Use of biomedical, individual, group treatments in depression Biomedical Janowsky et al (1972) stem from imbalance in neurotransmitters. Drug to decrease noradrenaline depression. Arrol et al (2005) 12 efficacy studies, SSRIs, tricyclics, placebo. SSRIs and TCAs more effective than placebo. Elkin et al (1989) 50% recovered in CBT, IPT, drug groups, 29% placebo. 280 patients, best controlled. Individual Luty et al (2007) IPT and CBT 8-19 sessions in 16 weeks. No difference in 2 forms. CBT more effective for major depression (57% response, compared to 20% IPT) Group Toseland and Siporin (1986) 74 studies individual v group. Group effective as individual 75%, more 25%. MBCT Kuyken et al (2008) MBCT, meds. Med relapse 60%, MBCT 47%. MBCT 75% off meds, all decreased.
Eclectic Treatment Antidepressants and Cognitive Therapy DeRubeis CT alone just as effective. Respond in first 8 weeks compared to drugs. No statistical significant better drugs than CT (27% v 37%) Klerman et al (1974) relapse highest for patients in placebo alone (36%), anti depressants alone (12%), IPT alone (16.7%) Antidepressants & Chinese Herbal Liu Jing Geng & Zheng Hong Yue (2002) 11 Chinese herbs, antidepressants. 41 cured from herbs v 36 from antidepressants. All showed improvement in herbs, 2 didnt in meds. 8/14/2013 9:02:00 PM
Joseph P. Goldberg & Carrie L. Ernst & Stephen M. Stahl - Managing The Side Effects of Psychotropic Medications-American Psychiatric Publishing (2012) PDF