Sunday, October 19, 2014

Anxiety, Mood/Affective, Dissociative/Somatoform Analysis





     Looking at abnormal behaviors from within their different components provides psychologists additional information in which to analyze the effect of a specific disorder.  However, it can also help to identify any overlapping factors that can be useful in identifying the different disorders and their treatments.  To analyze anxiety, mood/affective, and dissociative/somatoform disorders one must turn to the individual components that feed into them, namely biological, emotional, cognitive, and behavioral.
Analyzing Anxiety Disorders
Biological Components
     Anxiety disorders affect the entirety of the human body because of the extensive physiological reactions that take place as a reaction to a perceived danger.  Not only does the autonomic nervous system (ANS) that regulates the involuntary bodily system activate but the sympathetic nervous system (e.g., adrenal glands, and stress hormones) and the parasympathetic system (e.g., calming and energy functions) activate too; in essence putting the entire body on full alert.  
Emotional Components
     Irrational fears or unacceptable impulses thought to be repressed, anxiety disorders stem from a form of internal or external childhood fear or situation and, according to Hansell and Damour (2008), the “anxiety symptoms [are] based on the defense mechanisms associated with them” (p. 153).
Cognitive Components
     Misinterpreted (e.g., overestimated or underestimated) dangers or consequences create dysfunctional cognitive schemas, which give way to negative automatic thoughts.  It is known that these negative thoughts add to specific anxiety disorders (e.g., GAD, panic disorder, specific, and social phobia, agoraphobia, OCD, and PTSD).  Furthermore, such thinking also leads to avoidant behaviors that prevent the extinction of anxiety and continue to associate his or her disorders (Hansell & Damour, 2008).     
Behavioral Components
     Anxiety disorders are derived through three distinct behavioral components: classical conditioning, operant conditioning, and modeling.  All three components are based on a learning method; however, how that learning takes place determines how the behavior takes shape.  With classical conditions learning creates automatic mental associations, such as the white rat with a freighting noise.  Operant conditioning is based on reinforcement, which explains how a predisposition (negative thought) can be reinforced into a phobia.  In modeling people simply learn by watching what others do and how they react, thus good and bad behaviors can be passed on.
Analyzing Mood/Affective Disorders
Biological Components
     Mood and affective disorders include genetic, neurochemical, and hormonal contributions, which indicate that depression and depressive disorders are likely inherited (Hansell & Damour, 2008).  Studies indicate those with the 5-HTT gene are predisposed to depression, which can surface under specific conditions (e.g., heightened life stressors) and that severely depressed individuals have high blood cortisol levels.  In addition, bipolar disorders, while shown to be highly genetic “seem to be linked to anomalies in the amygdala, prefrontal cortex, and cerebellum” (Soares & Innis, 2000; as restated by Hansell & Damour, 2008, p. 183).
Emotional Components
     Freud’s Mourning and Melancholia (1917) provided psychologists with the first terms of depression (Hansell & Damour, 2008, p. 196).  Depression causes people to react to specific situation as though he or she were in mourning; focusing on the losses, disappointments, and excessive frustrations of life rather than the postive aspects. 
Cognitive Components
     Negative cognitive triad is a pattern of negativity thinking that a person develops.  Depression prone individuals find themselves automatically generating negative thoughts that perpetuate depressive behaviors and create a type of learned helplessness.   
Behavioral Components
     Negative behaviors are thought to be the result of poor social skills, low reinforcement potential, such as inability to enjoy positive events, and a hypersensitivity to negative events.  Behavioral and cognitive factors combine to contribute to vicious depressive cycle (Hansell & Damour, 2008). 
Analyzing Dissociative/Somatoform Disorders
Biological Components
     People who suffer from dissociative and somatoform disorder have family with similar experiences.  According to de Wall et. al., (2004) as restated by Hansell and Damour (2008),
 “many people who suffer from somatoform disorders also experience comorbid depression and anxiety, sometimes as a result of incapacitation due to conversion, somatization, or pain symptoms, constant hypochondriacally health concerns, or social and occupational isolation that typically accompanies body dysmorphic disorder” (p. 240).
Emotional Components
     Hysterical conversion, explains Hansell and Damour (2008) is a term used by Freud and Breuer to explain those uncomfortable emotions that change into physical symptoms.  Of course Freud was referring to sexual tensions, but psychodynamic theorists explain that these feelings come from any emotional repression such as that of “anger, jealousy, sadness, or sexual excitement” (p. 237).  Therefore, physical distress can be a form of unconscious emotional distress.  
Cognitive Components
     Emotional distress finds an outlet through dysfunctional thinking in turn maintaining somatic symptoms.  Hyper sensitizing one’s aches and pains intensifies them into catastrophic terms, in turn creating anxiety and feelings of distress.  However, cognitive restructuring is possible to improve irrational and problematic thinking (Hansell & Damour, 2008).   
Behavioral Components
     As science continues to identify the connection between the mind and body perhaps there will be a better understanding of the link between the two.  Furthermore, operant conditioning indicates that disassociating oneself emotionally is a reinforced behavior.  In similar situations the associations between somatization disorders and disassociation disorders have been linked to sexual abuse as a child or other sexual or physical trauma as an adult.  Unexplained physical complaints have led doctors to ask questions about abusive histories.    
Conclusion
     Learning about the behavioral disorders and the components that affect specific disorders allows a more comprehensive understanding of the biological predispositions that provide people with the ability to function.  It also provides a better understanding of the emotional, cognitive, and behavioral development components as well that enable a complete picture of each specific disorders effect on one’s life.  As a student breaking down each components role enables a better opportunity to understand the devastating effects these disorders have on the physiology of people’s lives.




 

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