PSY 100 Lecture Notes - Lecture 21: Santa Barbara City College, Aaron T. Beck, Twin

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Genetic factors: in major depression concordance rate higher for identical twins than fraternal twins (67% vs. 15% concordance, 50% of people with bipolar disorder have a close relative diagnosed. Neurotransmitters: under activity of norepinephrine, dopamine and serotonin in depression. Depressive cognitive triad: internalizing; stabilizing, globalizing. Depressive attributional pattern: success = factors outside self, negative outcomes = personal factors. Antidepressants work by increasing the activity of dopamine, norepinephrine and/or serotonin: mao inhibitors, tricyclics, ssri. Role of irrational and self-defeating thought patterns. Help clients discover and change cognitions that underlie problems. The way you interpret a situation affects your emotions and behaviours. Sort out ideas (cognitions) that underlie maladaptive emotional response (depression) Formulates ways of testing the cognitions (gently: e. g. I didn"t get into vet school, therefore, i"m worthless. Goal is to reprogram automatic thought patterns so not self-defeating and self-fulfilling. Must expose and challenge irrational thoughts (can be confrontational)

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