depression. cognitive explanations of depression

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Page 1: DEPRESSION. Cognitive explanations of depression

DEPRESSION

Page 2: DEPRESSION. Cognitive explanations of depression

Cognitive explanations of depression

Page 3: DEPRESSION. Cognitive explanations of depression

Ao2

What did it show?

ECOLOGICAL VALIDITY

ETHICS

ANTHROPOMORPHIC

Page 4: DEPRESSION. Cognitive explanations of depression

SELIGMAN

GROUP ONE– Harnessed up and then let go.

GROUP TWO - Dogs subjected to ELECTRIC SHOCK (with no way of controlling this)

Page 5: DEPRESSION. Cognitive explanations of depression

Day TWO

Dogs then placed in a SHUTTLE BOX – The boxes were split into two sides, one where dogs were subjected to electric shocks, one where the dogs were safe.

Could avoid shocks by jumping across barrier.

Group one dogs jumped over.

WHAT DO YOU THINK GROUP TWO DOGS DID?

Page 6: DEPRESSION. Cognitive explanations of depression

HIROTO, 1974

PPT’s exposed to LOUD, UNPLEASANT NOISE which they couldn’t turn off.

Faced in front of a FINGER SHUTTLE BOX (had a handle of the top)

Moving handle stopped noise.

When NOISE began they PASSIVELY ACCEPTED IT

Page 7: DEPRESSION. Cognitive explanations of depression

PPT’s who hadn’t been exposed to noise learned to move the handle

and stop the noise.

Page 8: DEPRESSION. Cognitive explanations of depression

Seligman’s hopelessness theory of depression

An attribution is an explanation of why something happens (the cause of behaviour)

Depression results from the explanations people give for their behaviours.

Page 9: DEPRESSION. Cognitive explanations of depression

Depressed people attribute behaviour to three causes

1) Internal –coming from within- blame themselves

2) Stable – an enduring trait-things will always be that way

3) Global – affects all aspects of life

Page 10: DEPRESSION. Cognitive explanations of depression

Example

“I’m inadequate, I will always be inadequate and I am inadequate at everything”

Page 11: DEPRESSION. Cognitive explanations of depression

Evidence for

Metalsky (1987) looked at students who did badly in their psychology exam.

Two days after, those who attributed failure to internal, stable and global causes continued to be mildly depressed.

Students who made different attributionse.g. ‘the exam was really hard’ had recovered.

Page 12: DEPRESSION. Cognitive explanations of depression

AO2 – LEARNED HELPLESSNESS

CAUSE or EFFECT? – Does depression cause learned helplessness?

ECOLOGICAL VALIDITY – e.g. Hiroto and Seligman

Page 13: DEPRESSION. Cognitive explanations of depression

Evidence against

Cannot generalise Metalsky’s study to major depressive disorder which is more severe.

Cannot explain where attributions come from in the first place – problems with addressing this.

Do attributions precede or follow depression – difficult to establish cause and effect.

Page 14: DEPRESSION. Cognitive explanations of depression

Often done in LABS (e.g. Hiroto and Seligman)

When done with humans, samples are often STUDENTS – SAMPLE BIAS.

Much evidence comes from ATTRIBUTIONAL BIAS QUESTIONNAIRE - some researchers believe forces people into a type of thinking that doesn’t reflect that of real life (ANDERSON ET AL, 1994)

Page 15: DEPRESSION. Cognitive explanations of depression

Beck’s cognitive theory of depression

Emotions are controlled by cognitive schemas (mental constructions of the world).

People’s experiences are understood in the light of these schemas.

Schemas develop as a result of childhood experience.

Page 16: DEPRESSION. Cognitive explanations of depression

Beck’s cognitive theory of depression

Emotions are controlled by cognitive schemas (mental constructions of the world).

People’s experiences are understood in the light of these schemas.

Schemas develop as a result of childhood experience.

Page 17: DEPRESSION. Cognitive explanations of depression

Negative thinking

People who become depressed have negative cognitive schemas

This can lead to errors in thinking. Examples include overgeneralisation or selective abstraction.

Page 18: DEPRESSION. Cognitive explanations of depression

Example

OVERGENERALISATION – drawing a conclusion from a particular event and applying it generally

SELECTIVE ABSTRACTION – forming conclusions based on isolated detail whilst ignoring contradictory evidence

Page 19: DEPRESSION. Cognitive explanations of depression

Cognitive triad

Errors in thinking can produce a negative cognitive triad – negative views of (1) self (2) world and (3) future

“I am worthless, the world is a miserable place, the future is hopeless”

Page 20: DEPRESSION. Cognitive explanations of depression

Evidence for

Research indicates that compared to nondepressed people, depressed individuals have more negative

thoughts about themselves, the world and the future.

Page 21: DEPRESSION. Cognitive explanations of depression

Evidence against

However, does negative thinking precede the onset of depression or does it result from it.

According to Davison & Neale (1998) ‘ depression can make thinking more negative, and negative thinking can probably cause and worsen depression’.

Page 22: DEPRESSION. Cognitive explanations of depression

LONGITUDINAL STUDIES

More of these are needed

BARLOW and DURAND (1999)

Temple Wisconsin study - non-depressed university students

First two years of this study suggests NEGATIVE thinking precedes DEPRESSION.

Page 23: DEPRESSION. Cognitive explanations of depression

17% of high risk ppts (high scores on negative thinking) at the

beginning of the study started went on to develop depression as

opposed to 1% of low risk ppt’s (low scores on negative thinking)

Page 24: DEPRESSION. Cognitive explanations of depression

Evaluation of cognitive theory

takes account of cognitions and looks at depression from the patients perspective. Important to be patient focused. Cognitions may vary from person to person.

PRACTICAL APPLICATIONS– success of CBT based on Beck’s theory (used extensively on the NHS)

Page 25: DEPRESSION. Cognitive explanations of depression

CAUSE and EFFECT issues

ETHICAL ISSUES– blames the individual for their own negative thoughts

REDUCTIONIST

Page 26: DEPRESSION. Cognitive explanations of depression

DIATHESIS-STRESS MODEL

Interaction between DIATHESIS (predisposition) and STRESS (from the environment)

Caused by ‘TRIGGERS’.

Stressful events may lead to depression.

WEISSMAN et al, 1991 – depression rates from people who are SEPARATED/DIVORCED is 3 TIMES HIGHER than in married people.

Page 27: DEPRESSION. Cognitive explanations of depression

TAKES INTO ACCOUNT different theories (e.g. Lock and key, genetics) but also

accounts for ENVIRONMENTAL FACTORS.