CPPP14/CPF10

What is psychophysiological toughness?

Sympathetic nervous system pathway. Pituitary-adrenal-hormonal pathway. "Tough": graded, flexible & proportionate response to stress, i.e. resilience

What is biofeedback used to treat the following conditions and disorders?

Tension & migraine headaches. Chronic pain. Hypertension & cardiac rhythm disturbances. Irritable bowel syndrome & incontinence. Depression (vagus nerve stimulation). Epilepsy & ADHD (controversial). Performance enhancement (military, sports)

What are the most common biofeedback modalities?

Electromyogram (EMG): muscle tension. Higher activity = greater arousal. Galvanic skin response (GSR): sweat gland activity. Higher activity = greater arousal. Temperature: Lower peripheral temperature = greater arousal. Does not necessarily tell you what type of arousal is being measured (anxiety vs. anger) or what physiological or psychological factors may underlie it.

What is problem focused coping?

constructively deal with the causes of stress.

What was problem-focused coping for?

Problem-focused coping traditionally thought to be more mature or healthy than emotion-focused coping, but both may have a role to play in the adaptive response to stressful circumstances. Also consider role of social support & health.

What are organizational wellness programs?

Public agencies (military, police, first responders) & private corporations. Cut down on health costs & reduced productivity by keeping employees healthy. May be on-site or off-site. May offer financial incentives for health maintenance. May involve flexible hours & work conditions. Usually targets diet, exercise & sleep hygiene.

What are less commonly used biofeedback modalities?

Respiration: higher respiration rate = greater arousal. Blood pressure: Higher blood pressure = greater arousal. Electroencephalogram: higher frequency, lower amplitude = greater arousal. More specialized applications to specific conditions or disorders. Direct and indirect applications; e.g. use EMG and temperature regulation to treat hypertension or irritable bowel syndrome. Treating the stress response generally or the physiological response specifically.

What is psych assessment for elective med procedures?

Based on past adverse outcomes, many physicians and medical insurance companies require a basic psychological screening for elective procedures that alter a patient's subjective state or self-image, including: Invasive pain-control surgeries, e.g. spinal cord stimulator or morphine pump. Gastric bypass or gastric banding surgery for weight control. Cosmetic surgeries. Other applications

What is biofeedback?

Can you change physiological behavior (e.g. blood pressure) like you can change overt behavior (e.g. throwing a ball into a basket)? Yes - if you can become aware of the behavior and your effects on it. Biofeedback = Attempts to directly alter physiological functioning, using the behavioral principles of classical and operant conditioning. Typically involves training in some form of low-arousal technique, such as progressive relaxation or meditation, then uses counterconditioning or operant conditioning to change physiological response.

What diseases are exacerbated by unconscious conflicts/contemporary stressors?

Chronic fatigue syndrome. Fibromyalgia syndrome. Migraine headaches. Tension headaches. Irritable bowel syndrome. Ectopic dermatitis. Dermal warts. Type-A personality pattern. Cancer - type-C?

What is health psychology and behavioral medicine?

Clinicians use these terms alternatively and interchangeably, but both refer to the application of psychological and behavioral principles to the improvement or maintenance of physical health. HPBM is where psychology most directly intersects with medical practice and may become fully integrated into medicine in the future: medical psychology. Implications for professional autonomy? HPBM is based on the field of psychophysiology.

What are the classic 6 psychosomatic disorders?

Essential hypertension. Peptic ulcer. Ulcerative colitis Rheumatoid arthritis. Bronchial asthma. Hyperthyroidism.

What are elective medical procedures?

Evaluation usually involves screening for serious psychopathology or personality disturbance that might be associated with poor compliance or adverse reaction to the procedure, such as: Mood disorder. Psychotic disorder. Cluster B personality disorder. Suicidality

How can behavioral principles be used to develop, reinforce, and maintain a healthy lifestyle?

Exercise: for general health, depression, self-confidence. Diet & weight control: involves many factors, e.g. meal scheduling, portion control, exercise, & stimulus control. Addictive behaviors: stimulus control & behavioral self-management. Medical compliance: medication, physical therapy, wound care, lifestyle changes, doctor visits, etc.

What are psychosomatic disorders?

"Psychosomatic disorders." Psychological factors affecting other medical conditions (DSM-5). Psychophysiological disorder = a syndrome in which psychological factors are presumed to influence the onset, course, and/or recovery from a medical illness. Distinct from somatic symptom disorders (somatoform disorders).

What is the treatments for psychophysiological disorders?

Abreactive therapy. Psychodynamic exploration. Biofeedback. Behavioral medicine. Lifestyle changes. Cognitive-behavioral therapy. Coping skills training: self-efficacy. Family & psychosocial modalities. Treating the symptom or the patient? Role of MH professionals in medical treatment.

What are the types of stress?

Acute stress. Chronic stress. Posttraumatic stress. Levels of stress. Resilience: resistance to, and recovery from, stress.

What are psychophysiological disorders?

Involve measureable changes in physiological functioning in response to psychological factors. Reflect interaction of mind-brain-body environment. There is virtually no physiological system in the body that cannot be affected by psychological factors. Effects may be historical or current. Treatment may include both medical & psychological approaches

What is general adaptation syndrome?

Stage of alarm=> Stage of resistance => Stage of exhaustion

What do evaluations feature?

Patient's general medical history. History of the current disorder for which he/she is seeking the procedure. Past efforts to deal with the disorder and successes and failures. Patient's understanding of the proposed procedure. Patient's understanding of the likely outcomes of the procedure. What will the patient do if the procedure is not successful?

What is emotion focused coping?

focus on reducing effects of stressor, on feeling better, without necessarily addressing the causes.

What is apparatus-assisted biofeedback?

use an electronic transducer to amplify an otherwise imperceptible physiological signal, which is then fed back to the subject to learn how to control. Subject is training in a low-arousal or behavioral control technique to alter the amplified signal (visual or auditory) and, by extension, the physiological process underlying it. Lie detector in reverse?