3. STRESSORSMEDIATORS OUTCOME PEARLIN - STRESS PROCESS

4. DIFFERENCES WITH SRRS

6. STRESS PROCESS 1. MUST LOOK AT CONTEXT AND MEANING

7. DIMENSIONS OF STRESSFUL LIFE EVENTS DESIRED VS. NOT DESIRED UNEXPECTED VS. EXPECTED PREEXISTING CONTEXT OF EVENT POST-EVENT CONTEXT

8. STRESS PROCESS (CONT.) 2. EVENTS NOT ISOLATED BUT INTERCONNECTED STRESS PROLIFERATION - PRIMARY AND SECONDARY STRESSORS 3. EMPHASIZES SOCIAL ROLES - OVERLOAD, CONFLICT, CAPTIVITY

9. NEW CATEGORIES OF STRESSORS (WHEATON) 1. CHRONIC STRESSORS 2. LIFETIME TRAUMAS 3. DAILY HASSLES 4. DISASTERS

11. MEDIATORS WHY SOME PEOPLE WITH FEW STRESSORS HAVE HIGH DISTRESS (VULNERABILITY) WHY SOME PEOPLE WITH MANY STRESSORS HAVE LOW DISTRESS (RESILIENCE)

12. MEDIATORS (TURNER) SOCIAL RESOURCES 1. SUPPORT - SENSE OF BEING CARED FOR, BELONGING, WANTED ONE INTIMATE STRONG FAMILY TIES, RELIGION 2. MATERIAL SUPPORT

13. SOCIAL COMPARISON STRESSFULNESS DEPENDS ON REFERENCE GROUP INCOME QUADRIPLEGICS DOWNWARD COMPARISONS BETTER THAN UPWARD COMPARISONS

14. CONTROL ACTIVE COPING BETTER THAN PASSIVE COPING (MASTERY VS. FATALISM)

16. OUTCOMES STANDARDIZED SCALES OF DISTRESS LIKE CES-D GENERAL NOT DIAGNOSTIC CONTINUOUS – FROM MILD TO SEVERE

18. TREATMENT ONLY THEORY WITH NO DIRECT TREATMENT ASPECT CHANGE ENVIRONMENT MUCH DISTRESS TRANSIENT (9-11) IMPORTANCE OF INFORMAL SUPPORT

20. STRENGTHS OF SOCIAL BETTER AT EXPLAINING DISTRESS THAN PARTICULAR MENTAL ILLNESSES BETTER AT LOOKING AT GROUP, RATHER THAN AT INDIVIDUAL, DIFFERENCES EMPHASIS ON EXTERNAL AND CURRENT CAUSES OF DISTRESS

21. CRITICISMS OF SOCIAL IGNORES HOW MENTAL SYMPTOMS ARE DEEPLY ROOTED IN INDIVIDUALS NOT SITUATIONS NOT SO GOOD FOR EXPLAINING MOST SERIOUS TYPES OF MENTAL ILLNESS UNSPECIFIC TREATMENT COMPONENT

22. STRENGTHS OF PSYCHODYNAMIC DEVELOPMENTAL ASPECT PEOPLE ARE OFTEN IRRATIONAL IMPACT ON CHILD REARING AND SEXUALITY

23. WEAKNESSES OF PD UNSCIENTIFIC - UNOBSERVABLE AND UNFALSIFIABLE OVEREMPHASIZES EARLY CHILDHOOD, UNDEREMPHASIZES ADAPTABILITY RESISTANCE TO MEDICATIONS HISTORICALLY AND CULTURALLY SPECIFIC

24. WEAKNESSES OF PA THERAPY IMPRACTICAL – LONG AND EXPENSIVE CULTURALLY-SPECIFIC DOESN’T WORK WITH MOST SERIOUSLY ILL

25. STRENGTHS OF BIOLOGY BEST FOR PSYCHOTIC DISORDERS MORE KNOWLEDGE ABOUT BRAIN ADVANCES IN DRUG TREATMENTS FOR MANY CONDITIONS

26. 1. OVERSTATEMENTS MOST CONVINCING FOR PSYCHOSES LESS EVIDENCE FOR OTHERS ARE BRAIN STATES CAUSES OR EFFECTS OF M.I.? CAUSES CAN BE SOCIAL OR PSYCH AS WELL AS BIOLOGICAL

27. 2. GENES NOT DESTINY ONLY A MINORITY OF PEOPLE WITH GENETIC SUSCEPTIBILITY DEVELOP DISORDER OFTEN NEED ENVIRONMENTAL PRECIPITANT ENVIRONMENT CAN SUPPRESS - MORMONS AND ALCOHOLISM

28. 3. WHAT DOES A GENE DO? DIFFERENCE OF GENOTYPE AND PHENOTYPE (APPEARANCE) E.G. ANOREXIA CULTURE CAN SHAPE PHENOTYPE GENES MAY HAVE GENERAL, NOT SPECIFIC, EFFECTS

29. 4. MOST M.I. NOT GENETIC MOST PEOPLE WHO GET A DISORDER DO NOT HAVE GENETIC PROPENSITY TO THE DISORDER

30. SCHIZ. IN DENMARK THOSE WITH 1ST DEGREE RELATIVES HAVE 10x RATE OF SCHIZ BUT 90% OF PEOPLE WHO DO GET SCHIZ HAVE NO SCHIZ RELATIVES FAR MORE PEOPLE HAVE NO FAMILY HISTORY OF SCHIZ SO DESPITE LOWER % PRODUCE MORE CASES

31. CONCLUSION GENES AND BRAINS ARE IMPORTANT BUT, FAR FROM THE ENTIRE STORY