Psychological Help

Social Psychology

October 24th, 2008

Social Psychology” is the study of individuals in relation to the individuals. It is a very broad area that includes such problems as the way in which people perceive others, liking and disliking, helping, obedience, the forming of opinions and attitudes, persuasion, and behavior in group situation.

The area under social psychology includes:
- ATTITUDE:
(a) Attitude is defined as a predisposition involving beliefs, feelings and dispositions to act towards some object.
(b)It is the learned predisposition to respond in a favorable or unfavorable manner to particular person, behavior, belief, or thing.

- INTERPERSONAL ATTRACTION:
(a) Interpersonal attraction refers to an attitude about another person. Attraction involves an evaluation along a dimension that ranges from strong liking to strong disliking.
(b) Factors affecting interpersonal attraction are – Physical proximity, Affective state, Need to affiliate, Observable characteristics (physical attractiveness), Similarity, Mutual liking.
- PROSOCIAL BEHAVIOR:
(a) Pro social behavior is a helpful action that benefits other people without necessarily providing any direct benefits to the person performing the act, and may even involve a risk for the person who helps.
(b) Latane & Darley gave 5 essential steps to a pro social response – i) Noticing the emergency -> ii) Interpreting it as an emergency -> iii) assuming the responsibility to help -> iv) knowing what to do to help out -> v) Making the decision to help.
(c) Factors effecting pro social behavior- i) personal factors ii) situational factors.
- AGGRESSION:
(a) Aggression is any form of behavior directed towards the goal of harming or injuring another living being who is motivated to avoid such treatment.
(b) Determinants of aggression- i) Social causes: Frustration, Direct provocation, displaced aggression, Exposure to media violence, heightened arousal, sexual arousal. ii) Personal causes: Type ‘A’ behavior, Perceiving evil intent in others, Narcissism, Ego threat, Gender differences. iii) Situational factors: High temperature, consumption of alcohol etc.

- SOCIAL INFLUENCE:
(a) Social influence is efforts by one or more individuals to change the attitude, belief, perceptions, or behaviors of one

or more others.
(b) Social influence includes- i) Conformity ii) Compliance iii) Obedience iv) Leadership
- SOCIAL COGNITION:
(a) Social cognition is thinking about the social world.
(b) It includes- cognitive strategies, schemas, stereotypes, attribution, self perception
- INTERPERSONAL COMMUNICATION:
(a) Understanding others.
(b) Factors- non verbal communication, facial expression, body language, touch, Verbal communication.
(c) Function- gaining information, building a context of understanding, establishing identity, interpersonal needs.
- BEHAVIOR IN GROUP:
(a) A group is an organized system of two or more persons who are interrelated to perform a function, has a structured set of role relationship among its member, and has a set of norms that regulate behavior.
(b) Types- Primary and Secondary group, Formal and Informal group, In-group and Out-group, Socio group / nominal and Psyche

group / referent.
(c) Formation- 5 stage process i) Forming -> ii) Storming -> iii) Norming -> iv) Performing v) Adjourning
(d) Performance & Influence i) Social Facilitation ii) Social Loafing
(e) Decision making i) polarization ii) group think

- INTERGROUP RELATION:
(a) A consequence that follows directly from increased cohesiveness and bounded ness of a group is the clear differentiation of members whose part of the structural organization of the group from outsiders and non members.
(b) Group conflict, prejudice and ethnocentrism, bargaining
- COLLECTIVE BEHAVIOR:
(a) Crowds and social movements are two fields in a larger area termed as collective behavior.
(b) It refers to group behavior which originates spontaneously, is relatively unorganized, fairly unpredictable and plan less in its course of development, and which depends on inter stimulation among participants.
- ENVIRONMENTAL INFLUENCE ON BEHAVIOR:
(a) effect of socio cultural and physical environment.
(b) Social – marital discord, parenting style, socio economic status, prejudice and discrimination, etc
(c) Environment- noise, climate and weather, density and crowding, disaster and technological catastrophe, personal space, architecture, etc

INTERESTING EXPERIMENTS: Asch conformity experiments 1950s,Muzafer Sherif’s (1954) Robbers’ Cave Experiment,Leon Festinger’s cognitive dissonance experiment, Milgram experiment, Albert Bandura’s Bobo doll experiment,Stanford prison experiment, by Philip Zimbardo.

PSYCHOLOGICAL DISORDER

October 24th, 2008

PSYCHOLOGICAL DISORDER is a physical condition in which there is a disturbance of normal functioning relating to, or arising in mind.

The study of maladjusted human being ( the one who has lost his subjective well being, have disturbed social relations, evaluation of reality is altered, can not use his capacities well) shows that he is not a different kind of human being; only that he seeks same goals, and pleasure but in a wrong direction or in an inefficient manner.

Before moving on with what all comes under psychological disorder and its causes, we also need to know about the concept of adjustment and stress, and some of the concept of adjustment and stress, and some popular misconception about abnormal behavior.

The abnormal behavior has different views, approaches, and categories. These are:
Two Basic Views for abnormal behavior -
1. abnormal as deviation from social norms
2. abnormal as maladaptive
Three broader categories for classification
1. Organic brain disorder
2. Disorder of psychological or socio cultural origin
3. Mental Retardation
Three basic approaches
1. Categorical approach
2. Dimensional approach
3. Prototypal approach

The concept of adjustment: Adjustment is, in a way ‘ solution of problems’. And it is important to remember that human beings recruit all his capacities and summons up all his abilities in the attempt to solve these problems as successfully as possible.
What we say and feel and think is determined by our “internal world” as well as by “external world”, and in neurotic (Characteristic of or affected by a mental or personality disturbance not attributable to any known neurological or organic dysfunction) and psychotics (Characteristic of or suffering from any severe mental disorder in which contact with reality is lost or highly distorted) perhaps even more by the former than by later.
And if we hold such a point of view, the hallucinations ( Illusory perception; a common symptom of severe mental disorder), delusions (an erroneous belief that is held in the face of evidence to the contrary), phobias (An anxiety disorder characterized by extreme and irrational fear of simple things or social situations), and worries and uncertainties of maladjustment, all immediately becomes ” Logical” attempts to achieve the same happiness and attain the same goal that other ‘more’ normal’ people already have.

Stress: Ours is an age of tremendous growth of knowledge and rapid social change. But our life is not so comfortable, despite most modern sources of comfort as compared to our fore fathers who were far happier even with their sparse and limited means of income.
Unfortunately, advances in our understanding of human nature and behavior have lagged far behind our advance in physical and biological sciences.
We see people anxious, unhappy, and bewildered; and the stress of modern life is clear in the sales of tranquilizers, alcohol, sleeping pills, and in increased heart attacks, suicide rates and crime rates.
The stress is the response of an individual to demands that he or she perceives as taxing and exceeding his or her personal resources.

Some popular misconceptions about abnormal behavior -
1. The belief that abnormal behavior is bizarre (only a small percentage of patients inhibit the bizarre behavior and not all mental patients)
2. The view that “normal” and “abnormal” behavior differs. (We’ll see that usually only the difference in the degree or frequency of ‘normal behavior’ leads to abnormal behavior.)
3. The view or former/belonging to some prior time as unstable a dangerous. (Mental disorder can be cured, and person does recover from it. Only less than 1% of all patients released from the mental hospitals can be regarded dangerous.)
4. The belief that mental disorder is something to be ashamed of.
5. An exaggerated fear of one’s own susceptibility to mental disorder. (Fears of possible mental disorder are quite common and cause much needless unhappiness. In this connection, it should be perhaps being mentioned that medical students, in reading various physical disorders, are likely to imagine that they have many of the symptoms described, the same reaction is likely among those reading about mental disorders.)

The Cause/ causal factors in psychopathology:
The causation of any particular behavior pattern is tremendously complex. There have been differing viewpoints and models to the explanation of causes for maladaptive behavior.
The three broad factors are -
1. BIOLOGICAL FACTORS for Psychological Disorder
– Genetic factors
– Constitutional liabilities
– Physical deprivation
– Disruptive emotional process
– Brain pathology
– Neurotransmitter and Hormonal imbalance
2. PSYCHOSOCIAL FACTORS
– Maternal deprivation
– Pathogenic family pattern
– Early psychic trauma
– Pathogenic interpersonal relationships
– Severe stress
3. SOCIO CULTURAL FACTORS
– War and violence
– Group prejudice and discrimination
– Economic and employment problems
– Accelerating technological and social change

DSM – IV
The standard abnormal psychology and psychiatry reference book in North America is the Diagnostic and Statistical Manual of the American Psychiatric Association. The current version of the book is known as DSM IV-TR. The diagnostic process uses five dimensions called ‘axes’ to ascertain symptoms and overall functioning of the individual. These axes are as follows
Axis I – Particular clinical syndromes
Axis II – Permanent Problems (Personality Disorders, Mental Retardation)
Axis III – General medical conditions
Axis IV – Psychosocial/environmental problems
Axis V – Global assessment of functioning (often referred to as GAF)

ICD -10
The major international nosologic system for the classification of mental disorders can be found in the most recent version of the International Classification of Diseases, 10th revision (ICD-10). The ICD-10 has been used by World Health Organization (WHO) Member States since 1994. Chapter five covers some 300 “Mental and behavioral disorders.” The ICD-10′s chapter five has been influenced by APA’s DSM-IV and there is a great deal of concordance between the two. WHO maintains free access to the ICD-10 Online. Below are the main categories of disorders:
F00-F09 Organic, including symptomatic, mental disorder
F10-F19 Mental and behavioral disorders due to psychoactive substance use
F20-F29 Schizophrenia, schizotypal and delusional disorder
F30-F39 Mood [affective] disorders
F40-F48 Neurotic, stress-related and somatoform disorder
F50-F59 Behavioral syndromes associated with physiological disturbances and physical factors
F60-F69 Disorders of adult personality and behavior
F70-F79 Mental retardation
F80-F89 Disorders of psychological development
F90-F98 Behavioral and emotional disorder with onset usually occurring in childhood and adolescence
F99 Unspecified mental disorder

PSYCHOLOGICAL DISORDERS stated under DSM Codes -
1) Mental retardation
2) Learning Disorders
3) Motor Skills Disorders
4) Communication Disorders
5) Pervasive Developmental Disorders
6) Attention-Deficit and Disruptive Behavior Disorders
7) Feeding and Eating Disorders of Infancy or Early Childhood
8) Tic Disorders
9) Elimination Disorders
10) Other Disorders of Infancy, Childhood, or Adolescence
11) Delirium, Dementia, and Amnestic and Other Cognitive Disorders
11.1 Delirium
11.2 Dementia
11.3 Amnestic Disorders
11.4 Other Cognitive Disorders
12) Mental Disorders Due to a General Medical Condition Not Elsewhere Classified
13) Substance-Related Disorders
13.1 Alcohol-Related Disorders
13.2 Amphetamine (Or Amphetamine-Like) Related Disorders
13.3 Caffeine-Related Disorders
13.4 Cannabis-Related Disorders
13.5 Cocaine-Related Disorders
13.6 Hallucinogen-Related Disorders
13.7 Inhalant-Related Disorders
13.8 Nicotine-Related Disorders
13.9 Opioid-Related Disorders
13.10 Phencyclidine (Or Phencyclidine-Like)-Related Disorders
13.11 Sedative-, Hypnotic-, or Anxiolytic-Related Disorders
13.12 Polysubstance-Related Disorder
13.13 Other (or Unknown) Substance-Related Disorder
14) Schizophrenia and Other Psychotic Disorders
15) Mood Disorders
15.1 Depressive Disorders
15.2 Bipolar Disorders
16) Anxiety Disorders
17) Somatoform Disorders
18) Factitious Disorders
19) Dissociative Disorders
20) Sexual and Gender Identity Disorder
20.1 Sexual Dysfunctions
20.2 Paraphilias
20.3 Gender Identity Disorders
21) Eating Disorders
22) Sleep Disorders
22.1 Primary Sleep Disorders
22.2 Parasomnias
22.3 Other Sleep Disorders
23) Impulse-Control Disorders Not Elsewhere Classified
24) Adjustment Disorders
25) Personality Disorders

An example of “How each disorder is further classified” -
Schizophrenia and Other Psychotic Disorders
Schizophrenia
– 295.2 Catatonic Type
– 295.1 Disorganized Type
– 295.3 Paranoid Type
– 295.6 Residual Type
– 295.9 Undifferentiated Type
295.4 Schizophreniform Disorder
295.7 Schizoaffective Disorder
297.1 Delusional Disorder
298.8 Brief Psychotic Disorder
297.3 Shared Psychotic Disorder
Psychotic Disorder Due to… [Indicate the General Medical Condition]
– 293.81 with Delusions
– 293.82 with Hallucinations
298.9 Psychotic disorder NOS

” Abnormal behavior is a crucial social problems, involving not only the maladaptive behavior of individuals and families but also of larger group including entire society, it is also clear that such behavior is often the result of interaction between individual or groups and aversive environment.”

History of Psychology

October 24th, 2008

History of Psychology

Psychology = Psyche (That which is responsible for one’s thoughts and feelings; the seat of the faculty of reason) + logy (a science or study)

Delphi Oracle >>
“KNOW THY SELF, FOR ONCE WE KNOW OURSELVES, WE MAY LEARN HOW TO CARE FOR OURSELVES, OTHERWISE WE NEVER SHALL”. – Socrates

The quest for understanding mind has a very long history. Perhaps it started with the emergence of human beings on the earth.
Psyche, from Greek psu-khê, meaning warm blooded: life, soul, ghost, conscious self, moth or butterfly. Here we’ll begin with myths and believes.
The Greek name for a butterfly is Psyche, and the same word means the soul.
The so-called psyche or butterfly is generated from caterpillars which grow on green leaves, chiefly leaves of theraphanus, which some call crambe or cabbage. At first it is less than a grain of millet; it then grows into a small grub; and in three days it is a tiny caterpillar. After this it grows on and on, and becomes quiescent and changes its shape, and is now called a chrysalis. The outer shell is hard, and the chrysalis moves if you touch it. It attaches itself by cobweb-like filaments, and is unfurnished with mouth or any other apparent organ. After a little while the outer covering bursts asunder, and out flies the winged creature that we call the psyche or butterfly. (From Aristotle’s History of Animals 551a.1). The human life do resembles it.

Western intellectual history always begins with the ancient Greeks. In fact, philosophies from all over the world eventually came to influence western thought, but only much later. This is so because of the practice of writing began there early enough and in Greece, at least in certain city-states, reading and writing was something “everyone” did.

Many eastern countries were also side by side or even earlier got involved in the understanding of mind and its functions.
This quest was dominant theme in Indian thought which deals with the study of self using reflection and experience as its basis. The systems of Nyaya, Mimansa, Vedanta, Yoga, Samkhaya, Buddhism, Jainism, Charvak and Sufi provide very rich discourse on important psychological themes such as health, well being, values, motivation etc.

The modern discipline of psychology began with
- Philosophical perspectives and approaches: Aristotle’s elementism and Plato’s rationalism.
- Biological roots : Charles Darwin’s Origin of species, Hippocrates, Johannes Muller, Claude Bernard, Marshall Hall, Pierre Flourens, Paul Broca.
- Early schools in psychology: Structuralism, Functionalism, Behaviorism, Gestalt, Psychoanalysis, Cognitive, Existential

STRUCTURALISM grew up around the ideas of Wilhelm Wundt in Germany. In 1879 Wundt establishes psychology laboratory at Leipzig University. This system represents itself in its finished form by the work of Edward B. Tichner. The primary task then was to discover the elementary conscious experiences, its nature, their relationship to one another. (a) It gave psychology a strong scientific impetus (b) provided a through test of classic introspective method (c) also provided a strong orthodoxy against which other forces/ systems organize their resistance.

FUNCTIONALISM started with William James; characteristically concerned with the function of the organism’s behavior and its adaptation to the environment. James grasped the significance of the biological utilitarian approach. In 1875 the first psychology course offered by James. John Dewey gave two main points that (a) behavior should be considered in relationship to its function (b) molar units of analysis should be used in order to prevent elementaristic analysis. J. R. Angel outlined that psychology should consider (a) mental operation (b) fundamental utilities of consciousness (c) psychophysical relation. H.Carr assumed adaptive act as the key concept of psychology.

ASSOCIATIONISM is more a principle than a school of psychology. ‘Principle of contiguity’ says- If two things are experienced closely in time, they are likely to be associated. Thomas Hobbes saw (a) ‘reason’ as dominant factor in man’s behavior (b) lawful succession of ideas responsible for all thought and action. John Locke said that (a) all knowledge comes from experience. (b) He also started a trend which were said to be basis for sensory ideas. Associationism includes names like, Herman Ebbinghaus, E. L. Thorndike, James Mill, etc

GESTALT Psychology was a school of thought that looked at the human mind and behavior as wholes rather than attempting to break them up into smaller parts.(a) It was born with Max Wertheimer, Kohler, and Koffka. (b) They put forth the laws of organization, Isomorphism, psychological field, phi- phenomenon, learning by insight.

BEHAVIORIST Psychology: John B Watson found that he could study animal behavior by observing stimuli and animal’s responses. (a) It focused on the behavior and three other important characteristic- i) conditioned responses ii) learned behavior iii) animal behavior.

PSYCHOANALYTIC Psychology: Sigmund Freud founded the psychodynamic approach to psychology. This school of thought emphasized the role of childhood experience and the unconscious mind. His belief was that mental life is like an iceberg – only a portion is exposed to view. (a) Structure of personality- i) Id, ii) Ego iii) Super ego
(b) Psychosexual stages of development – i) oral ii) anal iii) phallic iv) latency v) genital (c) Anxiety and defense mechanism (d) dream interpretation (e) free association / free talk (f) Transference and counter transference (g) resistance

HUMANISTIC psychology formed as a reaction to psychoanalysis and behaviorism and stressed the importance of person. (a) Humanist helped stimulate interest in psychological needs for love, self esteem, belonging, self expression, and creativity. (b) Carl Rogger came up with concepts of unconditional positive regards. (c) A. Maslow came up with self actualization need. (d) According to humanist everyone has the potential to lead a rich and meaningful life, and to become the best person one can become.

FORENSIC PSYCHOLOGY- Courses, brief definition and history

October 24th, 2008

Forensic – Used or applied in the investigation and establishment of facts or evidence in a court of law
Psychology – The science of mental life

The American Board of Forensic Psychology and the American Psychology-Law Society (1995) define forensic psychology as:
The professional practice by psychologists within the areas of clinical psychology, counseling psychology, neuro psychology, and school psychology, when they are engaged regularly as experts and represent themselves as such, in an activity primarily intended to provide professional psychological expertise to the judicial system. (p. 6)

Forensic psychology is one of the fastest growing areas of psychology as suggested both by an increase in the practice of clinical psychology within our legal system and the increasing interest expressed by undergraduate and graduate students.

Forensic psychology is thus, an interface between psychology and law. Forensic psychology is NOT Forensic Science but is closely related. It provides psychological services for legal community. A forensic psychologist does the work that is both clinical and forensic in nature. They actually delve into psychological perspectives and apply them to criminal justice system. They provide a report for the court.

AREAS covered by a forensic psychologist:
- Eye witness testimony
- How to improve interrogation method
- Child custody evaluation
- Child abuse and evaluation
- Evaluation of adoption readiness
- Mediation of parental conflicts
- Parent – child family counseling
- parenting skill training
- Anger management
- divorce adjustment counseling for adults and kids
- Personal injury evaluation
- assessing the emotional factors in sexual harassment and discrimination
- can help in designing connectional facilities and prisons
- Treatment of mentally ill offenders
- consulting with attorney in analyzing criminal intent
- Evaluation of juvenile accused of crime
- Pre sentencing evaluation of adult or juvenile
- providing counseling for victims of crimes
- Counseling for individuals awaiting trial
- Counseling for those who violate law and order, juvenile delinquents, etc
- dealing Clinical issues such as – Anxiety, Phobia, Anger management, adjustment, desensitization, chronic pain, Post Traumatic Stress Disorder, etc

PEOPLE in the field:
- William Stern (1901) gave an experiment on memory, whose result would question eye witness testimony’s reliability.
- Hugo Munster berg, first forensic psychologist
- Alfred Binet and Sigmund Freud, talks of time taken to respond a question as a factor in determining guilt.
- Lewis Terman, IQ test to asses’ personal in police.
In INDIA:
- Dr. Vaya a Clinical Psychologist trained at the National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore. Currently she is the Deputy Director at the Directorate of Forensic Science (DFS), Gandhinagar.As a result of her work in the forensic field Dr. Vaya has appeared in number of courts as expert witness in polygraph, psychological profiling and BEOS.
- Professor Mukundan is an ex-Professor and Head of the Department of Clinical Psychology, Head of Neuro psychology Laboratory and Clinical Unit, National Institute of Mental Health & Neuro- Sciences, Bangalore, India. He is also a Research Consultant for TIFAC-DFS collaborative project on “Normative data for brain electrical activation profiling”, at the Directorate of Forensic Sciences, Gandhinagar, India and is an Advisor to Directorate of Forensic Sciences, MHA, New Delhi in BEOS profiling and a Consultant to the Directorate of Forensic Sciences, Mumbai, India

BECOMING a forensic psychologist

    :
    - This will first require you to get a doctorate in psychology, often (but not necessarily) in clinical or counseling psychology. It will probably take you about seven years after the undergraduate degree to get this doctorate, though some people may take a little less time.
    - One way the person who is already a psychologist becomes a forensic psychologist is by doing additional informal study after receiving the doctoral degree.

    To STUDY it: (India)
    - NIMHANS Bangalore (India) has a PG certificate course in forensic psychology. Its one year, fee is rs. 20000. You need to have a psychology background.
    - 9 months of course in NIMHANS campus and rest 3 months in directorate of forensic science, Ahmedabad (India).
    - National Institute of Criminology and Forensic science, Delhi in affiliation to Guru Gobind Singh Indraprastha University, Delhi (2004) have introduced post graduate level teaching in Criminology and Forensic Science.
    - Amity, a private University in New Delhi, is also reported to have started teaching in criminology and Forensic science.
    - Department of Criminology and Forensic Science, Dr Harising Gour University (formerly University of Saugar)
    - Department of Criminology and Forensic Science, Karnataka University
    - Dharwad, Institute of Forensic Science and Criminology
    - Bundel khand University and the National Institute of criminology and Forensic Science, Delhi
    Diploma Courses:
    -Faculty of Law, University of Luknow,
    - Jaipur Law College,
    - University of Rajasthan
    - Departments of law in Utkal University,
    - Manipur University,
    - Aligarh Muslim University,
    - Panjab University, Chandigargh, Panjabi University, Patiala,
    - University of Jammu,
    - Guru Ghasidas University, Bilaspur,
    - Jai Narayan Vyas University, Jodhpur (diploma courses in Criminology).

SELF HELP – Alcohol Rehabilitation

October 9th, 2008

# Moderate use of alcohol is normal, but alcohol ABUSE or DEPENDENCE is a serious problem. While some research suggests that small amounts of

alcohol may have beneficial cardiovascular effects, there is widespread agreement that heavier drinking can lead to health problems.
For most adults, moderate alcohol use–no more than two drinks a day for men and one for women and older people–is relatively harmless. (A “drink”

means 1.5 ounces of spirits, 5 ounces of wine, or 12 ounces of beer, all of which contain 0.5 ounces of alcohol.)
Moderate use, however, lies at one end of a range that moves through alcohol abuse to alcohol dependence.

People with alcohol use disorders drink to excess, endangering both themselves and others. Too much alcohol affects the central nervous system and how

the brain functions. It affects perception, thinking, and coordination. It impairs judgement, reduces inhibitions, and increases aggression.

# CAUSES -
- Problem drinking has multiple causes, with genetic, physiological, psychological and social factors all playing a role.
- PSYCHOLOGICAL traits such as impulsiveness, low self-esteem, and a need for approval prompt inappropriate drinking.
- Drink to cope with or “medicate” emotional problems.
- SOCIAL and environmental factors such as peer pressure and the easy availability of alcohol can play key roles.
- Poverty and physical or sexual abuse increase the odds of developing alcohol dependence.
- GENETIC factors – Alcoholism tends to run in families. The mesocorticolimbic pathway (MCLP) is central to release of the neurotransmiter dopamine

and in mediating the rewarding proprties of drugs.

# ALCHOHOLISM is a term commonly used to describe the medical disrder of alcohol dependence. It is also called ” Alcohol Dependence Syndrome” – a

state, psychic and usually also physical, resulting from taking alcohol, characterized by behavioral and other respnses that always include a compulsion to

take alcohol on a continious or periodic basis in order to experience its psychic effects, and sometimes to avoid the discomfort of its absence; tolerence

may or may not be present.

ALCOHOL ABUSE is different from ALCHOHOL DEPENDENCE. Abuses are not necessarily addicted to alcohol, but develops problem as a result of

their alcohol consumption and poor judgement, failure to understand the risks, or lack of concern about damage to themselves or others.

DEPENDENCE is suspected when -
- Abuse
- Compulsive drinking behavior
- Tolerance
- Withdrawal signs.

# The CAGE questionnaire is commonly used to determine the risk of alcohol related problems:
C – Have you ever felt that you should CUT down on your drinking?
A – Have people ANNOYED you by criticizing your drinking?
G – Have you ever felt bad or GUILTY about your drinking?
E – Have you ever had an EYE OPENER – a drink first thing in the morning to steady your nerves or get rid of a hangover?

People who regularly consume alcohol suffer from health problems such as liver disease, chronic pancreatitis, gastritis, cardiovascular and neurological

problems. Alcohol abuse may even lead to cancer and a painful death.

# Those who have difficulty in moderating drinking, neglect daily activities and show physical symptoms of withdrawal are in need of ALCOHOL

REHABILITATION.

- The treatment program chosen for alcohol rehabilitation should fit the specific needs of the addict. If an incorrect evaluation is made at the initial stage,

then the chances for failure heighten.
- Alcohol rehabilitation is alcohol intervention. Be aware of your situation.The longer a person abstains from alcohol, the more likely he or she will be able

to stay sober.
- Work to improve self-esteem and self-worth, heal core traumas, learn life-skills, gain control over addictive patterns and improve the health of the body

in addition to recovering from alcohol abuse.
- A Self-help group meeting is another tool of alcohol rehabilitation. Such meetings follow the 12-step model of recovery.
- One key factor to TREATMENT is admission of the problem and motivation to beat it.
- Individuals often hide their drinking or deny they have a problem. Support of family members and/or friends helps in resolving the problem faster.

# Help from a PSYCHOLOGIST -
- A psychologist can guide the family or others in helping to increase the drinker’s motivation to change
- Can begin with the drinker by assessing the types and degrees of problems the drinker has experienced
- Using one or more of several types of psychological therapies, psychologists can help people address psychological issues involved in their problem

drinking
- Can be very helpful for diagnosing and treating these “co-occurring” psychological conditions when they begin to create impairment.Many individuals

with alcohol problems suffer from other mental health conditions, such as severe anxiety and depression, at the same time.
- Can also provide marital, family, and group therapies, which often are helpful for repairing interpersonal relationships and for long-term success in

resolving problem drinking.
- Can also provide referrals to self-help groups

#

SELF HELP – (in brief)


~ Reduce frequency of use.
~ Reduce dosage used/consumed per time.
~ Change the type or form of substance. ( eg. substitute beer for wiskey)
~ Changing type of job or place of employment
~ Changing place of resident
~ Changing friends
~ Joining a self- help group. programs [such as Alcoholics Anonymous (AA)].

GOVERNMENT HOSPITALS PROVIDING PSYCHIATRIC TREATMENT (Delhi)

October 9th, 2008

- ALL INDIA INSTITUTE OF MEDICAL SCIENCES,NEW DELHI-110029
DEPARTMENT OF PSYCHIATRY AND DEADDICTION CENTRE
TEL:6864851,6561123

- CGHS PSYCHIATRY CENTER
East Kidwai Nagar Dispensary, New Delhi-110023
Tel: 4623767

- DR. RAM MANOHAR LOHIA HOSPITAL, NEW DELHI
DEPARTMENT OF PSYCHIATRY,
Tel : 3365525, 3403309, and 3361948

- Indra Gandhi ESI Hospital
Jhilmil Delhi-110095
Tel :2152197,2151329

- ESI Hospital ,Baisaidarapur, Ring Road New Delhi-110015
Tel: 5440686,5440927

- ESI Hospital ,Sector 15,Rohini ,New Delhi
Tel: 7861033,7860982

- ESI Hospital.Okhla,NEW DELHI
Tel :68614161,6810067

- GTB HOSPITAL , DILSHAD GARDEN, DELHI-110095
DEPARTMENT OF PSYCHIATRY
TEL: 2286262,2626868 EXT .127

- G.B.PANT HOSPITAL,J.L.NEHRU MARG, NEW DELHI, 110002
DEPARTMENT OF PSYCHIATRY
TEL : +91(11)3236988
FAX: +91(11)3216988
EMAIL :psychiatrygbph@yahoo.co.in

- HINDU RAO HOSPITAL ,DELHI-110007
DEPARTMENT OF PSYCHIATRY
TEL:3919625,3932307 EXT.225

- INSTITITE OF HUMAN BEHAVIOUR & ALLIED SCIENCES
DILSHAD GARDEN, SHAHADARA,DELHI-110095
TEL:2283322,22114021,2283056,2114032
Email: ihbas@nda.vsnl.net.in

- LADY HARDING MEDICAL COLLEGE & SMT.S.K. HOSPITAL
DEPARTMENT OF PSYCHIATRY
NEW DELHI-110001
TEL:3363266,3362366

- VARDHMAN MAHAVEER MEDICAL COLLEGE AND SAFDARJANG HOSPITAL
NEW-DELHI 110029
DEPARTMENT OF PSYCHIATRY
TEL.6165060,6165032,6168336,EXT.431,308,FAX.91-11-616307

~ HOSPITAL IS OPEN TO ALL PATIENTS FROM ANY ANYWHERE. NO REFERRAL REQUIRED.

Self Help for Academic Underachievement

October 5th, 2008

SELF HELP Academic Underachievement

There are many reasons for underachievement by a student (normal, gifted). Reasons could be BIOLOGICAL, (poor vision, hearing, etc), PSYCHOLOGICAL (lack of reinforcement, peer pressure, distractions, etc), or SOCIOCULTURAL (socioeconomic status, education of parent, etc).

Academic underachievement occurs when the student performs poorer than expected performance (poorer than might have been predicted from intelligence tests) in school / academics.

The STUDENT underachievement shows up in following ways:
? Repeated failure to complete school or homework assignments on time.
? Academic performance is below the student’s intelligence.
? Heightened anxiety that interferes with student’s performance during tests.
? Depression and low self-esteem that contribute to academic underachievement.
? Poor organization or study skills that contribute to academic performance.

The REASONS for underachievement could be:
? Lack of self-discipline. Depression or low self-esteem.
? Power struggle/Passive aggressive.
? Exposed to chaotic environment.
? Has become lazy. Has repeated school failures. Poor study skills.
? Poor vision, hearing, speech problem (adding to low self-esteem)
? Low socio-economic status leading to lack of facilities.
? Less educated parents, due to which proper guidance at home is not given to the child.
? Lack of reinforcement.
? Peer pressure

The HELP for underachievement:
? Six factors having a positive impact on their academic performance:
o out-of-school interests,
o parents,
o goals associated with academic achievement,
o classroom instruction and curriculum,
o the teacher, and
o Changes in self.

? Refer the student for a hearing, vision and medical examination.
? Remove emotional impediments or environmental stressors in order to improve academic performance.
? Encourage parents to maintain regular (at least weekly) communication with teachers to help the student remain organized and keep up with

assignments.
? Parents implement intervention strategies to help student keep up with school work
? Set short and long term goals.
? Complete school assignments on a consistent basis
? Discuss your (student’s) negative attitude toward school. Focus on changing that attitude.
? Take help from teacher or school counselor to reduce anxiety related to taking tests.
? Know your learning style. Learn effective study skills (study in quiet places, develop outlines, highlight important details, etc.)
? Monitor academic progress. Discuss accomplishments and setbacks.
? Use planners to record school assignments and plan ahead for long-term projects.
? Give praise and positive reinforcements for academic success. You can celebrate (pamper yourself ;-) your success on your own too when you achieve your short term goals.
? Engage in extra curricular activities, outside interest (can provide an “escape” from what the students determined to be less-than-favorable school situations) the area of interest can be an outlet for your frustrations.
? Perceive academic success in school as a source of personal satisfaction and a matter of personal responsibility.
? Be patient. It will take time to reverse the patterns of underachievement. “Courage doesn’t always roar. Sometimes courage is the little voice at the end of the day that says I’ll try again tomorrow.” Try until you succeed.

UNIPOLAR DISORDER: knowing depressive disorder

October 2nd, 2008

DEPRESSIVE DISORDER
or UNIPOLAR DISORDER

Introduction


For nearly 2,500 years, mood disorders have been described as one of the most common illnesses of humankind, but only recently have they commanded major public health interest. The World Health Organization (WHO) has ranked depression fourth in a list of the most urgent health problems worldwide.

DEPRESSIVE DISORDER is also known as unipolar disorder. It comes under DSM – IV Axis I. It is a neurotic disorder (when without hallucination, dellusions, etc). To be more clear :
MOOD DISORDER
1)Unipolar 2)Bipolar 3)Schizo affective
a) Dysthymia a) Cyclothymia
b) adjustment disorder b) bipolar I
c) major depression c) bipolar II

d)seasonal
affective

AFFECT DISORDER – DEPRESSION

Therapist: Good morning, how are you today?
Patient: [pause] I don’t know, I just feel sort of discouraged.
Therapist: is there anything in particular that worries you?
Patient: I don’t know doctor…. Everything seems to be futile.. Nothing seems to be worthwhile anymore. It seems as if all that was beautiful has lost its beauty. I guess I expected more then life has given. It just does not seem worthwhile going on. I cant seem to make up my mind about anything..
Therapist: can you share a little more about your feelings?
Patient: I feel it’s my entire fault. I can’t blame anybody. I am worthless. Nobody can love me. I don’t deserve friends or success. I am just no good. I am a failure. All my flaws stand out and I am repugnant to everyone [sighs]. There is no hope for me

WHAT IS NEUROSES?
The individual is said to exhibit neurotic behavior if he frequently misevaluates adjustive demands.
Becomes anxious in situations that most people would not regard as threatening.
Tends to develop behavior patterns aimed at avoiding rather than coping with his problems.
He may realize his behavior is irrational or maladaptive but is unable to alter it
THE BASIC NATURE OF NEUROSES
Basic to neurotic lifestyle are:
The neurotic nucleus- the faulty evaluation of reality and the tendency to avoid rather then cope with stress.
The neurotic paradox- the tendency to maintain this lifestyle despite its self defeating and mal adaptive nature.
THE NEUROTIC NUCLEUS
The three key facets of neurotic nucleus Feelings of inadequacy and anxiety
Avoidance instead of coping
Self defeating behavior and blocked personality growth
THE NEUROTIC PARADOX
The neurotic paradox can be understood in terms of two basic patterns:
The immediate relief from anxiety that comes from the momentary avoidance of threatening situations.
Continued and inappropriate perception of certain everyday situations as threatening.

AFFECT DISORDER MORE COMMONLY KNOWN AS MOOD DIORDER
“Mood disorders” involve much more severe alterations in mood, and for much more prolonged period of time.
Disturbance of mood are intense and persistent enough to be clearly maladaptive often leading to serious problems in relationships and work performance.

CASE STUDY, A VERY SUCCESSFUL “TOTAL FAILURE”:
A prominent business woman, Margaret, in her middle years, noted for her energy and productivity, was unexpectedly deserted by her husband for a younger woman.
Following her initial shock and rage, she began to have controllable weeping spells and doubts about her business acumen.
Decision making became an ordeal.
Her spirits rapidly worsened, and she began to spend more and more time in bed, refusing to deal with anyone.
Her alcohol consumption increased and within a period of weeks, serious financial losses were incurred owing to her inability to keep her affairs in order.
She felt she was a “total failure”, her self criticism gradually spread to all aspects of her life and her personal history.

IS DEPRESSION AN AFFECT DISORDER?
Mood or affect is often used alternatively by psychologists to refer to “emotional states”.
The term “affect disorder” groups together a number of clinical conditions whose common and essential feature is a disturbance of mood accompanied by related cognitive, psychomotor, psycho physiological and interpersonal difficulties.
Affect sometimes refers to the “subjective aspect of emotion”, apart from its bodily component ; mood reefers to the “pervasive and prevailing emotion”.
WHAT DO YOU UNDERSYTAND BY THE TERM DEPRESSION?
The term depression refers to both a mood and psychopathological syndrome.
Negative affective states are so prevalent, depression is sometimes referred as “ the common cold of psychopathology

CLASSIFICATORY SCHEME OF DEPRESSION
ENDOGENOUS – EXOGENOUS:
Depression that seems to be a response to an outside event, is called “exogenous .
The term “endogenous” meaning originating within the body, is used to describe depression that result from internal physiological malfunction.
PSYCHOTIC – NEUROTIC:
Psychotic depression – characteristic symptoms like delusion, confusion or other cognitive disturbance.
Neurotic depression- depressive symptoms in the absence of psychotic features and the individual is in touch with reality.
UNIPOLAR – BIPOLAR:
Unipolar depression can be endogenous or exogenous.
In contrast “bipolar depression” is commonly believed to be the result of an internal bio chemical or psychological fluctuation sometimes resulting in mania and at other times in depression.
AGITATED DEPRESSION:
Agitated persons may pace back and forth excitedly, moaning and crying, beating their breasts and wringing their hands.
Loose control over themselves entirely and run about purposelessly shouting and crying and sometimes even attacking others
INVOLUTIONAL MELANCHOLIA
Involution melancholia is a psychotic type of mood disorder usually marked by guilt, somatic delusions and some agitated depression.
Involutional melancholia to be largely exogenous
UNIPOALR MOOD DISORDERS
Under unipolar depression the following classification is made:

TYPES / INTRODUCTION TO DEPRESSIVE DISORDERS


Depressions that are not mood disorders.
-loss and grieving process
-Other normal mood variation.
Mild to moderate depressive disorders.
-Dysthymia
-Adjustment disorder with depressed mood.
Major depressive disorder.
-Melancholic type.
-Severe major depressive episode with psychotic features.
Seasonal affective disorder

CASE PROFILE: UNIPOLAR DEPRESSION
Karen S., 35, was hospitalized because of overwhelming feelings of depression. On admission she had a very sad appearance, sat in a hunched position and moved very slowly.
She avoided eye contact and replied to questions with a soft monotonous murmur. Karen continuously clasped her hands together. She complained of feeling “totally wretched” and frequently spoke of “pointlessness of it all”.
She tended to wake very early in the morning and would then be unable to sleep again.
Her family said that she often wept and rarely ate. Karen maintained on several occasions that she would be “better off dead”, but although she made frequent references to suicide there was no evidence that she made any attempt to end her life.
She said that she felt “worthless” and “no good to anybody”, although her marriage had been apparently a happy one and she had been successful in raising her two children before the onset of her depression

THE PREVALENCE
SEX: lifetime prevalence of major depression for males at nearly 13 %, and lifetime prevalence rates for females at 21 %.
AGE :2% of school age children may be severely depressed at any point of time, and the rate for adolescence appear to be around 4%
MARITAL STATUS :Married people are less at risk of developing a depressive disorder than those who are widowed or divorced (Bloom ET AL.,1979).
SOCIAL CLASS :P revalence of depression is roughly the same for people from each social class

Depressive disorders afflict one out of five women and one out of ten men at some time during their lives.
Despite the availability of effective treatments, many persons with mood disorders are disabled, and rates of suicide (which occurs in approximately 15 percent of depressive patients, especially in those with bipolar II disorder) are high in young and, particularly, elderly men

UNIPOLAR DEPRESSION: SYMPTOMS


The principal symptoms of depression are:
Sadness.
Pessimism.
Self dislike.
Loss of interest and motivation.
Psychomotor retardation.
Agitation.
Somatic complaints like aches and pains may be present.
Loss of appetite and weight.
Poor sleep.
Menstrual changes.
Loss of libido.
Suicidal tendencies.
Impaired capacity to perform everyday social functions.
Physical alterations as anorexia, constipation, headache and other bodily complaints.

AFFECTIVE SYMPTOMS:


“anger” and “anxiety
sharp loss of interest and enthusiasm
AN EXAMPLE: During most of the period that I was depressed life seemed hopeless and futile
I frequently sought escape in sleep and would stay in bed until mid day.
At times panic and anxiety would come upon me for no apparent reason, often resulting in irrational fears. ( Rippere and Williams, 1985).

COGNITIVE SYMPTOMS
difficult to concentrate .
spend a considerable proportion of their time dwelling on unpleasant thoughts and memories .
Their pessimism may be associated with severe loss of self esteem and feelings of unworthiness.
self blame and guilt.
delusions may involve unrealistic assumptions and inferences that promote feelings of persecution and jealousy.

BEHAVIORAL SYMPTOMS:
Clinically depressed people often look profoundly sad .
woeful facial expressions and a hunched posture, and they may weep frequently.
Their sleep patterns are usually disturbed and self destructive behavior include self mutilation and attempts at suicide .
They may engage in stereotyped movements or other activities like wringing their hands

SOMATIC SYMPTOMS
physically very “run down .
loose weight, frequently feel physically tired and suffer from a variety of aches and pains .
tiredness, fatigue, weight loss, head aches or some other pain or physical discomfort .
A somatic symptom of depression may maintain or deepen the negative mood

SOCIAL SYMPTOMS
Avoid the company of others, including close friends and relatives.
They may have lost interest in conversation and social activities.
When they are with other people they may experience a strong desire to escape

TYPES


1) DEPRESSION THAT ARE NOT MOOD DISORDER

a. Loss and grieving process
– following the: death of a loved one, separation, financial loss, etc.
– Characteristic qualities of grief: Bowlby, 1980
Different Clinical Manifestations of Unipolar Depression
as Defined by Severity and Duration Threshold

b. Other normal mood variation
– Success Depression
– depression during carefree personal growth and freedom
– Postpartum depression
2) MILD TO MODERATE DEPRESSIVE DISORDER

a. DYSTHYMIA

DSM-IV Diagnosis:
– Dysthymic Disorder
Noteworthy DSM-IV Specifiers:
– Early Onset
– Late Onset
- Diagnostic Features,
- Complications,
- Co morbidity,
- Associated Laboratory Findings,
- Prevalence,
- Course,
- Familial Pattern,
- Treatment

Diagnostic Features
Dysthymic Disorder is a chronic condition characterized by depressive symptoms that occur for most of the day, more days than not, for at least 2 years
In children, the mood may be irritable rather than depressed, and the required minimum duration is only 1 year. During this 2-year period (1 year for children or adolescents), any symptom-free interval can not last longer than 2 months.
By definition, this diagnosis is not made if there are any Hypomanic, Manic or Mixed Episodes
This disorder’s depressive symptoms are not due to a medical condition, medication, illegal drug, or Psychotic Disorder
Complications
By definition, there must clinically significant distress or impairment in social, occupational, or other important functioning as result of the mood disturbance.
In childhood, this disorder is often associated with impaired school performance and poor social interaction.
Children and adolescents with this disorder are usually irritable and cranky as well as depressed. They have low self-esteem, poor social skills, and are pessimistic.

Co morbidity
In adults, this disorder is associated with an increased risk of having Major Depressive Disorder and Substance-Related Disorders.
In children, this disorder is associated with an increased risk of having Attention-Deficit/Hyperactivity Disorder, Conduct Disorder, Anxiety Disorders, Learning Disorders, and Mental Retardation.
Associated Laboratory Findings
No laboratory test has been found to be diagnostic of this disorder
Sleep EEG abnormalities are evident in 25%-50% of adults with this disorder.
Dexamethasone nonsuppression (which often occurs in Major Depressive Disorder) is not common in Dysthymic Disorder (unless it co-exists with Major Depressive Disorder)
Prevalence
Lifetime prevalence for this disorder in the general population is 6%.
In any year, 3% of the general population has this disorder
In adulthood, women are 2-3 times more likely to develop this disorder than men.

Course
This chronic disorder usually has an early and insidious onset in childhood or adolescence.
In adults, up to 75% of individuals with this disorder will develop Major Depressive Disorder within 5 years.
The spontaneous recovery rate for this disorder is approximately 10% per year. This recovery rate is significantly better with active treatment.

Familial Pattern
First-degree biological relatives of individuals with disorder have elevated rates of Dysthymic Disorder and Major Depressive Disorder compared with the general population.
Dysthymic Disorder is more common in the first-degree biological relatives of individuals with Major Depressive Disorder
Treatment
Medical Treatment
Recent research shows that approximately 62% of patients with dysthymic disorder will benefit from antidepressant medication.
Antidepressant Drugs: Both fluoxetine and imipramine have repeatedly been shown to be effective treatments for this disorder in placebo-controlled randomized double-blind studies

Antianxiety Drugs: A number of drugs are not of value for long-term treatment. Those drugs include the amphetamines, the barbiturates, and the benzodiazepines. Those drugs are often prescribed for patients with chronic symptoms of insomnia, fatigue, or tension.
However, clinical experience and systematic research indicate that they are little better than a placebo and are at times worse

Psychosocial Treatment
Psychotherapy is the principal treatment resource for patients with dysthymic disorder. Reassurance that the clinician understands the depth of the patient’s pain, assessment of suicidal and other self-destructive potential, and optimism for the future are all useful.
Individual Psychotherapy: Patients who receive psychotherapy of any of several types – notably cognitive, interpersonally-oriented, or behavior therapy with social skills training – tend to have a good prognosis, with or without antidepressant medication

Group Therapy
Although individual psychotherapy is the most common psychosocial treatment offered, many individuals with dysthymic disorder will benefit from group therapy and from active investigation and restructuring of maladaptive social functioning.
Family Therapy
Family-centered approaches differ from individual methods in their direct focus on the “role of the sick member” in the family system rather than on the symptoms of the identified patient.

CASE STUDY – Dysthymia
A 27-year-old, male, grade-school teacher presented with the chief complaint that life was a painful duty that had always lacked luster for him. He said that he felt enveloped by a sense of gloom that was nearly always with him. Although he was respected by his peers, he felt like a grotesque failure, a self-concept I have had since childhood.€ He stated that he merely performed his responsibilities as a teacher and that he had never derived any pleasure from anything he had done in life. He said that he had never had any romantic feelings; sexual activity, in which he had engaged with two different women, had involved pleasure less orgasm. He said that he felt empty, going through life without any sense of direction, ambition, or passion, a realization that itself was tormenting. He had bought a pistol to put an end to what he called his useless existence€ but did not carry out suicide, believing that it would hurt his students and the small community in which he lived.

b. ADJUSTMENT DISORDER WITH DEPRESSED MOOD
Behaviorally indistinguishable from dysthymia.
It differs from dysthymia in that it does not exceed six month in duration, and it requires the existence of an identifiable psychological stressor in the clients life within three months before the onset of depression.
Also, the diagnosis assumes that the person’s problem will remit when the stressor ceases or when a new level of adjustment is achieved.
Presumably, chronic cases of this sort would need to be rediagnosed as dysthymia.

3) MAJOR DEPRESSIVE DISORDER

When Sonya came to Dr. Bolio he observed that her depression was so severe, “She had no interest in anything.“ Her physical symptoms included low energy, shaking and trembling throughout her body, heart palpitations, irregular menstrual flows, a medical history of cysts in the pancreas, liver and intestine, insomnia, constipation (since age six, when her parents divorced) and bad breath.
Sonya’s previous medical doctor had placed her on antidepressants and hormone therapy, which she felt had only worsened her condition and made her feel more anxious and withdrawn.
At the onset of therapy with Dr. Bolio, Sonya displayed extreme suicidal feelings, profound resentment towards her mother, anger and frustration with her oldest daughter (aged 26), and poor communication with her husband.

WHAT IS MAJOR DEPRESSIVE DISORDER
The diagnostic criteria for “major depressive disorder” require that the person exhibit more symptoms than are required for “ dysthymia” and the symptoms be more persistent (not interwoven with periods of normal mood).
An affected person must experience either markedly depressed mood or marked loss of interest in pleasurable activities in most of everyday for at least “two weeks

SYMPTOMS
Depressed mood. For children and adolescents, this may be irritable mood.
A significantly reduced level of interest or pleasure in most or all activities.
A considerable loss or gain of weight (e.g., 5% or more change of weight in a month when not dieting). This may also be an increase or decrease in appetite. For children, they may not gain an expected amount of weight.
Difficulty falling or staying asleep (insomnia), or sleeping more than usual (hypersomnia).
Behavior that is agitated or slowed down. Others should be able to observe this.
Feeling fatigued, or diminished energy.
Thoughts of worthlessness or extreme guilt (not about being ill).
Ability to think, concentrate, or make decisions is reduced.
Frequent thoughts of death or suicide (with or without a specific plan), or attempt of suicide

SUB TYPES OF MAJOR DEPRESSION:
-MAJOR DEPRESSION ON MELANCHOLIC TYPE .
-MAJOR DEPRESSIVE EPISODE WITH PSYCHOTIC FEATURES .
-DOUBLE DEPRESSION (major depression & dysthymia both)
-DEPRESSION AS A RECURRENT DISORDER .

4) SEASONAL AFFECTIVE DISORDER .
Depression showing a seasonal pattern; in the fall or winter.
The person must have had atleast two episodes of depression in the past two years occuring at hte same time of the year (fall or winter) and full remission must have occured at hte same time of the year (commonly in spring).

CAUSAL FACTORS -

BIOLOGICAL
Genetics
There exists incontrovertible evidence that both unipolar depression and bipolar disorder are genetically linked.
In monozygotic (MZ), or identical, twins, there was a concordance rate of 54 – 65% for unipolar depression.
There was only a concordance rate of 14 – 19% percent in dizygotic (DZ) or fraternal, twins.
Unipolar depression also appears frequently among relatives of those with bipolar disorder, although bipolar disorder does not occur more frequently than normal among family members of those diagnosed with unipolar depression (Feldman, Meyer, & Quenzer, 1997, p. 821) .
General Biological Hypotheses of Affective Disorders
Dysregulation Model: The dysregulation model of depression, as proposed by Siever and Davis (1985), suggests that depression is due to inappropriate (i.e. less selective) environmental responsiveness, and defective habituation (i.e. a slower return to baseline functioning following a perturbation). They believe that this is due to a chronic abnormality with the pattern and degree of responsiveness of a neurotransmitter
Learned Helplessness: It is hypothesized that either dopamine or norepinephrine functions are being altered in susceptible individuals. (Willner, 1994, p. 297-298).
Desynchronization of Circadian Rhythms: This includes: decreased total sleep time, increase sleep onset latency, decreased sleep arousal threshold, increased wakefulness, more frequent changes between sleep stages, and terminal insomnia.
Additionally, there is rapid eye movement (REM) sleep effects also associated with affective disorders
The effectiveness of phototherapy in seasonal affective depression (SAD) also is supportive of the theory of a desynchronization of circadian rhythms.
Behavioral Sensitization: When behavior become more severe and occurs more rapidly in response to the same dose of a given psychomotor stimulant, behavioral sensitization is said to have occurred. It is believed to involve dopamine at some point in the process, and can be modified by other neurochemicals such as sex hormones and vasopressin (Goodwin & Jamison, 1990, p.406)

PSYCHOLOGICAL ACCCOUNTS
LOSS AND REJECTION :Freud proposed that loss of a love object can also be withdrawal of love and affection by an important figure during a critical development period which can pre dispose an individual to develop depression later in life in response to similar situations involving real or imagined withdrawal or loss of love
LEARNED HELPNESS THEORY
This learned helplessness will produce three kinds of deficits:
Motivational deficiet .
Cognitive deficiets .
Emotional deficits
COGNITIVE THEORY:
Underlying “ depressogenic schemas or dysfunctional beliefs” which are rigid, extreme , counter productive.
Cognitive triad :
Negative thoughts about the self ( “ I am ugly”, “ iam worthless” , “ I am failure” )
Negative thoughts about one’s experiences and the surrounding world ( “ no one loves me” , “ people treat me badly” )
Negative thoughts about one’s future( “ its hopeless because things wil always be this way” )
STRESSFUL LIFE EVENTS HAVE CAUSAL EVENTS
Situations that tend to lower self esteem like being fired or faioing in an important exam.
The thwarting of an imortnat goal or the posing of an insoluable dilemma such as being told the fellowship you were counting on to support in graduate school is no longer available.
Developing a physical diseases or abnormality that activated the idea of death or deteroration.
Single stressor of overwhelming magnitute like loss of a parent.
Several stressors occurring in a series.
Insidious stressors unrecognized as such by an affected person such living with a depressed or physically diabled person for a long time.
TYPES OF DIATHESIS STRESS MODELS FOR UNIPOLAR DEPRESSION -
PERSONALITY AND COGNITIVE DIATHESIS.
EARLY PARENTAL LOSS AS A DIATHESIS .
BEHAVIORAL THEORIES
Depressed person indeed receive fewer positive verbal reinforcement from their families than do non depressed person and fewer social reinforeceemnt in their lives in general.
They also have lower level of activity and report less pleasure from seemingly positive events .
INTERPERSONAL EFFECT OF MOOD DISORDER
LACK OF SOCIAL SUPPORT AND SOCIAL SKILL DEFICIET
VULNERABILITY FACTORS +PROVOKING AGENTS = DEPRESSION
( IN THE ABSENSE OF
PROTECTIVE FATORS)
EARLY LOSS OF MOTHER+ A RECENT FAMILY = DEPRESSION
DEATH

TREATMENT


Antidepressants, antipsychotic and antianxiety drugs are all used in treatment of mood disorders.
Tricyclics have unpleasant side effects and are highly toxic.
Antidepressants not used for bipolar disorder treatment.
SSRIs have fewer side effects and less toxic.
Prozac is used in significant depression and also in mild depressive symptoms.
Lithium is often effective in preventing cycling between manic and depressive episodes.

ECT is used with severely depressed who may present an immediate and serious suicidal risk including those with psychotic or melancholic features.
ECT is also used with patients who have not responded with other forms of pharmacological treatments.
However, maintenance on mood-stabilizing drugs following ECT is still usually required to prevent relapse.
Psychotherapy
Drugs plus electroconvulsive therapy that are used in the treatment of depression are combined with individual or group psychotherapy directed at helping a patient develop a more stable long range adjustment.
Cognitive behavioral therapy
Interpersonal therapy
Family and marital therapy.

SUICIDE

October 2nd, 2008

Depression & suicide
The risk of taking one’s own life is a significant factor in all depressive states.

SUICIDE
Suicide was one of the groundbreaking books in the field of sociology . Written by French sociologist Émile Durkheim and published in 1897 it was a case study of suicide, a publication unique for its time which provided an example of what the sociological monograph should look like.
He differentiated between four types of suicide:

Egoistic suicide: Egoism is a state in which the ties attaching the individual to others in the society are weak. Since the individual is only weakly integrated into the society, ending his or her own life will have little impact on the rest of the society. In other words, there are few social ties to keep the individual from taking his or her own life. This Durkheim saw as the cause of suicide among divorced men, and has been cited as the cause of rising teenage suicides by contemporary sociologists.

Anomic suicide: Anomie is a state in which there is weak social regulation between the society’s norms and the individual, most often brought on by dramatic changes in economic and/or social circumstances. This type of suicide happens when the social norms and laws governing the society do not correspond with the life goals of the individual. Since the individual does not identify with the norms of the society, suicide seems to be a way to escape them. Examples include the spike in suicide rates following the 1929 Stock Market Crash in the United States, as well as the spike following the September 11th attacks

Altruistic suicide: Altruism is a state opposite to egoism, in which the individual is extremely attached to the society and thus has no life of his or her own. Individuals who commit suicide based on altruism die because they believe that their death can bring about a benefit to the society. In other words, when an individual is too heavily integrated into the society, he or she will commit suicide regardless of his or her own hesitation if the society’s norms ask for the person’s death. Durkheim saw this as occurring in two different ways:
– Where people saw themselves as worthless or a burden upon society and would therefore commit suicide. He saw this as happening in ancient or ‘primitive’ societies, but also in highly traditionalized army regiments, such as imperial or elite guards, in contemporary society.
– Where people saw the social world as meaningless and would sacrifice themselves for a greater ideal. Durkheim saw this as happening in ‘Eastern’ religions, such as the Sati in Hinduism. Some contemporary sociologists have used this analysis to explain Kamikaze pilots and the cult of the suicide bomber.

Fatalistic suicide: Fatalism is a state opposite to anomie in which social regulation is completely instilled in the individual; there is no hope of change against the oppressive discipline of the society. The only way for the individual to be released from this state is to commit suicide. Durkheim saw this as the reason for slaves committing suicide in antiquity, but saw it as having little relevance in modern society. Contemporary sociologists have argued that modern fatalistic suicide occurs in such societies as Japan, where social mobility is so limited by social norms that individual fulfillment is impossible.

Why Do People Commit Suicide?
In response to extreme emotional pain,
and suicidal thoughts and feelings due to various brain chemistry deficiencies and/or disorders.
Prolonged life circumstances of extreme stress, emotional upset, abuse, poverty, terrible living conditions, neglect, poor health, injury, disability – especially with no apparent hope of change or improvement can and do precipitate depression and suicidal thoughts for some.
What is not commonly known is that -
Suicidal thoughts are an involuntary affliction ! We don’t choose to think them. Suicidal thoughts just enter.Under depression person is not able to understand that the decison od death is taken by a sick body and not a healthy mind.

Is Suicide A Sin?
The main problem with suicide is that it is murder. You would be murdering a person even though it would be your own self – you are still a person.
While we are depressed, we must consider that our decisions will be based on a body system that is not functioning as it should

Who Want To Commit Suicide?
The personality matters a lot.
Who cares if I live or die?
Emotional crisis: loneliness, isolation, competitiveness, work pressure and interpersonal problems.
Attempts – women, men, children & adolescents, adults, certain professionals (physician, dentist, lawyers, & psychologists).
Completed – usually men (due to the method used).

Reasons / Causal factors:
Psychosocial – loss of sense of meaning in life and/or hopelessness about future.
Egoistic suicide, Anomic suicide, Altruistic suicide, Fatalistic suicide.
Early negative experience, irrational beliefs and cognitive functioning.
Biological – reduced serotonergic functioning, genetic vulnerabilities.
Sociocultural – religious taboo, Kamikaze (Japan)

Suicidal ambivalence
Some people do not really wish to die, but instead want to communicate a dramatic message to others concerning their distress.
Their suicidal methods involve non lethal methods.
Another subset of people are who tend to leave the question of death to fate. “If I die the conflict is settled, but if I am rescued that is what is meant to be”.

Communication of suicidal intent
A Myth – that people who talk about killing themselves never actually do it; that they are simply drawing attention to themselves.
Whether direct or indirect, communication of suicidal intent usually represents a warning and a cry for help.
Failing to receive it after a suicidal threat, they go on to actual suicide.
Suicide notes
Only 15-25% left notes, usually addressed to relatives or friends.
The emotional content could be positive, negative, neutral, or mixed.

A suicide note – “I just need it to be over. I’ve tried to be good and go on but I’m tired. I’m sorry for my children. You will be better off without a crazy-mixed-up mother. You are great kids, this is something in me. You deserve better. I can’t live without you and I know you will just get mixed-up with me. Sorry, mom”

Suicide poetry
“ I’ll draw you a picture
I’ll draw it with a twist
I’ll draw it with a razorblade
I’ll draw it on my wrist
cut your wrist and ease the pain
a minute of relief is all you’ll gain
life is so stupid
hopeless and weak
another cut on my wrist
is all that i seek ”

Prevention
Helping suicidal persons is a very precarious matter
Learn and Understand. Educate yourself about this illness. Realize that there are millions out there just like your loved one. Their feelings are their symptoms. And their life really is danger.
They really are suffering with a potentially fatal biological illness.
Tell Them
Ask Them
“Please Don’t
Kill Yourself”
Reinforce
Emotional Ties
Tell the person – Don’t do it !
TELL them often.
ASK them not to do it – PLEASE don’t.
Tell them you don’t want them to do it and that they are loved and would be badly missed

Crisis Intervention- help these people regain their ability to cope with their immediate problems.
Talking helps – tell the one to seek comfort and support in other family, friends, medical doctor, family counselor, therapist, clergy. Don’t carry it alone.
Sometimes people need to be hospitalized to keep them from attempting suicide.
As low serotonin levels are associated with it.
UNDERSTANDING HELPS letting the hope float..

HELPLINES -
Sanjeevani Society for Mental Health Premarital/ marital counselling, emotional instability/ psychological counselling. A-6, Qutub Institutional Area, Satsang Vihar Marg, New Delhi-110067. Ph: 4311918/ 4317285. Contact: V. S. Subramaniam.
Sumaitri – a crisis centre for the suicidal and despairing Depression, suicide prevention. 48, Babar Road, near Bengali Market, New Delhi-110001. Ph: 3710763.
The Samaritans Working with mentally ill, emotionally disturbed and suicidal persons, providing free treatment. Consulting and day-care rehabilitation. 1st Floor, Seva Niketan, Sir J. J. Road, Byculla, Mumbai-400008. Ph: 022-3092068
Sneha Suicide prevention centre No. 4, Avvai Shanmugham Lane, Royapettah, Chennai. Ph: 8273456

Educational Psychology: Development & Individual Differences

September 16th, 2008

What is educational psychology?
Educational Psychology constitutes the foundation of education. It provides an approach to educational problems and a set of techniques for studying children and the problems that arise in their education. It is an area of application rather than unique category of subject matter.
Educational Psychology – a field of specialization concerned with increasing the efficiency of learning in school through the application of psychological knowledge about learning and motivation to the curriculum.
EDUCATIONAL PSYCHOLOGY -
DEVELOPMENT & INDIVIDUAL DIFFERENCES
(A) DEVELOPMENT
(B) INDIVIDUAL DIFFERENCES

A. Development
Physical growth & development
Mental growth and development
Emotional development
Social development
DEVELOPMENT
Development, as applied to the various areas of behavior, is characteristic of human nature from conception throughout life.
The prenatal period, childhood, and adolescence usually are referred to as representing sequential maturation or development toward adult maturity.
The habitual behavior patterns and understandings acquired during these developing years are aimed at serving the individual effectively in his life activities and relationship.

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The term development and learning sometimes are used synonymously. Their connotation differ, however, in that learning mastery in any area is dependent upon development readiness to profit from exposure to incidental or planned learning stimulating situations

PHYSICAL GROWTH AND DEVELOPMENT
The individual as an active, productive member of his group is first and foremost a physical being.
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Consequently, any program of learning that is organized for his benefit must not only be geared to his progressive stages of physical growth but also be aimed at providing educational media that will make possible for him the development of excellent body symmetry, good health, and effective activity of the neuromuscular system that will help him live long and successfully.
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1.GENERAL CHARACTERISTICS OF PHYSICAL DEVELOPMENT
growth VS development
importance of physical development
Measures
2.SPECIFIC GROWTH CHANGES
height and weight
body proportion
growth of internal organs
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3.ENVIRONMENTAL INFLUENCES AND PHYSICAL DEVELOPMENT
4.EDUCATIONAL SIGNIFICANCE OF PHYSICAL DEVELOPMENT
MENTAL GROWTH AND DEVELOPMENT
EMOTIONAL DEVELOPMENT
An emotion is an effective experience that accompanies generalized inner adjustment and mental physiological stirred up states in the individual, and that shows in his overt behavior.
Functions of emotion in life
Effects upon behavior
Causes of emotional stress
Emotional maturity
~>A study on the relationship between aggression and achievement in chemistry of XI standard students.
A study on the relationship between aggression and achievement in chemistry of XI standard students.
By T.Parimala
N=314, 108 girls & 206 boys
Aggression Questionnaire by G.B.Patti
Achievement test in chemistry by researcher.
RESULTS revealed that there is a negative relationship between aggression and achievement meaning that students who are less aggressive shall achieve better and there is a significant difference between boys and girls in both aggression and achievement.
SOCIAL DEVELOPMENT
Social development refers to the long-term changes in relationships and interactions involving self, peers, and family. It includes both positive changes, such as how friendships develop, and negative changes, such as aggression or bullying.

For teachers, the social developments that are the most obviously relevant to classroom life fall into three main areas: 1) changes in self-concept and in relationships among students and teachers, 2) changes in basic needs or personal motives, and 3) changes in your sense of rights and responsibilities.

As with cognitive development, each of these areas has a broad, well-known theory (and theorist) that provides a framework for thinking about the area as it relates to teaching.

B. Individual differences
Definition
Types
Distribution

INDIVIDUAL DIFFERENCES
Each student is an individual and ultimately must be treated as such.
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Beyond the generalities of learning and motivation, Educational psychology must deal with the fact that people differ.
Differences among students reflect more than developmental factors, like differences in creativity, intelligence, motivation, language, and writing skill.
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Individual differences have fascinated and challenged parents and teachers throughout history and became a subject matter of educational psychologist after Sir Francis Galton’s (1869) investigation.
Q. What are the important characteristics on which student differ?
Q. What are their implications for individual treatment?
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To deal with these complexities, we have developed descriptive labels and associated measurement methods that allow us to describe students with respect to –
Social class & socio economic status
IQ
Gender
Cognitive styles
Creativity
Exceptionality
Ethnicity and culture
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OPPOSITION to such labeling
Many labels are demeaning and appear to produce undesirable self-fulfilling-prophecy effects.
Labeling as MEANINGFUL and HELPING
Linkage between labels and remedial procedures.
However linkages between labels and clear-cut remedial procedure are not so clear.
The value of labels, even so called “diagnostic” ones, depends not only on their accuracy but on the degree to which they provide guidance for remediation to the implied problem.
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Socioeconomic status
Social class
Socio economic status
~> Children with learning disabilities in relation to different ecological factors. **
By Chandra Kala Singh & Bimla Dhanda
N=60, age-group was 6 to 8 yr
Tools: McCarthy(1970) scales of children ability, Visual Motor Integration test (VMI) directionality subtest.
Self structured Interview of mothers of these children.
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RESULT: It was observed that the parents who were not able to provide their children with good recourses, proper care, academic and play material suffered from two or more learning disability.
Parents also had opinion that due to lack of resources, education and motivation, they could not provide their children healthy environment for learning.
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IQ
IQ tests
School success VS intelligence
Changing IQs
Type of intellectual abilities
Transfer of skills

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Sex roles
Differences in intellectual functioning
Differential effects of praise and criticism
~> When being a girl matters less: Accessibility of gender-related self knowledge in single-sex and coeducational classes and its impact on students physics related self-concept of ability.
By Ursula Kessels & Bettina Hannover
N=401, eight graders from coeducational school
Method: random assignments of student to single sex VS coeducational physics classes throughout the eighth grade.
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At the end of the year, students’ physics related self concept of ability was measured using a questionnaire. The accessibility of gender related self-knowledge during physics classes was accessed by measuring latencies and endorsement of sex typed trait adjectives.
RESULTS: Girls from single sex physics classes reported a better physics related self-concept of ability than girls from coeducational classes, while boys’ self concept of ability did not vary according to class composition. For both boys and girls, Gender-related self-knowledge was less accessible in single-sex classes than in mixed-sex classes. To the extent that girls feminine self-knowledge was relatively less accessible than their masculine self-knowledge, their physics related self concept of ability improved at the end of the school year.
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CONCLUSION: By revealing the importance of the differential accessibility of gender-related self knowledge in single-and mixed-sex setting, our study clarifies why single-sex schooling helps adolescents to gain a better self-concept of ability in school subjects that are considered inappropriate for their own sex.
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Cognitive Styles
Conceptual tempo: a) impulsive b) reflective
Psychological differentiation: a) field dependent b) field independent.
Creativity
Measures
Fostering creativity in classroom
~> Comparative study among juvenile delinquents and normal children in relation to different dimensions of creativity.
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By Dharpal Singh Yadav & Grijesh Kumar
N=200 normal children, N=100 juvenile delinquents
Tools: verbal and non verbal Torrance Tests of creative thinking
RESULT: Juvenile delinquents differ significantly on different dimensions of figural and verbal creativity such as flexibility and originality where as fluency did not show any difference.
The major findings of this research is that though the children are delinquent but their performance on creativity test were almost identical with non delinquent children and this will prove beneficial for development of delinquent children.
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Students with handicaps or special needs
Exceptionality
Mentally disabled **
Physically disabled
Gifted

Stairs handicap a person who uses a wheelchair
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Ethnicity and culture
Caste
Class
Ecology
Culture
Rural/Urban

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With respect to social equity motive, the problem centers on inequality in academic achievement associated with children from ethnic groups and the inability of schools to provide access to equal educational opportunities.

“Instructions may be delivered in the same way to all children and still not be equal.”
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Belonging to a particular caste or group is important because the traditions established in homes are the experiential background instrumental in engineering later development which will influence school learning.

The scheduled-caste children appeared to suffer from a crisis of personality orientation (Gupta, 1979; Chitnis and Naidu, 1981). In the case of these children value conflict often came in the way of educational progress besides curriculum and instruction problems (Kulshreshtha, 1983).

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Class membership and ecology imposed structural and functional constraints in the case of different groups of tribal children. School as a social institution is a comparatively new environment for tribal children.

The tribal child starts with near zero linguistic information and conceptualization when he enters school (Panda, 1988).

Ethnicity in the form of tribal origin failed to bring differences in intellectual functioning as measured by intelligence tests (Sinha, R.R.P., 1964; Chaudhuri & Sinha, 1959) but rural and urban differences in the same ethnic group were predominant in intelligence and other adjustment behavior (Sinha, R.R.P., 1964; Nomani, 1965).

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Ecological variables were studied by Mishra (1983). The sample consisted of urban, rural and tribal children drawn from socially disadvantaged and advantaged categories. The effects of disadvantage on achievement and adjustment were more prominent in the urban setup than in the rural set-up, probably because the urban set-up is more advanced and. complex.

Extent of individual differences is represented by a normal curve, not bimodal or multimodal curves.
References:

1) Crow, L.D., and Crow, A., (1963). Educational Psychology. New York, Van Nostrand Reinhold Company.
2) Skinner, C.E.,(1996). Educational Psychology. New Delhi, Prentice Hall.
3) Berliner, D.C., and Calfee, R.C. (1996).Handbook of Educational Psychology. USA, McMillan Library Reference, Prentice Hall.
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4) Ashok, S., (2008). Parent Child Interaction and Academic Achievement in Kindergarten, Primary and Middle School. Indian Journal of Applied Psychology, 45, 11-15.
5) Parimala, T., (2008). A study on the relationship between aggression and achievement in chemistry of eleventh standard students. Indian Journal of Applied Psychology, 45, 16-20.

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6) Kessels, U., and Hannover, B., (2008). When being a girl matters less: Accessibility of gender related self knowledge in single sex and coeducational classes and its impact on student’s physics related self-concept of ability. British journal of Educational Psychology, 78, 273-289
7) Singh, C.K., and Dhanda, B., (2008). Children with Learning Disabilities in relation to Different Ecological Factors. Disabilities and Impairments: An interdisciplinary Research Journal, 22, 24-28..
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8) Yadav, D.S., and Kumar, G., (2008). Comparative study among juvenile delinquents and normal children in relation to different dimensions of creativity. Disabilities and Impairments: an interdisciplinary Research Journal, 22, 43-48.
9) K.C. Panda. Research on Psychology of Education a trend report. Retrieved August 27, 2008 from http://education.nic.in/cd50years/g/Z/9I/0Z9I0903.htm

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10) Wikibooks, the open-content textbooks collection (2007 August 10). Contemporary Educational Psychology/Chapter 3: Student Development/Social Development: Relationships and Personal Motives. Retrieved August 23, 2008 from http://en.wikibooks.org/wiki/Contemporary_Educational_Psychology/Chapter_3:_Student_Development/Social_Development:_Relationships_and_Personal_Motives

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11) Good, T.L., and Brophy, J.E.,(1980). Educational Psychology: A realistic approach. Library of Congress cataloging in Publication Data.

UNDERSTANDING can save…letting the hope float…

S.P.K.S