psi stress vulnerability bucket analogy 2014 .pptx

Developing Explana.ons the ‘vulnerability -­‐ stress’ model (a<er: Zubin & Spring 1977) Zubin & Spring (1977: 110) suggest that: ‘…as long as the stress induced by challenging events stays below the threshold of vulnerability, the individual… remains well within the limits of normality. When the stress exceeds the threshold, the person is likely to develop a psychopathological episode of some sort… when the stress abates and sinks below the vulnerability threshold, the episode ends.’ John Butler 2014 using the stress vulnerability model 1.  iden.fy examples of stressors & vulnerabili.es 2.  iden.fy some posi.ve coping methods / protec.ve factors 3.  relate this to the stress vulnerability model and provide an explana.on to the service-­‐user and family members 4.  op.on: use an analogy to aid explana0on 5.  create a sketch with the service-­‐user & family, which you can then give to them – this becomes a ra0onale for ac0on John Butler 2014 using an analogy: the stress bucket (based upon: Brabban & Turkington 2002)
not geVng enough sleep stress factors (stress = the level of water in the bucket) vulnerability factors = the size & strength of the bucket exam pressures coping strategies = hole(s) in the bucket to let out water (lower stress) debts lack of support voices anxiety John Butler 2014 signs & symptoms = overflowing water more vulnerable = a shallower bucket a more vulnerable person = a smaller / shallower bucket arguments with brother & sister stress factors being bullied / in.midated mother’s death voices worsen John Butler 2014 shou.ng out sleep problems anxiety vulnerability factors = family history; sensi.ve; solitary signs & symptoms draw your own stress bucket write in your stress factors (stress = the level of water in the bucket) Id coping strategies = hole(s) in the bucket signs & symptoms = overflowing water John Butler 2014 value of using the SV model the ‘vulnerability -­‐ stress’ model (a<er: Zubin & Spring 1977) the model generally makes sense to service-­‐users and carers and can lead to a common understanding leading to clearer plans and interven.on – a plausible model that assists engagement the model integrates biological, psychological and social factors psychosis is viewed as episodic and related to stress represents a way in which mental health status at a par.cular point in .me may be regarded as a con.nuum applicable to all people (Hayes 2012) it acknowledges a person’s threshold for coping John Butler 2014 value of using the SV model the ‘vulnerability -­‐ stress’ model (a<er: Zubin & Spring 1977) offers a framework to build on strengths and increase capacity in managing stress encourages early detec.on & management focus upon enhancing coping, minimising less useful ways of coping, and developing protec.ve buffers against stress encourages hope and op.mism promotes a reduc.on in the poten.al of relapse John Butler 2014 Key References Birchwood. M., Hallec, S. & Jackson, C. (1988) Schizophrenia: an integrated approach to research and treatment. Harlow, Essex: Longman Group UK Ltd. Brabban, A. & Turkington, D. (2002) The Search for Meaning: detec.ng congruence between life events, underlying schema and psycho.c symptoms. In A.P. Morrison (Ed) A Casebook of Cogni0ve Therapy for Psychosis (Chap 5, p59-­‐75). New York: Brunner-­‐Routledge Nuechterlein, K. & Dawson, M. (1984) A Heuris.c Vulnerability / Stress Model of Schizophrenic Episodes. Schizophrenia Bulle0n 10: 300-­‐312 Zubin, J. & Spring, B. (1977) Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology 86: 103-­‐126 John Butler 2014