psi stress vulnerability bucket analogy 2014 - John …

1 Developing 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 remains well within the limits of normality. When the stress exceeds the threshold, the person is likely to develop a psychopathological episode of some when the stress abates and sinks below the vulnerability threshold, the episode ends. John Butler 2014 1. examples of stressors & 2. some coping methods / factors 3. relate this to the stress vulnerability model and provide an to the service- user and family members 4. : 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 using the stress vulnerability model John Butler 2014 voices anxiety not geVng enough sleep debts exam pressures lack of support using an analogy : the stress bucket (based upon.)

2 Brabban & Turkington 2002) signs & symptoms = overflowing water vulnerability factors = the size & strength of the bucket stress factors ( stress = the level of water in the bucket ) coping strategies = hole(s) in the bucket to let out water (lower stress ) John Butler 2014 voices worsen out sleep problems anxiety arguments with brother & sister mother s death being bullied / more vulnerable = a shallower bucket signs & symptoms vulnerability factors = family history; ; solitary stress factors a more vulnerable person = a smaller / shallower bucket John Butler 2014 draw your own stress bucket signs & symptoms = overflowing water write in your stress factors ( stress = the level of water in the bucket ) Id coping strategies = hole(s) in the bucket John Butler 2014 value of using the SV model the vulnerability - stress model (a<er.

3 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 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 point in .me may be regarded as a 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 & management focus upon enhancing coping, minimising less useful ways of coping, and developing buffers against stress encourages hope and promotes a in the of relapse John Butler 2014 Key References Birchwood.

4 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: congruence between life events, underlying schema and symptoms. In Morrison (Ed) A Casebook of Cogni0ve Therapy for Psychosis (Chap 5, p59- 75). New York: Brunner- Routledge Nuechterlein, K. & Dawson, M. (1984) A 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