2 Ocak 2014 Perşembe

Beyond Diathesis Stress: Vulnerability or Plasticity?



Why one person become depressed, while the other does not, even when they exposed to the same stressors? [1]. Furthermore, why one person who has a genetic predisposition for OCD (Obsessive-Compulsive Disorder) and get through a normal life and never actually develops it, while the other may suffer from some events and end up with OCD. Those situations can be explained by diathesis-stress model. The common explanation for the phenomena is: in order to develop some illness or disorders, you need to have an inherited risk factor, but also environmental risk factor. That means, non-biological or genetic traits (diathesis), interacts with environmental influences (stressors) to produce disorders such as, depression, anxiety or schizophrenia [2].

Individuals vary in their responses to environmental factors. Some individuals, due to their biological, temperamental and/or behavioral characteristics are more vulnerable to the adverse effects of negative experiences whereas others are relatively resilient with respect to them (an adaptation of Bakermans-Kranenburg and Van IJzendoorn’s, 2007). Thus, it can be understand that, both nature and nurture can have a significant effect on the emergence of the illness or the disorder. These traits make individuals more susceptible to environmental influences.

Afterwards the prevailing ideas of diathesis-stress model, some researchers such as, Jay Belsky and Michael Pluess, indicated that vulnerability might be more accurately though as plasticity and they come up with the hypothesis of “differential susceptibility”. It has been branched from diathesis-stress model and constructed upon it. Plasticity generally means, being susceptible to positive environmental factors as well as negative environmental factors and stressors. A person could have a biological vulnerability that when combined with a stressor could lead to psychopathology (diathesis – stress model); but that same person with a biological vulnerability, if exposed to a particularly positive environment, could have better outcomes than a person without the vulnerability [3]. Being more sensitive to favorable environmental factors helps individuals more likely to develop beneficial psychological characteristics.

Many researches have shown that, parenting, child-care quality, life events, rural- versus-urban residence, and even birth season are related to the differential susceptibility theory [3]. Children who have difficult temperament, insecure attachment, childhood adversity, childhood maltreatment or abuse are much more likely to show externalizing and internalizing problems, such as, depression, nonsocial activity, anxiety and criminal behaviors. Therefore, intervention programs are essential for vulnerable individuals, in order to make them benefit more from the positive outcomes of the favorable circumstances. Protective factors can mitigate or provide a buffer against the effects of major stressors by providing an individual with developmentally adaptive outlets to deal with stress [4]. Examples of protective factors include a positive parent-child attachment relationship, a supportive peer network, and individual social and emotional competence [4].

Development is shaped by both biology and experience coactively to promote specific abilities over others. Therefore, diathesis-stress model is a plausible theory, specifically for studying the development of psychopathology. However, although a number of studies have supported the idea of differential susceptibility, it has still some patterns that are not clear as much as the diathesis-stress model. Many researchers wonder, whether it comes mostly from nature or nurture. Though, it is optimistic to think that individuals who are vulnerable to adverse effects of environment are also more sensitive to the positive circumstances.


References:

[1] Sigelman, C. K. & Rider, E. A. (2009). Developmental psychopathology. Life-span human development (6th ed.) (pp. 468-495). Belmont, CA: Wadsworth Cengage Learning.
[2] Prevention Action, Diathesis-stress models Retrieved from http://www.preventionaction.org/reference/diathesis-stress-models
[3] Belsky, J. & Pluess, M. (2009). "Beyond diathesis stress: Differential susceptibility to environmental influences." Psychological Bulletin 2009, (Vol:135, No:6) 885-908.
[4] Administration for Children and Families (2012). Preventing child maltreatment and promoting well-being: A network for action. Department of Health and Human Services. Retrieved from
http://www.childwelfare.gov/pubs/guide2012/guide.pdf#page=9


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