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Learning objectives expectancy bias across disorders:

After reading the literature and studying the materials presented during the lecture

1. students can describe and illustrate the various types of expectations that are relevant in mental
disorders
 Expectations = cognitions which are future directed n focused on the (non-)incidence of
some event or experience
1. Large predictors of treatment outcomes (placebo effect, drug regime compliance)
 response expectations = concern the probability that some source of threat will occur
1. include negative external events n undesirable internal experiences
2. e.g. fear, pain
 consequential expectations = concern the probability that some negative outcome would
occur
1. its intensity/aversiveness
2. losses involved in its occurrence
3. e.g. harm, rejection
 self-efficacy expectations = concern anticipated (in)ability to cope w external/internal
threats
1. e.g. inability to cope
 cue expectations = concern the chance of encountering threat
1. e.g. dog barks (cue) = expect bite (threat)

2. students can describe and explain how expectancy biases may develop.

 Pathways to expectancy biases
1. Incidental learning experiences
a. Associative learning experiences = may result in abstract generalized
expectations/schemas
i. Schemas = formed by system consolidation reflected in gradual process of
info reorganization n migration from hippocampus to neocortex
2. Observational learning (modeling)
3. Instruction
a. E.g. parent expresses concern about dirtiness = generalized contamination concern
4. Functional adaptation
a. Accommodation = schemas should update their content n relations based on
inconsistent (safe) experiences
b. Comparator function = prediction error detection; better safe than sorry heuristic
i. Sensitive for deviation into more dangerous direction (case of
underprediction)
ii. Insensitive for deviation below expected level (case of overprediction)
 Disorder development
1. Determined by the expectation about course of aversive condition, expected future
threats, inability n ability to cope
2. Core feature = persistent n invalidating expectancy biases; tendency of expectancy bias
to persist even after contradictory experiences (= may explain why disorders run chronic
course)
a. Failure to update expectancies
b. Failure to learn from experience
- Brain as prediction machine
a. Constantly compares predictions based on mental representations of expected
associations (called priors) with actual outcomes

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Uploaded on
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