Preparatory Mindset
The three core cognitive processes — memory (encoding/storage/retrieval), emotion (basic emotions + 2 dimensions), and personality (Big Five + Maslow) — are exam staples. The 医学心理学笔记 and review docx cover them in depth.
Exam mindset: know the memory stages (sensory → short-term → long-term), the forgetting curve (Ebbinghaus), 6 basic emotions (anger, happiness, sadness, fear, disgust, surprise), valence-arousal 2 dimensions, Big Five (OCEAN), and Maslow's 5-level vs 7-level hierarchy.
Core Concepts
1. Memory — the three-stage model (MUST KNOW)
1. Encoding — how we initially register/process information (visual, acoustic, semantic, elaborative); can lead to false memory (e.g., misinformation effect) 2. Storage — process of retaining and recalling information; modified for easier storage (consolidation, integration); hippocampus critical for explicit memory 3. Retrieval — getting information out of memory and back into conscious awareness (recall, recognition, relearning)
- Sensory memory (milliseconds; visual — iconic, auditory — echoic) - Short-term/working memory (~30 seconds; 7±2 items; rehearsal; the bottleneck) - Long-term memory (unlimited; semantic — meaning, episodic — events, procedural — skills)
- Three stages:
- Three memory stores:
- Forgetting curve (Ebbinghaus): rapid initial forgetting, then a plateau (logarithmic curve); rehearsal (distributed practice) and retrieval practice improve retention
- Memory disorders: anterograde amnesia (can't form new — hippocampus), retrograde amnesia (can't recall past), Alzheimer's disease (cortical atrophy)
- Mnemonic: improve encoding/retrieval
2. Emotion (MUST KNOW)
- Valence (pleasant ↔ unpleasant) - Arousal (low ↔ high)
- James-Lange: stimulus → physiological response → emotion (we feel afraid because we tremble) - Cannon-Bard: stimulus → simultaneous physiological response + emotion - Schachter-Singer two-factor: stimulus + cognitive label → emotion - Lazarus cognitive appraisal: stimulus → appraisal → emotion
- 6 basic emotions (Ekman): anger, happiness, sadness, fear, disgust, surprise (universal facial expressions)
- 2 dimensions of emotional experience:
- Emotional expression — Action Units (AU): movement of a facial muscle or muscle group that shows an emotion (Ekman's Facial Action Coding System — FACS)
- Theories of emotion:
3. Personality (MUST KNOW)
Big Five (OCEAN) — the trait model
- Openness — creativity, curiosity, ideas
- Conscientiousness — organization, discipline, reliability
- Extraversion — sociability, energy, assertiveness
- Agreeableness — trust, altruism, cooperation
- Neuroticism — emotion instability, anxiety, moodiness (low = emotional stability)
Maslow's Hierarchy of needs (MUST KNOW)
1. Physiological — breath, food, water, shelter, sleep 2. Safety — health, property, family, law 3. Love / Belonging — friendship, family, intimacy 4. Self-Esteem — confidence, achievement, respect 5. Self-Actualization — morality, creativity, acceptance, meaning, inner potential
- A motivational theory — pyramid of human needs
- 5 levels (classic):
- 7 levels (expanded): + Cognitive (knowledge, meaning) + Aesthetic (beauty, balance) between esteem and self-actualization
- Lower needs motivate before higher needs (deficit needs vs growth needs)
Other personality approaches (from Ch08 lecture)
- Psychodynamic (Freud): id, ego, superego; unconscious (see Ch06)
- Humanistic (Rogers, Maslow): self-actualization, free will, self-concept (see Ch07)
- Behavioral (Skinner): personality = learned responses
- Trait (Allport, Cattell, Eysenck): stable dispositions; Big Five
High-Yield Points
- Memory stages: encoding → storage → retrieval; storage: sensory → short-term → long-term
- Forgetting curve: rapid initial loss, then plateau; distributed practice helps
- 6 basic emotions: anger, happiness, sadness, fear, disgust, surprise
- Emotion: 2 dimensions — valence (pleasant/unpleasant) × arousal (low/high)
- FACS — Action Units for facial expression
- Big Five (OCEAN): Openness, Conscientiousness, Extraversion, Agreeableness, Neuroticism
- Maslow 5 levels: Physiological → Safety → Love/Belonging → Self-Esteem → Self-Actualization
- Maslow 7 levels: + Cognitive + Aesthetic between esteem and self-actualization
- Anterograde amnesia = can't form new memories (hippocampus); retrograde = can't recall past
- Memory errors (encode/storage/retrieve): misinformation, suggestibility, bias, blocking
Topic Summary
Cognitive processes begin with memory — three stages (encoding → storage → retrieval) and three stores (sensory, short-term/working, long-term). The Ebbinghaus forgetting curve shows rapid initial loss with a plateau; distributed practice helps. Seven basic emotions are universal (anger, happiness, sadness, fear, disgust, surprise — Ekman); emotion has two dimensions (valence and arousal), expressed via Action Units of the face. Personality is captured by the Big Five (OCEAN — Openness, Conscientiousness, Extraversion, Agreeableness, Neuroticism) and motivated by Maslow's hierarchy (5 classic levels: physiological, safety, love/belonging, esteem, self-actualization; 7-level expansion adds cognitive and aesthetic between esteem and self-actualization). Major memory disorders include anterograde and retrograde amnesia (hippocampal damage), Alzheimer's disease, and false memory / suggestibility effects.
LMCHK OSCE Practice
- Mini-Mental State Examination (MMSE): assess memory (registration, recall, orientation), attention, language; interpret the score (≥24 normal, 18-23 mild, ≤17 severe cognitive impairment).
- Confused elderly patient: differentiate dementia (gradual, no fluctuation), delirium (acute, fluctuating, attention impaired), depression (pseudodementia — "I don't know" answers).
- Anterograde vs retrograde amnesia: recognize in head injury (hippocampus), cardiac arrest, thiamine deficiency (Korsakoff).
- Mnemonic teaching: help patients with memory problems — use spaced repetition, chunking, multimodal cues.
- PTSD flashbacks (memory): distinguish from ordinary recall; explain why memories are re-experienced (emotional context, amygdala).
- Personality assessment: BEEN approach — Big Five Extraversion questionnaire or NEO-PI-R in research; clinical interview for diagnosis.
- Mood assessment: differentiate depressive affect (persistent) from grief (waves); rule out bipolar by screening for past mania.
- Maslow in clinical practice: a patient unable to afford medication (physiological) cannot engage in psychotherapy (self-actualization) — address the lower needs first.
- Emotional intelligence: recognise the 4-branch model (perceive, use, understand, manage emotions) and its value in the doctor-patient relationship.