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Differential Susceptibility

Putting the Pieces Together

DSM

Stigma

Bronfenbrenner Model

Understanding DST

Trans-diagnostic Model

HiTOP

RDoC

DST

Key Terms

Differential Susceptibility

Diathesis-Stress Model

Biological Sensitivity to Context

  • "for better and for worse" in response to environment influences
  • a "vulnerability" inherent in the individual predisposes to negative outcomes in response to negative environment
  • evolutionary bet-hedging to produce both "conditional" (highly susceptible) and "alternative" (less susceptible) development strategies in individuals (Ellis et al., 2011)

Moderation/Interaction

  • the level of one variable influences the impact of another variable

Key Terms

Orchid and Dandelion

Orchid and Dandelion

Mild PTSD

Subclinical Symptoms

Orchid-Dandelion

Increased social support; therapy

Severe

PTSD

No disorder

PTSD

Better Outcome?

Person X Environment

  • "plasticity factors" (Belsky & Pluess, 2009)
  • not "vulnerability factors"
  • Implications
  • No single optimal path because it is context-dependent

Equifinality and Multifinality

Equifinality & Multifinality

How does DST help explain equifinality? Multifinality?

Dimensional Approaches

How does DST fit in with categorical and dimensional approaches to psychopathology?

Biopsychosocial Model

How does DST relate to the biopsychosocial model (Fava & Sonino, 2017)?

Maladaptation?

Is the term "maladaptive" a misnomer?

"For Better and For Worse"

  • Evolutionary process: adaptive in the past or adaptive in some environments

Stigma

The language we use matters - should we move away from the term "maladaptation" to something that more accurately describes mental health disorder symptoms?

Stigma

(Cultural) Context Matters

Cultural Context

Differential, differential susceptibility (Belsky, Zhang, & Sayler, 2022)

DST in Practice

Differential Susceptibility in Practice: Research and Clinical

DST in Research

How might DST relate to your own research questions?

Research

DST in Clinical Practice

What are the clinical implications of DST?

Clinical

Understanding that all "individuals differ systematically in their susceptibility to environmental influence" (Ellis et al., 2011), how can clinicians ensure treatment is individualized and tailored to the individual rather than implementing more generalized interventions? (Sam)

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