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108-461: In late 1810, George III suffered a recurrence of the mania that had affected him earlier in his reign. When it was clear that no immediate recovery was likely his eldest son and heir was made Regent in February 1811. Carlton House , George's residence as Prince of Wales had been rebuilt at great expense during his ownership. The architect John Nash would continue to make costly improvements during

216-593: A certain amount of cognitive processing of information has been accomplished. In this view, such affective reactions as liking, disliking, evaluation, or the experience of pleasure or displeasure each result from a different prior cognitive process that makes a variety of content discriminations and identifies features, examines them to find value, and weighs them according to their contributions (Brewin, 1989). Some scholars (e.g. Lerner and Keltner 2000) argue that affect can be both pre- and post-cognitive: initial emotional responses produce thoughts, which produce affect. In

324-434: A colored box, but the participants did not know that they would eventually be asked what color box the word appeared in. Motivation intensity refers to the strength of urge to move toward or away from a particular stimulus. Anger and fear affective states, induced via film clips, resulted in more selective attention on a flanker task compared to controls as indicated by reaction times that were not very different, even when

432-427: A faster reaction to name the smaller letters within the larger letter. A source-monitoring paradigm can also be used to measure how much contextual information is perceived: for instance, participants are tasked to watch a screen which serially displays words to be memorized for 3 seconds each, and also have to remember whether the word appeared on the left or the right half of the screen. The words were also encased in

540-433: A flanker attention task to figure out whether cognitive scope is broadened or narrowed. For example, using the letters "H" and "N" participants need to identify as quickly as possible the middle letter of 5 when all the letters are the same (e.g. "HHHHH") and when the middle letter is different from the flanking letters (e.g. "HHNHH"). Broadened cognitive scope would be indicated if reaction times differed greatly from when all

648-442: A further iteration, some scholars argue that affect is necessary for enabling more rational modes of cognition (e.g. Damasio 1994). A divergence from a narrow reinforcement model of emotion allows other perspectives about how affect influences emotional development. Thus, temperament , cognitive development, socialization patterns, and the idiosyncrasies of one's family or subculture might interact in nonlinear ways. For example,

756-417: A level far beyond that which they would be capable of during euthymia . A very simple indicator of a manic state would be if a heretofore clinically depressed patient suddenly becomes inordinately energetic, enthusiastic, cheerful, aggressive, or "over-happy". Other, often less obvious, elements of mania include delusions (generally of either grandeur or persecution , according to whether the predominant mood

864-498: A liability. English actor Stephen Fry , who has bipolar disorder , recounts manic behaviour during his adolescence: "When I was about 17 ... going around London on two stolen credit cards, it was a sort of fantastic reinvention of myself, an attempt to. I bought ridiculous suits with stiff collars and silk ties from the 1920s, and would go to the Savoy and Ritz and drink cocktails." While he has experienced suicidal thoughts , he says

972-527: A logical and consistent framework for research. Researchers can predict a person's actions by assuming effort refers to the energy investment. The motivational intensity theory is used to show how changes in goal attractiveness and energy investment correlate. Mood , like emotion, is an affective state. However, an emotion tends to have a clear focus (i.e., its cause is self-evident), while mood tends to be more unfocused and diffuse. Mood, according to Batson, Shaw and Oleson (1992), involves tone and intensity and

1080-436: A manic episode as one where mood is higher than the person's situation warrants and may vary from relaxed high spirits to barely controllable exuberance, is accompanied by hyperactivity, a compulsion to speak, a reduced sleep requirement, difficulty sustaining attention, and/or often increased distractibility. Frequently, confidence and self-esteem are excessively enlarged, and grand, extravagant ideas are expressed. Behavior that

1188-454: A manic episode of bipolar disorder involves the utilization of either a mood stabilizer (e.g., carbamazepine , valproate , lithium , or lamotrigine ) or an atypical antipsychotic (e.g., olanzapine , quetiapine , risperidone , aripiprazole , or cariprazine ). More recently, substances such as iloperidone have been approved for the acute treatment of manic episodes related to bipolar I disorder . The use of antipsychotic agents in

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1296-924: A manic episode, an individual will experience rapidly changing emotions and moods, highly influenced by surrounding stimuli . Although mania is often conceived of as a "mirror image" to depression , the heightened mood can be dysphoric as well as euphoric . As the mania intensifies, irritability can be more pronounced and result in anxiety or anger . The symptoms of mania include elevated mood (either euphoric or irritable), flight of ideas , pressure of speech , increased energy, decreased "need" and desire for sleep, and hyperactivity . They are most plainly evident in fully developed hypomanic states, however, in full-blown mania, these symptoms become progressively exacerbated . In severe manic episodes, these symptoms may even be obscured by other signs and symptoms characteristic of psychosis , such as delusions, hallucinations, fragmentation of behavior, and catatonia . Mania

1404-513: A multi-agent system—a system that contains multiple agents interacting with each other and/or with their environments over time. The outcomes of individual agents' behaviors are interdependent: Each agent's ability to achieve its goals depends on not only what it does but also what other agents do. Emotions are one of the main sources for the interaction. Emotions of an individual influence the emotions, thoughts and behaviors of others; others' reactions can then influence their future interactions with

1512-501: A narrowed attentional scope. The experimenters further increased the narrowed attentional scope in appetitive stimuli by telling participants they would be allowed to consume the desserts shown in the pictures. The results revealed that their hypothesis was correct, in that the broad attentional scope led to quicker detection of global letters, while narrowed attentional scope led to quicker detection of local letters. Researchers Bradley, Codispoti, Cuthbert and Lang wanted to further examine

1620-428: A non-mental medical illness (e.g., hyperthyroidism ), and: (a) is causing obvious difficulties at work or in social relationships and activities, or (b) requires admission to hospital to protect the person or others, or (c) the person has psychosis . To be classified as a manic episode, while the disturbed mood and an increase in goal-directed activity or energy is present, at least three (or four, if only irritability

1728-411: A note should be considered on the differences between affect and emotion. Arousal is a basic physiological response to the presentation of stimuli. When this occurs, a non-conscious affective process takes the form of two control mechanisms: one mobilizing and the other immobilizing. Within the human brain, the amygdala regulates an instinctual reaction initiating this arousal process, either freezing

1836-432: A person could make them more engaging and outgoing, and cause them to have a positive outlook in life. When exaggerated in hypomania, however, such a person can display excessive optimism , grandiosity , and poor decision-making, often with little regard to the consequences. A single manic episode, in the absence of secondary causes, (i.e., substance use disorders , certain medications , or general medical conditions )

1944-434: A research article about affect tolerance written by psychiatrist Jerome Sashin, "Affect tolerance can be defined as the ability to respond to a stimulus which would ordinarily be expected to evoke affects by the subjective experiencing of feelings." Essentially it refers to one's ability to react to emotions and feelings. One who is low in affect tolerance would show little to no reaction to emotion and feeling of any kind. This

2052-583: A result, an internationally reliable short-form, the I-PANAS-SF, has been developed and validated comprising two 5-item scales with internal reliability, cross-sample and cross-cultural factorial invariance, temporal stability, convergent and criterion-related validities. Mroczek and Kolarz have also developed another set of scales to measure positive and negative affect. Each of the scales has 6 items. The scales have shown evidence of acceptable validity and reliability across cultures. In relation to perception,

2160-454: A review and meta-analysis exploring this relationship found that this assumption may be too general and empirical research evidence is lacking. In hypomania, there is less need for sleep and both goal-motivated behaviour and metabolism increase. Some studies exploring brain metabolism in subjects with hypomania, however, did not find any conclusive link; while there are studies that reported abnormalities, some failed to detect differences. Though

2268-529: A role of dopamine in mania. Decreased cerebrospinal fluid levels of the serotonin metabolite 5-HIAA have been found in manic patients too, which may be explained by a failure of serotonergic regulation and dopaminergic hyperactivity. Limited evidence suggests that mania is associated with behavioral reward hypersensitivity, as well as with neural reward hypersensitivity. Electrophysiological evidence supporting this comes from studies associating left frontal EEG activity with mania. As left frontal EEG activity

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2376-754: A sad picture, participants were faster to identify the larger letter in a Navon attention task, suggesting more global or broadened cognitive scope. Sadness is thought to sometimes have low motivational intensity. But, after seeing a disgusting picture, participants were faster to identify the component letters, indicative of a localized and narrower cognitive scope. Disgust has high motivational intensity. Affects which are high in motivational intensity narrow one's cognitive scope, enabling people to focus more on central information, whereas affects which are low in motivational intensity broadened cognitive scope, allowing for faster global interpretation. The changes in cognitive scope associated with different affective states

2484-556: A specific event), and affectivity (an individual's overall disposition or temperament , which can be characterized as having a generally positive or negative affect). In psychology, the term affect is often used interchangeably with several related terms and concepts, though each term may have slightly different nuances. These terms encompass: emotion, feeling, mood, emotional state, sentiment, affective state, emotional response, affective reactivity, disposition . Researchers and psychologists may employ specific terms based on their focus and

2592-585: A strong motivation to consume alcohol. The researchers tested the participants by exposing them to alcohol and neutral pictures. After the picture was displayed on a screen, the participants finished a test evaluating attentional focus. The findings proved that exposure to alcohol-related pictures led to a narrowing of attentional focus to individuals who were motivated to use alcohol. However, exposure to neutral pictures did not correlate with alcohol-related motivation to manipulate attentional focus. The Alcohol Myopia Theory (AMT) states that alcohol consumption reduces

2700-501: A structured set of beliefs about general expectations of a future experience of pleasure or pain, or of positive or negative affect in the future. Unlike instant reactions that produce affect or emotion, and that change with expectations of future pleasure or pain, moods, being diffuse and unfocused and thus harder to cope with, can last for days, weeks, months or even years (Schucman, 1975). Moods are hypothetical constructs depicting an individual's emotional state. Researchers typically infer

2808-479: A type of non-conscious affect may be separate from the cognitive processing of environmental stimuli. A monohierarchy of perception, affect and cognition considers the roles of arousal , attention tendencies, affective primacy (Zajonc, 1980), evolutionary constraints (Shepard, 1984; 1994), and covert perception (Weiskrantz, 1997) within the sensing and processing of preferences and discriminations. Emotions are complex chains of events triggered by certain stimuli. There

2916-405: A wide range of emotional states and can be positive (e.g., happiness, joy, excitement) or negative (e.g., sadness, anger, fear, disgust). Affect is a fundamental aspect of human experience and plays a central role in many psychological theories and studies. It can be understood as a combination of three components: emotion, mood (enduring, less intense emotional states that are not necessarily tied to

3024-957: Is antidepressant therapy. Studies show that the risk of switching while on an antidepressant is between 6-69 percent. Dopaminergic drugs such as reuptake inhibitors and dopamine agonists may also increase risk of switch. Other medications possibly include glutaminergic agents and drugs that alter the HPA axis . Lifestyle triggers include irregular sleep-wake schedules and sleep deprivation , as well as extremely emotional or stressful stimuli . Various genes that have been implicated in genetic studies of bipolar have been manipulated in preclinical animal models to produce syndromes reflecting different aspects of mania. CLOCK and DBP polymorphisms have been linked to bipolar in population studies, and behavioral changes induced by knockout are reversed by lithium treatment. Metabotropic glutamate receptor 6 has been genetically linked to bipolar, and found to be under-expressed in

3132-408: Is a construct that is closely related to motivational intensity, they differ in that motivation necessarily implies action while arousal does not. Affect is sometimes used to mean affect display , which is "a facial, vocal, or gestural behavior that serves as an indicator of affect" (APA 2006). In psychology, affect defines the organisms ' interaction with stimuli . It can influence the scope of

3240-447: Is a result of an anticipated, experienced, or imagined outcome of an adaptational transaction between organism and environment, therefore cognitive appraisal processes are keys to the development and expression of an emotion (Lazarus, 1982). Affective states vary along three principal dimensions: valence , arousal, and motivational intensity . It is important to note that arousal is different from motivational intensity. While arousal

3348-487: Is a syndrome with multiple causes. Although the vast majority of cases occur in the context of bipolar disorder , it is a key component of other psychiatric disorders (such as schizoaffective disorder , bipolar type) and may also occur secondary to various general medical conditions, such as multiple sclerosis ; certain medications may perpetuate a manic state, for example prednisone ; or substances prone to abuse, especially stimulants, such as amphetamine and cocaine . In

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3456-474: Is closely related to alexithymia . "Alexithymia is a subclinical phenomenon involving a lack of emotional awareness or, more specifically, difficulty in identifying and describing feelings and in distinguishing feelings from the bodily sensations of emotional arousal" At its core, alexithymia is an inability for an individual to recognize what emotions they are feeling—as well as an inability to describe them. According to Dalya Samur < Archived 2022-01-09 at

3564-484: Is defined in the American Psychiatric Association 's diagnostic manual (DSM) as a "distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration, if hospitalization is necessary)," where the mood is not caused by drugs/medication or

3672-531: Is euphoric or irritable), hypersensitivity, hypervigilance , hypersexuality, hyper-religiosity, hyperactivity and impulsivity, a compulsion to over explain (typically accompanied by pressure of speech), grandiose schemes and ideas, and a decreased need for sleep (for example, feeling rested after only 3 or 4 hours of sleep). In the case of the latter, the eyes of such patients may both look and seem abnormally "wide open", rarely blinking, and may contribute to some clinicians' erroneous belief that these patients are under

3780-400: Is evolutionarily adaptive because high motivational intensity affects elicited by stimuli that require movement and action should be focused on, in a phenomenon known as goal-directed behavior. For example, in early times, seeing a lion (a fearful stimulus) probably elicited a negative but highly motivational affective state (fear) in which the human being was propelled to run away. In this case

3888-546: Is generally thought to be a reflection of behavioral activation system activity, this is thought to support a role for reward hypersensitivity in mania. Tentative evidence also comes from one study that reported an association between manic traits and feedback negativity during receipt of monetary reward or loss. Neuroimaging evidence during acute mania is sparse, but one study reported elevated orbitofrontal cortex activity to monetary reward, and another study reported elevated striatal activity to reward omission. The latter finding

3996-504: Is important to manage symptoms of mania and depression, studies show relying on medications alone is not the most effective method of treatment. Medication is most effective when used in combination with other bipolar disorder treatments, including psychotherapy , self-help coping strategies, and healthy lifestyle choices. Lithium is the classic mood stabilizer to prevent further manic and depressive episodes. A systematic review found that long term lithium treatment substantially reduces

4104-617: Is no way to completely describe an emotion by knowing only some of its components. Verbal reports of feelings are often inaccurate because people may not know exactly what they feel, or they may feel several different emotions at the same time. There are also situations that arise in which individuals attempt to hide their feelings, and there are some who believe that public and private events seldom coincide exactly, and that words for feelings are generally more ambiguous than are words for objects or events. Therefore, non-conscious emotions need to be measured by measures circumventing self-report such as

4212-425: Is not always the case that the clearly manic/hypomanic bipolar patient needs or wants medical help; such persons often either retain sufficient self-control to function normally or are unaware that they have "gone manic" severely enough to be committed or to commit themselves . Manic persons often can be mistaken for being under the influence of drugs . In a mixed affective state , the individual, though meeting

4320-475: Is often sufficient to diagnose bipolar I disorder . Hypomania may be indicative of bipolar II disorder . Manic episodes are often complicated by delusions and/or hallucinations ; and if the psychotic features persist for a duration significantly longer than the episode of typical mania (two weeks or more), a diagnosis of schizoaffective disorder is more appropriate. Certain obsessive–compulsive spectrum disorders as well as impulse-control disorders share

4428-429: Is out-of-character and risky, foolish or inappropriate may result from a loss of normal social restraint. Some people also have physical symptoms, such as sweating , pacing, and weight loss . In full-blown mania, often the manic person will feel as though their goal(s) are of paramount importance, that there are no consequences, or that negative consequences would be minimal, and that they need not exercise restraint in

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4536-414: Is present) of the following must have been consistently present: Though the activities one participates in while in a manic state are not always negative, those with the potential to have negative outcomes are far more likely. If the person is concurrently depressed, they are said to be having a mixed episode . The World Health Organization 's International Classification of Diseases (ICD) defines

4644-432: Is separate from the reward of food itself. Therefore, earning the reward and anticipating the reward are separate processes and both create an excitatory influence of reward-related cues. Both processes are dissociated at the level of the amygdala, and are functionally integrated within larger neural systems. Cognitive scope can be measured by tasks involving attention, perception, categorization and memory. Some studies use

4752-539: Is strongly linked to social activity. Recent research suggests that high functional support is related to higher levels of positive affect. In his work on negative affect arousal and white noise, Seidner found support for the existence of a negative affect arousal mechanism regarding the devaluation of speakers from other ethnic origins. The exact process through which social support is linked to positive affect remains unclear. The process could derive from predictable, regularized social interaction, from leisure activities where

4860-546: Is the Positive and Negative Affect Schedule (PANAS). The PANAS is a lexical measure developed in a North American setting and consisting of 20 single-word items, for instance excited , alert , determined for positive affect, and upset , guilty , and jittery for negative affect. However, some of the PANAS items have been found either to be redundant or to have ambiguous meanings to English speakers from non-North American cultures. As

4968-610: Is used to promptly alleviate symptoms of agitation, aggression , and psychosis . Antidepressant monotherapy is not recommended for the treatment of depression in patients with bipolar disorders I or II, and no benefit has been demonstrated by combining antidepressants with mood stabilizers in these patients. Some atypical antidepressants , however, such as mirtazapine and trazodone , have been occasionally used after other options have failed. In Electroboy: A Memoir of Mania by Andy Behrman, he describes his experience of mania as "the most perfect prescription glasses with which to see

5076-491: Is useful from a descriptive and differential diagnostic point of view. Mania varies in intensity, from mild mania ( hypomania ) to delirious mania, marked by such symptoms as disorientation, acute psychosis , incoherence, and catatonia . Standardized tools such as Altman Self-Rating Mania Scale and Young Mania Rating Scale can be used to measure severity of manic episodes. Because mania and hypomania have also long been associated with creativity and artistic talent, it

5184-667: The ICD-10 , there are several disorders with the manic syndrome: organic manic disorder ( F06.30 ), mania without psychotic symptoms ( F30.1 ), mania with psychotic symptoms ( F30.2 ), other manic episodes ( F30.8 ), unspecified manic episode ( F30.9 ), manic type of schizoaffective disorder ( F25.0 ), bipolar disorder , current episode manic without psychotic symptoms ( F31.1 ), bipolar affective disorder, current episode manic with psychotic symptoms ( F31.2 ). Before beginning treatment for mania, careful differential diagnosis must be performed to rule out secondary causes. The acute treatment of

5292-457: The Navon letters . The Navon task included a neutral affect comparison condition. Typically, neutral states cause broadened attention with a neutral stimulus. They predicted that a broad attentional scope could cause faster detection of global (large) letters, whereas a narrow attentional scope could cause faster detection of local (small) letters. The evidence proved that the appetitive stimuli produced

5400-844: The Wayback Machine > and colleagues, persons with alexithymia have been shown to have correlations with increased suicide rates, mental discomfort, and deaths. Affect tolerance factors, including anxiety sensitivity, intolerance of uncertainty, and emotional distress tolerance , may be helped by mindfulness . Mindfulness is a mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations without judgment. The practice of Intention, Attention, & Attitude. Mindfulness has been shown to produce "increased subjective well-being, reduced psychological symptoms and emotional reactivity, and improved behavioral regulation." The affective domain represents one of

5508-1369: The amygdala and other subcortical structures such as the ventral striatum tend to be increased, although results are inconsistent and likely dependent upon task characteristics such as valence. Reduced functional connectivity between the ventral prefrontal cortex and amygdala along with variable findings supports a hypothesis of general dysregulation of subcortical structures by the prefrontal cortex. A bias towards positively valenced stimuli , and increased responsiveness in reward circuitry may predispose towards mania. Mania tends to be associated with right hemisphere lesions, while depression tends to be associated with left hemisphere lesions. Post-mortem examinations of bipolar disorder demonstrate increased expression of Protein Kinase C (PKC). While limited, some studies demonstrate manipulation of PKC in animals produces behavioral changes mirroring mania, and treatment with PKC inhibitor tamoxifen (also an anti-estrogen drug) demonstrates antimanic effects. Traditional antimanic drugs also demonstrate PKC inhibiting properties, among other effects such as GSK3 inhibition. Manic episodes may be triggered by dopamine receptor agonists , and this combined with tentative reports of increased VMAT2 activity, measured via PET scans of radioligand binding , suggests

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5616-640: The subthalamic nucleus in Parkinson's disease has been associated with mania, especially with electrodes placed in the ventromedial STN . A proposed mechanism involves increased excitatory input from the STN to dopaminergic nuclei. There are certain psychoactive substances that can induce a state of manic psychosis, including: amphetamine , cathinone , cocaine , MDMA , methamphetamine , methylphenidate , oxycodone , phencyclidine , designer drugs , etc. Mania can also be caused by physical trauma or illness . When

5724-566: The French throne, Louis XVIII and his family had been living in exile in Britain which was at war with Napoleon 's French Empire . At 2:30am selected guests sat down to a supper in the Gothic conservatory . A huge water feature had been installed, giving the effect of a stream running the length of the room and filled with fish . Multiple courses were served to guests while a musical band concealed in

5832-469: The Implicit Positive and Negative Affect Test (IPANAT; Quirin, Kazén, & Kuhl, 2009). Affective responses, on the other hand, are more basic and may be less problematic in terms of assessment. Brewin has proposed two experiential processes that frame non-cognitive relations between various affective experiences: those that are prewired dispositions (i.e. non-conscious processes), able to "select from

5940-454: The Regency. Two thousand guests were invited to Carlton House for the event which began on the summer evening and were admitted after showing their tickets . George made his appearance at 9pm dressed in the uniform of a Field Marshal , a rank to which he had promoted himself soon after becoming Regent. He greeted his French guests and escorted them around the rooms of the house. As claimant to

6048-538: The Regent to a social function. Notable absentees included Maria Fitzherbert , who George had illegally married in 1785. He invited Fitzherbert, but his refusal to seat her at the top table was taken by her as a deliberate snub. George was long estranged from his wife Caroline of Brunswick , Princess of Wales who was then living separately in Blackheath and was not invited. George and Caroline's daughter, Princess Charlotte

6156-670: The ability to think clearly. Racing thoughts and misperceptions lead to frustration and decreased ability to communicate with others. Mania may also, as earlier mentioned, be divided into three "stages". Stage I corresponds with hypomania and may feature typical hypomanic characteristics, such as gregariousness and euphoria . In stages II and III mania, however, the patient may be extraordinarily irritable, psychotic or even delirious . These latter two stages are referred to as acute and delirious (or Bell's), respectively. Various triggers have been associated with switching from euthymic or depressed states into mania. One common trigger of mania

6264-427: The amount of information available in memory, which also narrows attention so only the most proximal items or striking sources are encompassed in attentional scope. This narrowed attention leads intoxicated persons to make more extreme decisions than they would when sober. Researchers provided evidence that substance-related stimuli capture the attention of individuals when they have high and intense motivation to consume

6372-748: The causes are physical, it is called secondary mania . In some individuals, manic symptoms are also correlated with the season of spring. The mechanism underlying mania is unknown, but the neurocognitive profile of mania is highly consistent with dysfunction in the right prefrontal cortex , a common finding in neuroimaging studies. Various lines of evidence from post-mortem studies and the putative mechanisms of anti-manic agents point to abnormalities in GSK-3 , dopamine , Protein kinase C , and Inositol monophosphatase . Meta analysis of neuroimaging studies demonstrate increased thalamic activity, and bilaterally reduced inferior frontal gyrus activation. Activity in

6480-406: The cognitive processes. Initially, researchers had thought that positive affects broadened the cognitive scope, whereas negative affects narrowed it. Thereafter, evidences suggested that affects high in motivational intensity narrow the cognitive scope, whereas affects low in motivational intensity broaden it. The construct of cognitive scope could be valuable in cognitive psychology. According to

6588-415: The color of the box the word was in compared to nondepressed students. Sadness (low motivational intensity) is usually associated with depression, so the more broad focus on contextual information of sadder students supports that affects high in motivational intensity narrow cognitive scope whereas affects low in motivational intensity broaden cognitive scope. The motivational intensity theory states that

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6696-634: The context of their work. The modern conception of affect developed in the 19th century with Wilhelm Wundt . The word comes from the German Gefühl , meaning "feeling". A number of experiments have been conducted in the study of social and psychological affective preferences (i.e., what people like or dislike). Specific research has been done on preferences, attitudes , impression formation , and decision-making . This research contrasts findings with recognition memory (old-new judgments), allowing researchers to demonstrate reliable distinctions between

6804-419: The cortex. Pituitary adenylate cyclase-activating peptide has been associated with bipolar in gene linkage studies, and knockout in mice produces mania like-behavior. Targets of various treatments such as GSK-3 , and ERK1 have also demonstrated mania like behavior in preclinical models. Mania may be associated with strokes, especially cerebral lesions in the right hemisphere. Deep brain stimulation of

6912-400: The current DSM-5 , hypomanic episodes are separated from the more severe full manic episodes, which, in turn, are characterized as either mild, moderate, or severe, with certain diagnostic criteria (e.g., catatonia , psychosis ). Mania is divided into three stages: hypomania, or stage I; acute mania, or stage II; and delirious mania ( delirium ), or stage III. This "staging" of a manic episode

7020-531: The decade, notably during the victory celebrations at the end of the Napoleonic Wars including the Allied sovereigns' visit to England in 1814. In 1820 he succeeded his father as King and had an elaborate coronation in 1821. Mania Mania , also known as manic syndrome , is a psychiatric behavioral syndrome defined as a state of abnormally elevated arousal , affect , and energy level. During

7128-427: The difficulty of a task combined with the importance of success determine the energy invested by an individual. The theory has three main layers. The innermost layer says human behavior is guided by the desire to conserve as much energy as possible. Individuals aim to avoid wasting energy so they invest only the energy that is required to complete the task. The middle layer focuses on the difficulty of tasks combined with

7236-410: The effect of appetitive stimuli on narrowed attention. They also tested whether individual dissimilarities in approach motivation are associated with attentional narrowing. In order to test the hypothesis, the researchers used the same Navon task with appetitive and neutral pictures in addition to having the participants indicate how long since they had last eaten in minutes. To examine neural activation,

7344-406: The elevated mood and energy level typical of hypomania could be seen as a benefit, true mania itself generally has many undesirable consequences, including suicidal tendencies , and hypomania can, if the prominent mood is irritable as opposed to euphoric , be a rather unpleasant experience. In addition, the exaggerated case of hypomania can lead to problems. For instance, trait-based positivity for

7452-589: The emotional reactions in picture priming. Instead of using an appetitive stimulus they used stimulus sets from the International Affective Picture System (IAPS). The image set includes various unpleasant pictures such as snakes, insects, attack scenes, accidents, illness, and loss. They predicted that an unpleasant picture would stimulate a defensive motivational intensity response, which would produce strong emotional arousal such as skin gland responses and cardiac deceleration. Participants rated

7560-452: The existence of moods from a variety of behavioral referents (Blechman, 1990). Habitual negative affect and negative mood is characteristic of high neuroticism. Positive affect and negative affect ( PANAS ) represent independent domains of emotion in the general population, and positive affect is strongly linked to social interaction. Positive and negative daily events show independent relationships to subjective well-being, and positive affect

7668-403: The flanking letters were different from the middle target letter. Both anger and fear have high motivational intensity because propulsion to act would be high in the face of an angry or fearful stimulus, like a screaming person or coiled snake. Affects which are high in motivational intensity, and thus are narrow in cognitive scope, enable people to focus more on target information. After seeing

7776-426: The flow of thoughts. Racing thoughts also interfere with the ability to fall asleep. Manic states are always relative to the normal state of intensity of the affected individual; thus, already irritable patients may find themselves losing their tempers even more quickly, and an academically gifted person may, during the hypomanic stage, adopt seemingly "genius" characteristics and an ability to perform and articulate at

7884-463: The focus is on relaxation and positive mood, or from the enjoyment of shared activities. The techniques used to shift a negative mood to a positive one are called mood repair strategies . Affect display is a critical facet of interpersonal communication . Evolutionary psychologists have advanced the hypothesis that hominids have evolved with sophisticated capability of reading affect displays. Emotions are portrayed as dynamic processes that mediate

7992-652: The garden played throughout the meal. The bulk of guests began to drift away around four in the morning but some didn't leave until later, such as the Irish poet Thomas Moore who stayed until six in the morning. The event drew many of the aristocratic, artistic and political elite. The French royal visitors included Louis XVIII, his brother the Count of Artois the Duke of Berry and the Duchess of Angoulême . George had long been associated with

8100-405: The general criteria for a hypomanic (discussed below) or manic episode, experiences three or more concurrent depressive symptoms. This has caused some speculation, among clinicians , that mania and depression, rather than constituting "true" polar opposites, are, rather, two independent axes in a unipolar—bipolar spectrum. A mixed affective state, especially with prominent manic symptoms, places

8208-414: The goal orientation of the athletes were significantly associated with alcohol use but not alcohol-related problems. In terms of psychopathological implications and applications, college students showing depressive symptoms were better at retrieving seemingly "nonrelevant" contextual information from a source monitoring paradigm task. Namely, the students with depressive symptoms were better at identifying

8316-474: The goal would be to avoid getting killed. Moving beyond just negative affective states, researchers wanted to test whether or not negative or positive affective states varied between high and low motivational intensity. To evaluate this theory, Harmon-Jones, Gable and Price created an experiment using appetitive picture priming and the Navon task, which would allow them to measure the attentional scope with detection of

8424-423: The importance of success and how this affects energy conservation. It focuses on energy investment in situations of clear and unclear task difficulty. The last layer looks at predictions for energy invested by a person when they have several possible options to choose at different task difficulties. The person is free to choose among several possible options of task difficulty. The motivational intensity theory offers

8532-479: The individual expressing the original emotion, as well as that individual's future emotions and behaviors. Emotion operates in cycles that can involve multiple people in a process of reciprocal influence. Affect, emotion, or feeling is displayed to others through facial expressions , hand gestures , posture, voice characteristics , and other physical manifestation. These affect displays vary between and within cultures and are displayed in various forms ranging from

8640-437: The individual or accelerating mobilization. The arousal response is illustrated in studies focused on reward systems that control food-seeking behavior (Balleine, 2005). Researchers have focused on learning processes and modulatory processes that are present while encoding and retrieving goal values. When an organism seeks food, the anticipation of reward based on environmental events becomes another influence on food seeking that

8748-440: The individual's lack of judgment and insight regarding periods of exacerbation of characteristic states. Manic patients are frequently grandiose, obsessive, impulsive, irritable, belligerent, and frequently deny anything is wrong with them. Because mania frequently encourages high energy and decreased perception of need or ability to sleep, within a few days of a manic cycle, sleep-deprived psychosis may appear, further complicating

8856-433: The individual's relation to a continually changing social environment. In other words, emotions are considered to be processes of establishing, maintaining, or disrupting the relation between the organism and the environment on matters of significance to the person. Most social and psychological phenomena occur as the result of repeated interactions between multiple individuals over time. These interactions should be seen as

8964-686: The influence of a stimulant drug, when the patient, in fact, is either not on any mind-altering substances or is actually on a depressant drug. Individuals may also engage in out-of-character behavior during the episode, such as questionable business transactions, wasteful expenditures of money (e.g., spending sprees), risky sexual activity, abuse of recreational substances, excessive gambling, reckless behavior (such as extreme speeding or other daredevil activity), abnormal social interaction (e.g., over-familiarity and conversing with strangers), or highly vocal arguments. These behaviours may increase stress in personal relationships, lead to problems at work, and increase

9072-461: The left frontal-central region due to frustration. This statement was proved false because the research showed that dessert pictures increased positive affect even in hungry individuals. The findings revealed that narrowed cognitive scope has the ability to assist us in goal accomplishment. Later on, researchers connected motivational intensity to clinical applications and found that alcohol-related pictures caused narrowed attention for persons who had

9180-454: The letters were the same compared to when the middle letter is different. Other studies use a Navon attention task to measure difference in cognitive scope. A large letter is composed of smaller letters, in most cases smaller "L"'s or "F"'s that make up the shape of the letter "T" or "H" or vice versa. Broadened cognitive scope would be suggested by a faster reaction to name the larger letter, whereas narrowed cognitive scope would be suggested by

9288-524: The manic side of his condition has had positive contributions on his life. The nosology of the various stages of a manic episode has changed over the decades. The word derives from the Ancient Greek μανία ( manía ), "madness, frenzy" and the verb μαίνομαι ( maínomai ), "to be mad, to rage, to be furious." Affect (psychology) Affect , in psychology , is the underlying experience of feeling , emotion , attachment , or mood . It encompasses

9396-472: The most discrete of facial expressions to the most dramatic and prolific gestures. Observers are sensitive to agents' emotions, and are capable of recognizing the messages these emotions convey. They react to and draw inferences from an agent's emotions. The emotion an agent displays may not be an authentic reflection of their actual state (See also Emotional labor ). Agents' emotions can have effects on four broad sets of factors: Emotion may affect not only

9504-407: The opposition Whig party leadership and they attended Carlton House with high hopes of replacing the government of Spencer Perceval once the restrictions imposed on the Regency expired after a year and he gained the full powers of the monarch. Whigs in attendance included George Tierney and Samuel Romilly . Other guests included George's old friend Beau Brummell , the last time he was invited by

9612-442: The patient at a greater risk for suicide . Depression on its own is a risk factor but, when coupled with an increase in energy and goal-directed activity, the patient is far more likely to act with violence on suicidal impulses. Hypomania , which means "less than mania", is a lowered state of mania that does little to impair function or decrease quality of life. Although creativity and hypomania have been historically linked,

9720-532: The person at whom it was directed, but also third parties who observe an agent's emotion. Moreover, emotions can affect larger social entities such as a group or a team. Emotions are a kind of message and therefore can influence the emotions, attributions and ensuing behaviors of others, potentially evoking a feedback process to the original agent. Agents' feelings evoke feelings in others by two suggested distinct mechanisms: People may not only react emotionally, but may also draw inferences about emotive agents such as

9828-541: The pictures based on valence , arousal and dominance on the Self-Assessment Manikin (SAM) rating scale. The findings were consistent with the hypothesis and proved that emotion is organized motivationally by the intensity of activation in appetitive or defensive systems. Prior to research in 2013, Harmon-Jones and Gable performed an experiment to examine whether neural activation related to approach-motivation intensity (left frontal-central activity) would trigger

9936-432: The pursuit of what they are after. Hypomania is different, as it may cause little or no impairment in function. The hypomanic person's connection with the external world, and its standards of interaction, remain intact, although intensity of moods is heightened. But those with prolonged unresolved hypomania do run the risk of developing full mania, and may cross that "line" without even realizing they have done so. One of

10044-420: The researchers used electroencephalography and recorded eye movements in order to detect what regions of the brain were being used during approach motivation. The results supported the hypothesis that the left frontal-central brain region is related to approach-motivational processes and narrowed attentional scope. Some psychologists were concerned that the individuals who were hungry had an increase in activity in

10152-495: The risk of altercations with law enforcement. There is a high risk of impulsively taking part in activities potentially harmful to the self and others. Although "severely elevated mood" sounds somewhat desirable and enjoyable, the experience of mania is ultimately often quite unpleasant and sometimes disturbing, if not frightening, for the person involved and for those close to them, and it may lead to impulsive behaviour that may later be regretted. It can also often be complicated by

10260-468: The risk of bipolar manic relapse, by 42%. Anticonvulsants such as valproate , oxcarbazepine , and carbamazepine are also used for prophylaxis . More recent drug solutions include lamotrigine and topiramate , both anticonvulsants as well. In some cases, long-acting benzodiazepines , particularly clonazepam , are used after other options are exhausted. In more urgent circumstances, such as in emergency rooms, lorazepam , combined with haloperidol ,

10368-417: The signature symptoms of mania (and to a lesser extent, hypomania ) is what many have described as racing thoughts . These are usually instances in which the manic person is excessively distracted by objectively unimportant stimuli. This experience creates an absent-mindedness where the manic individual's thoughts totally preoccupy them, making them unable to keep track of time, or be aware of anything besides

10476-668: The substance. Motivational intensity and cue-induced narrowing of attention has a unique role in shaping people's initial decision to consume alcohol. In 2013, psychologists from the University of Missouri investigated the connection between sport achievement orientation and alcohol outcomes. They asked varsity athletes to complete a Sport Orientation Questionnaire which measured their sport-related achievement orientation on three scales—competitiveness, win orientation, and goal orientation. The participants also completed assessments of alcohol use and alcohol-related problems. The results revealed that

10584-653: The suffix "-mania," namely, kleptomania , pyromania , and trichotillomania . Despite the unfortunate association implied by the name, however, no connection exists between mania or bipolar disorder and these disorders. Furthermore, evidence indicates a vitamin B 12 deficiency can also cause symptoms characteristic of mania and psychosis. Hyperthyroidism can produce similar symptoms to those of mania, such as agitation, elevated mood, increased energy, hyperactivity, sleep disturbances and sometimes, especially in severe cases, psychosis. Postpartum psychosis can also cause manic episodes ( unipolar mania ). A manic episode

10692-443: The temperament of a highly reactive/low self-soothing infant may "disproportionately" affect the process of emotion regulation in the early months of life (Griffiths, 1997). Some other social sciences, such as geography or anthropology , have adopted the concept of affect during the last decade. In French psychoanalysis a major contribution to the field of affect comes from André Green . The focus on affect has largely derived from

10800-513: The three divisions described in modern psychology : the other two being the behavioral , and the cognitive . Classically, these divisions have also been referred to as the "ABC's of psychology", However, in certain views, the cognitive may be considered as a part of the affective, or the affective as a part of the cognitive; it is important to note that "cognitive and affective states … [are] merely analytic categories." "Affect" can mean an instinctual reaction to stimulation that occurs before

10908-484: The total stimulus array those stimuli that are causally relevant, using such criteria as perceptual salience, spatiotemporal cues, and predictive value in relation to data stored in memory" (Brewin, 1989, p. 381), and those that are automatic (i.e. subconscious processes), characterized as "rapid, relatively inflexible and difficult to modify... (requiring) minimal attention to occur and... (capable of being) activated without intention or awareness" (1989 p. 381). But

11016-451: The treatment of acute mania was reviewed by Tohen and Vieta in 2009. When the manic behaviours have gone, long-term treatment then focuses on prophylactic treatment to try to stabilize the patient's mood, typically through a combination of pharmacotherapy and psychotherapy . The likelihood of having a relapse is very high for those who have experienced two or more episodes of mania or depression. While medication for bipolar disorder

11124-420: The two. Affect-based judgments and cognitive processes have been examined with noted differences indicated, and some argue affect and cognition are under the control of separate and partially independent systems that can influence each other in a variety of ways ( Zajonc , 1980). Both affect and cognition may constitute independent sources of effects within systems of information processing. Others suggest emotion

11232-526: The typical cognitive processes considered necessary for the formation of a more complex emotion. Robert B. Zajonc asserts this reaction to stimuli is primary for human beings and that it is the dominant reaction for non-human organisms. Zajonc suggests that affective reactions can occur without extensive perceptual and cognitive encoding and be made sooner and with greater confidence than cognitive judgments (Zajonc, 1980). Many theorists (e.g. Lazarus, 1982) consider affect to be post-cognitive: elicited only after

11340-520: The work of Deleuze and brought emotional and visceral concerns into such conventional discourses as those on geopolitics, urban life and material culture. Affect has also challenged methodologies of the social sciences by emphasizing somatic power over the idea of a removed objectivity and therefore has strong ties with the contemporary non-representational theory . Affect has been found across cultures to comprise both positive and negative dimensions. The most commonly used measure in scholarly research

11448-486: The world... life appears in front of you like an oversized movie screen." Behrman indicates early in his memoir that he sees himself not as a person with an uncontrollable disabling illness, but as a director of the movie that is his vivid and emotionally alive life. There is some evidence that people in the creative industries have bipolar disorder more often than those in other occupations. Winston Churchill had periods of manic symptoms that may have been both an asset and

11556-448: Was deemed too young. Queen Charlotte , outraged by her son's celebration while her husband was suffering, stayed away and ordered her five unmarried daughters not to attend. For the next three days the public were allowed to enter the palace and gardens to view the decorations for the event. On the final day an estimated thirty thousand came leading to massive overcrowding. The regent continued to host major receptions at Carlton House over

11664-452: Was interpreted in the context of either elevated baseline activity (resulting in a null finding of reward hypersensitivity), or reduced ability to discriminate between reward and punishment, still supporting reward hyperactivity in mania. Punishment hyposensitivity , as reflected in a number of neuroimaging studies as reduced lateral orbitofrontal response to punishment, has been proposed as a mechanism of reward hypersensitivity in mania. In

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