Biological Approach - Therapy: Drug Therapy Flashcards

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1
Q

what are the 3 assumptions

A
  1. Evolutionary influences (i.e. natural selection + EEA)
  2. Localisation of brain function (i.e. the 4 lobes + localisation of language)
  3. Neurotransmitters (i.e. synaptic transmission)
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2
Q

which assumption links to being the basis of drug therapy

A

3) Neurotransmitters
–> we can cure mental illness by changing chemical balances of neurotransmitters

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3
Q

what are the 3 drugs we need to know + what they treat

A
  • Antipsychotics = schizophrenia
  • Antidepressants = depression
  • Anti-anxiety = anxiety/stress
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4
Q

what are the 2 types of antipsychotic drugs

A
  • conventional antipsychotics
  • atypical antipsychotics
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5
Q

what do conventional antipsychotic drugs combat + how

A
  • they combat the positive symptoms of schizophrenia (e.g. delusions and hallucinations)
  • they block the action of the neurotransmitter dopamine in the brain by binding to (but not stimulating) dopamine receptors)
    –> can cause side effects
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6
Q

How do atypical antipsychotic drugs work

A
  • temporarily occupy dopamine receptors then dissociates (leading to less side-effects)
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7
Q

give an example of an antipsychotic drug

A
  • Clozaril
  • it reduces primary symptoms of schizophrenia
  • side effect = tardive dyskinesia (involuntary movement of mouth/tongue)
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8
Q

how do antidepressants work

A
  • SSRI’s (selective serotonin reuptake inhibitors)
  • block the transporter mechanism that reabsorbs serotonin into the presynaptic cell after it has fired
  • leads to more serotonin being left in the synapse, prolonging activity and making the transmission of the next impulse easier
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9
Q

give an example of an antidepressant

A
  • e.g. of an SSRI = Prozac
  • it reduces serotonin by prolonging its activity
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10
Q

what are the 2 types of antianxiety drugs

A
  • BZs (benzodiazepines)
  • BBs (Beta-blockers)
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11
Q

how do BZs work + examples of them

A
  • slow down activity of the CNS
  • they do this by enhancing the activity of GABA (a neurotransmitter) which is the body’s natural form of anxiety release
  • e.g. Librium and Valium
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12
Q

how do BBs work

A
  • reduce the activity of adrenaline and noradrenaline
  • achieved by binding to the receptors of the heart and other body parts stimulated by stress response
  • leads to the heart beating slower and with less force
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13
Q

how does the first assumption link to drug therapy

A
  • medical models recommends a patient should be treated for their mental illness through direct manipulation of their physical bodily processes
    –> which would be drug therapy
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14
Q

how does the second assumption link to drug therapy

A
  • drugs target specific regions of the brain which are involved in psychological disorders
  • e.g. the limbic system
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15
Q

How does the third assumption link to drug therapy

A
  • Alter the action of neurotransmitters and treat mental disorder by increasing/decreasing the action of them
  • this will influence emotions, thoughts and actions
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16
Q

how do all the assumptions overall link to drug therapy

A
  • the medical model suggests that: psychological disorders (such as depression/schizophrenia) have a physiological cause —> therefore mental illness = physical illness
  • mental illness have a physical cause characterised by a cluster of symptoms (a ‘syndrome’) and therefore can be treated in a physical way
  • this physical way is drug therapy
17
Q

what is some of the research + evidence that suggests drug therapy is effective

A
  • Soomro et al. (2008)
  • Kahn et al. (1986)
  • comparisons with other treatments
18
Q

what is some of the research + evidence that suggests drug therapy is not effective

A
  • side effects
  • symptoms not cause
19
Q

Why is Soomro et al. Prove that drug therapy is effective

A
  • Tested drug vs placebo
  • reviewed 17 studies of the use of SSRIs with OCD (which has a component of depression)
  • SSRIs = more effective in reducing symptoms of OCD up to 3 months after treatment, i.e. short term
20
Q

Why is Kahn et al. Prove that drug therapy is effective

A
  • follows 25 patients over 8 weeks
  • found BZs to be more effective than placebos
21
Q

What is the weakness to both Soomro and Kahn

A
  • they are short-term data
  • don’t have any long term data to compare with already existing techniques
22
Q

Why is ‘comparison with other treatments‘ proof that drug therapy is effective

A
  • drug therapy = cheaper than other treatments (e.g. psychotherapy)
  • because it can be prescribed by the NHS
  • practitioner doesn’t have to invest as much time in the patient (only meeting every couple of months)
23
Q

Why are ‘side effects’ proof that drug therapy isn’t effective

A
  • Soomro et al: side effects of SSRIs included = nausea, headaches, insomnia
  • makes people prefer not to take the drug
    E.G
  • tricyclic antidepressants: have more side effects (hallucinations and irregular heartbeat), they’re used if SSRIs aren’t effective
24
Q

Why is ‘symptoms not cause’ proof that drug therapy isn’t effective

A
  • If a person suffers from depression as a result of childhod trauma, antidepressants = a short-term solution
  • BUT in long-term = disorder isn’t dealt with
  • So…’revolving door syndrome’
    —> Patient is back and forth to their doctor as the disorder is never really cured
25
Q

What are the 3 mains ethical issues with drug therapy

A
  • Use of placebo
  • Valid consent
  • Medical professionals may withhold information
26
Q

Describe the ethical issue of ‘use of placebo’

A
  • no patient should be given a treatment known to be inferior
  • new treatments can be tested against existing treatments known to be effective (control condition)
    —> tests for concurrent validity
27
Q

Describe the ethical issue of ‘Valid consent’

A
  • lack of valid consent
  • many patients find it difficult to recall all the side effects associated with a drug or may find it hard to digest the information
28
Q

Describe the ethical issue of ‘Medical professionals may withhold information’

A
  • Medical professionals may withhold some information, e.g. benefits of the drug are slim, or they may exaggerate the benefits of taking it
29
Q

When writing an essay about why it is/isn’t effective, what paragraphs should u do

A
  • :) Soomro et al. / Kahn et al
  • :) comparison with other treatments
  • :( side effects
  • :( symptoms not cause
30
Q

When writing an essay about ethics, what should u write about

A
  • use of placebo
  • Valid consent
  • Medical professionals may withhold info