Biological Approach to Explaining OCD Flashcards

1
Q

biological approach to explaining OCD

2

A

genetic explanations

neural explanations

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2
Q

genetic explanations

3

A

mental disorders are inherited — individuals inherit specific genes from their parents that are related to OCD

gene = part of the chromosome that carries information in the form of DNA

this explanation includes…
• COMT gene
• SERT gene
• diathesis stress

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3
Q

define gene

1

A

a part of the chromosome that carries information in the form of DNA

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4
Q

genetic explanations: COMT gene

4

A

COMT gene may contribute to OCD

this gene is involved in the production of COMT, which regulates the production of the neurotransmitter dopamine that has been implicated in OCD

all genes come in different forms and one form of the COMT gene has been found to be more common in OCD patients than people without the disorder

this variation produces lower activity of the COMT gene and therefore high levels of dopamine, which is linked to OCD

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5
Q

genetic explanations: SERT gene

4

A

the SERT gene may also contribute to OCD

affects the transport of the neurotransmitter serotonin and creates lower levels of it

these low levels of serotonin are implicated in OCD

one study found a mutation of this gene in two unrelated families where 6 of 7 family members had OCD

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6
Q

genetic explanations: diathesis stress

3

A

individual genes create a vulnerability/diathesis for OCD as well as other mental disorders like depression

other factors affect what condition develops or whether any mental illness develops at all

therefore, some people could possess the COMT or SERT gene variations that make them more vulnerable to OCD but suffer no actual mental illness

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7
Q

neural explanations

2

A

genetic factors affect certain brain circuits

this explanation includes…
• abnormal levels of neurotransmitters
• abnormal brain circuits

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8
Q

neural explanations: abnormal levels of neurotransmitters

5

A

neurotransmitters = chemical substances that transmit nerve impulses across a synapse

dopamine is a neurotransmitter in the brain that effects motivation and drive — dopamine levels are thought to be abnormally high in people with OCD

animal research has found that high doses of drugs enhancing dopamine levels result in stereotypical movements resembling compulsive behaviours found in OCD patients

low levels of serotonin are also associated with OCD

antidepressant drugs that increase serotonin activity have been shown to reduce symptoms of OCD, whereas antidepressants that have less effect on serotonin do not reduce OCD symptoms

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9
Q

define neurotransmitter

2

A

chemical substances that transmit nerve impulses across a synapse

example = dopamine

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10
Q

define dopamine

2

A

a neurotransmitter in the brain that effects motivation and drive

dopamine levels are thought to be abnormally high in people with OCD

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11
Q

neural explanations: abnormal brain circuits

6

A

several areas of the frontal lobe are thought to be abnormal in people with OCD

caudate nucleus, located in the basal ganglia, normally suppresses signals from the orbitofrontal cortex (OFC), in turn the OFC sends signals to the thalamus about things that are worrying — such as a potential germ hazard

but when the caudate nucleus is damaged, it fails to suppress minor worry signals and the thalamus is alerted which then sends signals back to the OFC and a worry circuit is created

brain scans of OCD patients, taken while their symptoms are active (e.g. when someone with a germ obsession holds a dirty cloth), support this by showing heightened activity in the OFC

serotonin plays a key role in the operation of the OFC and the caudate nucleus, so abnormal levels of serotonin may cause these areas to malfunction

high levels of dopamine lead to overactivity in this region, also leading to OCD

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12
Q

x3 evaluation points for biological approach to explaining OCD

A

reductionist

support for genetic basis of OCD

real world applications

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13
Q

evaluation
REDUCTIONIST

4

A

a limitation of the approach is that it provides an overly simplistic and reductionist explanation of OCD

it suggests mental disorders like OCD are inherited via genes, but the idea of such a simple link between genes and OCD is unlikely

this can be seen to be reducing OCD, a complex disorder, to overly simplistic features which may be undermining it

by not considering other factors or the complexities of OCD, the approach may be providing an inaccurate explanation of OCD and may lead people to think that there are simply ways of treating OCD, which is not the case

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14
Q

evaluation
RESEARCH SUPPORT FOR THE GENETIC BASIS OF OCD

4

A

evidence for the genetic basis of OCD comes from family studies

one study identified 80 patients with OCD and 343 of their first degree relatives and compared them to 73 control patients without mental illness and 300 of their relatives

they found that people with a first degree relative with OCD had a five times greater risk of having the illness themselves at some point in their lives compared to the general population

supports the biological approach but suggesting that OCD is at least partly genetic

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15
Q

evaluation
REAL WORLD APPLICATIONS

6

A

the approach can been applied to real life

for example, it may be that where one parent has the COMT gene, the mother’s fertilised eggs can be screened, thus giving the parents the choice of whether to abort those eggs with the gene

such screening may also help parents prepare for the risk that their child may develop OCD and make them more aware of signs to look out for so treatment can be offered early

alternatively, gene therapy may produce a means of turning certain genes ‘off’ so that a disorder is not expressed

HOWEVER, both of these applications raise ethical issues

although this approach can also be applied to the treatment of OCD and has led to the development of such treatments (briefly describe…)

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16
Q

further evaluation
SUPPORT FOR THE GENETIC BASIS OF OCD

2

A

a meta analysis of 14 twin studies of OCD found that on average identical (MZ) twins were more than twice as likely to develop OCD if their co-twin had the disorder compared to non-identical (DZ) twins

these concordance rates were never 100%, meaning that environmental factors must play a role too — supporting the diathesis stress model

17
Q

what is a concordance rate?

3

A

a measure of genetic similarity

for example, in a sample of 100 twin pairs in which one twin in each pair has a disorder, the number of times the other twin also shows the illness determines the concordance rate

so if 40 of 100 have the disorder, the concordance rate is 40%