BMT- The Biological Approach to Explaining and Treating OCD Flashcards

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1
Q

What are the two sections of the biological approach?

A

genetic explanations

neural explanations

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2
Q

What does the genetic explanation focus on?

A

centers on OCD being inherited through genetic transmission, with research originally centering on twin and family studies

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3
Q

What does genetic research now focus on instead of twin and family studies?

A

DNA profiling and gene-mapping studies which involve comparing genetic material from OCD sufferers and non-sufferers

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4
Q

What does genetic research suggest about the explanation for OCD?

A

research indicates a genetic link of OCD, with particular genes being involved that make some individuals more vulnerable to developing the disorder than others

it is unlikely that a single gene causes OCD, more of a combination

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5
Q

What is the aim of the twin studies on OCD?

A

to see if there is any indication of the extent to which OCD is inherited

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6
Q

What were the two types of samples used in the twin study of OCD?

A

‘Old Literature’ - comprising studies performed between 1929 and 1965 where it is unknown if patients would be diagnose with the disorder under modern diagnostic criteria

‘Studies meeting modern criteria’

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7
Q

What was the procedure of the Twin studies?

A

compared twins genetic material if one is known to have OCD

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8
Q

What were the findings of the twin studies?

A

In children, OCD symptoms are heritable, with genetic influence ranging from 45-65%

In adults, OCD symptoms are heritable with genetic influence ranging from 27 to 47%

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9
Q

What can be concluded from the twin studies?

A

twin studies indicate a gentic component to the transmission of OCD

Heritability of OCD appears to be greater in children than among adults

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10
Q

What are positive evaluation points of the genetic approach?

A
  • Supported by research - the twin study found that OCD originating in childhood is more genetic in nature than that originating in adulthood, suggesting there may be different type of OCD with different causes
  • As evidence indicated genetic factors are at work in the expression of some forms of OCD, especially obsessions about contamination, aggression and religion and compulsions involving washing, ordering and arranging, it may well be that some types of OCD are more genetic in nature than others
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11
Q

What can be concluded from the twin studies?

A
  • although research suggests a genetic component to OCD, there must be some environmental influences upon the disorder, or else the concordance rate between MZ twins would be 100%
  • Pato et el reports that a substantial amount of evidence suggests that OCD is a heritable condition, but that few details are understood about genetic mechanism underpinning the disorder, indicating the need for more focused research
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12
Q

What does the neural explanation suggest about OCD

A

some forms of OCD have been linked to breakdowns in immune system functioning, which would indicate a biological explanation through damage to neural mechanisms

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13
Q

What do PET scans suggest about the neural explanation of OCD?

A

show relatively low levels of serotonin activity in the brains of OCD sufferers and as drugs that increase serotonin activity have been found to reduce the symptoms of OCD,

This suggests that the neurotransmitter may be involved with the disorder

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14
Q

What area of the brain is typically very active in OCD sufferers as seen from PET scans?

A

in the orbital frontal cortext, a brain area associated with higher level thought processes and the conversion of sensory information into thoughts

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15
Q

How does brain activity differ from a non OCD sufferer to a sufferer ?

A

a non-sufferer may have an impulse to wash the dirt from their hands, once this is done the impulse to perform this activity stops and thus so does the behaviour

It may be that those with OCD have difficulty in switching off or ignoring impulses, so that they turn into obsessions, resulting in compulsive behavior

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16
Q

What are the positive evaluation points of the neural explanation of OCD?

A
  • it is supported by research. a researcher reported that case studies of children with streptococcal infections often displayed sudden indications of OCD symptoms. This supports the idea that such infections may be having an effect on neural mechanisms underpinning OCD
  • there is a genetic connection to neural mechanisms, through such mechanisms being regulated by genetic factors. A study examined DNA samples from sufferes and non-sufferes and found OCD to be associated with two mutations of serotonin transporter gene (hSERT) which led to diminished levels of serotonin
17
Q

What are the negative evaluation points of the neural explanation of OCD?

A
  • despite the fact that research indicates there are neural differences between OCD sufferer and non-sufferers, it is still not known how these differences relate to the precise mechanisms of OCD
  • not all sufferers of OCD respond positively to serotonin enhancing drugs, which lessens the support for abnormal levels of the neurotransmitter being the sole cause of the disorder
18
Q

How does drug therapy help to treat OCD

A

anti-depressants are used to treat OCD, such as SSRIs, which elevate levels of serotonin and cause the orbital frontal cortex to function at more normal levels

antipsychotic drugs that have a dopamine lowering effect have also proven useful in treating OCD

19
Q

What are the positive evaluation points for treatment of OCD?

A
  • drug treatments are widely used to treat symptoms of OCD as they are relatively cheap, don’t require a therapist to administer them and are user-friendly
  • antidepressant medications may be more suitable for adults, as they are more able to tolerate and understand the side effects
20
Q

What are the negative evaluation points for treatment of OCD?

A
  • generally drugs dont ‘cure’ OCD, but reduce obsessive thoughts and compulsive behaviors to such a level that a more normal lifestyle can be achieved
  • side effects that patients may experience in common and may not always be effective in treating OCD and reducing symptoms