Carlsson SZ Flashcards
rationale;
FGAs only target dopamine and negative symptoms of Sz , the also have bad side effects such as tar dive dyskinesia
hypodopaminergic - ^ D = sz
hypoglutaminergic = low G = sz
aims
- provide more of an explanation for sz than just the dopamine hypothesis
- look at relationship between dopamine and glutamate, and see what impact it has on symptoms
- renew antipsychotic drugs to develop drugs with less side effects
sample
literature review on 33 studies (1 unpublished). Used a variety of research methods such as PET scans, animal studies with rats and SPECT scans. Range of people including Sz in remission and acute Sz
Generaliseabilty
high G as used to 2 different types of Sz
However, 14 of the studies Carlsson was originally involved in - researcher bias
Miller and Abercrombie - animal studies
looked at glutamate and dopamine in rats.
they superimposed NMDA antagonist onto amphetamines and found an increased release of dopamine.
decrease in action of glutamate led to increase in dopamine
Weakness of animal research
evolutionary discontinuity
qualitative differences - humans have more complex social lives
However, we can use them to study things where it would be unethical to use humans
Laruelle et al - PET and SPECT scans to measure release of dopamine in basal ganglia
amphetamines enhance the release of dopamine significantly in drug naive patients compared to matched controls.
This release of dopamine was correlated with positive psychotic symptoms
Strength of PET scans
object and free from bias
However, not everyone can have one
Lindtroem et al - brain imaging techniques
found an aberration of turnover of dopamine in the brain - deviates from the norm
strength - ethics are sound
info already in public domain. didn’t have to be concerned with ethics
However , secondary data - could have flawed methodology e.g standardised procedure