Clinical Revision Flashcards

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1
Q

Schizophrenia Dopamine Hypothesis Claim.

A

Claim: schizophrenia is caused by hypersensitive dopamine receptors or an excess of dopamine receptors leading to high levels of dopamine.
Mesolimbic system = positive symptoms
Mensocortical symptoms = Negative symptoms

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2
Q

Schizophrenia Dopamine Hypothesis Opposition

A
  • This theory is based on animals which can’t get psychosis.
  • Cannot establish cause an effect.
  • Alpert and Friedhoff found some people don’t improve after dopamine antagonist
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3
Q

Schizophrenia Dopamine Hypothesis Application

A

This can be used to give schizophrenia suffers anti-psychotic drugs

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4
Q

Schizophrenia Dopamine Hypothesis Supporting Evidence.

A
  • When people take amphetamines people experience symptoms of psychosis (Parkinson example)
  • Owen et al found schizophrenia suffers have higher levels of dopamine receptors in the cerebral cortex.
  • Liverman et al found 75% of schizophrenics had more sever symptoms after amphetamines
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5
Q

Schizophrenia Dopamine Hypothesis Different theory

A
  • Brown and Birely found 50% of patience’s reported a major life 3 weeks prior to the condition. environmental factors.
  • Glutamate in low levels can also lead to schizophrenia
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6
Q

Schizophrenia Genetics Claim

A

Schizophrenia is caused by genetic inheritance.

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7
Q

Schizophrenia Oppoising

A

MZ twins only have 40-50% concordance rates despite identical genetics.

  • Brown and Birley event.
  • Family studies have higher concordance rates due to shared environment.
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8
Q

Schizophrenia Genetics Application

A

-Led to research into genetics and schizophrenia. Could cause a cure or at least warn someone who is at risk.

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9
Q

Schizophrenia Genetics Supporting

A
  • Gottesman: MZ twins 48% chance to both have schizophrenia whilst only 27% for DZ twins.
  • Tienari: 6.7% adopted children had schizophrenia when they’re mothers had schizophrenia compared to 2% without schizophrenic mothers
  • Sekar: Found C4 gene increased the risk of schizophrenia across 30 different countries using 100,000 DNA samples.
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10
Q

Schizophrenia Genetics Different theory

A

Dopamine hypothesis and environmental stress.

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11
Q

Schizophrenia Social Causation Claim

A

Schizophrenia is a result of social stressors and social class. Those in lower class are more likely to be diagnosed with schizophrenia.

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12
Q

Schizophrenia Social Causation Opposition

A
  • Can’t establish cause and effect
  • Environmental stressors are not always present (Brown and Birley)
  • Diafnosis issue, lower class job could just offer more chance to see a doctor.
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13
Q

Schizophrenia Social Causation Application

A

Assertive community therapy and supportive health care services can target environmental stressors to help the individuals cope so symptoms are reduced.

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14
Q

Schizophrenia Social Causation Supporting

A

Cooper found single men in unskilled labour jobs are 4.1 times more likely to be diagnosed with schizophrenia compared to managerial jobs.

  • Gottesman only found 48% concordant rates toward MZ twins
  • Mortensen found people living in the city are 2 times more likely than people in rural areas to be diagnosis with schizophrenia.
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