everything i need to know sz Flashcards
psychological explanations of sz
Schizophrenogenic mother
Double bind theory
High expressed emotion
schizophrenogenic mother
-fromm reichmann proposed physchodynamic explantion from accounts fromher parents childhoods
many mentioned spexific type of parent: schizophrenogenic mother
mother is cold rejecting and controllig causing tension and scerey within the family
leads to distruct and later devlops paranoid delusions leadig to SZ
double bind theory
bateson et al empashsised role of communication within a family
child is regualury put in trapped situations where they worry about doing wrong thing
recive mixed messages
feel unable to comment or seek clarification
punishemnt of getting it wrong is withdwarl of love
e.g parent complains dont get enogh effection, but then compalisn when give affection
mkes them feel worls is confusing and dangerous
ledint o paranoid delusions and disoragnised thinking
high expressed emotion
level of emotion mostly negative expressed by carers towards sz patients
may inclue verbal criticms veen violence
hostility e.g anger and rejction and laster emotional overinvolvemnt in life
high ee makes patient feel stressed sand big factor of relpase
alternatively, could interact with genetic vulnerablilty to cause SZ
prevalnec of SZ
only 1 of population get it
split between sz mind and reality
most commonly diagnosed by men
usually in late teens, early 20s
sz symptomsgenral criteria of diagnosing sz
report 2 symptoms within a month
reduced social functioing
dsm and icd criteria
dsm-states must have 1 postive symptom presnt out of the two
icd-states must have 2 negative symptoms sufficent
sz symptoms
speech poverty -
avolution -
delusions +
halluciantions +
speech poverty
reduction in quality and amunt of speech
avolution
finding it difficult to do goal orainetated tasks
hallucinations
auditory or visual
delusions
irrationsal beliefs/paranoi
type 1
characteristed by positve symptom so an addition to the person
type 2
charcateristed by negaitve symptom normal emotions may be affected
validity
extent that something is true
diagnonis
diagnoising disease from identificiation of symptoms and signs
inter-rater reliability
extent to which psychiasticas can get same diagnoisis individually testing same patient
re-test relaibility
how conistent the tests are over time
weakness-cheniux et al
used 2 psychriasts to diagnose 100 patients using dsm and icd crieteria
reuslts showed 26 dsm 44 icd
second pyschriast showed 12 dsm and 24 icd
results showed low inter ater reliability as got completly differnt scores
wekaness-rosenhan
used 7 volunteers
including himself
got them to fake beign schziophrenic
each faked the symptom of hearing voices its hollow
all were diagnosed with either sz or biopolar
when in hospital, all acted normally
took 19 days to be discharged
took 2 months for rosenhan to be discharged as could not figure out what was wrong with him
reuslts shows issues with hosital system shows not good with their job
howerver, shows good ecological valisity as used in real life hospital
weakness-symptom overlap
considerable overlap between symptoms of sz and other conditions
ophoff et al assessed gentic materials from 50,000 partipants
found seven of the genene locations of the gene, 3 of them were also associated with biopolar
suggests gnetic overlap and reason for symptom overlap