family dysfunction explanation Flashcards

1
Q

What does the family dysfunction explanation suggest about schizophrenia?

A

The family dysfunction explanation suggests that abnormal family communication patterns and relationships can contribute to the development or relapse of schizophrenia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the concept of the schizophrenogenic mother?

A

The schizophrenogenic mother is a concept introduced by Fromm-Reichmann (1948) describing a mother who is cold, domineering, and rejecting, creating a tense and conflict-ridden family environment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What type of family environment does the schizophrenogenic mother create?

A

The schizophrenogenic mother creates a tense and conflict-ridden family environment, often marked by emotional distance and control.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does the schizophrenogenic mother contribute to the development of schizophrenia?

A

The schizophrenogenic mother instills feelings of paranoia, fear, and insecurity in the child, which may lead to the development of positive symptoms like paranoia and delusions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does the father contribute to the family dysfunction explanation?

A

The father is often described as passive, failing to intervene and provide emotional support, which increases the child’s vulnerability to developing schizophrenia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What symptoms may develop in a child with a schizophrenogenic mother?

A

The child may develop positive symptoms of schizophrenia, such as paranoia and delusions, as a result of the emotional distance and controlling nature of the mother.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the double-bind theory?

A

The double-bind theory, proposed by Bateson, suggests that schizophrenia can arise from repeated exposure to contradictory messages from caregivers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens in a double-bind situation?

A

In a double-bind situation, a child receives conflicting verbal and non-verbal cues, often placing them in a no-win scenario.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Can you give an example of double-bind communication?

A

An example of double-bind communication is when a mother says ‘I love you’ while acting cold or hostile, creating inconsistency and confusion for the child.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What impact does prolonged exposure to double-bind communication have on a child?

A

Prolonged exposure to double-bind communication may lead to disorganized thinking, paranoia, and delusions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the expressed emotion (EE) theory?

A

The expressed emotion (EE) theory focuses on the emotional climate within the family, particularly involving criticism, hostility, and emotional over-involvement.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the impact of high EE on individuals with schizophrenia?

A

High EE families display intense negative emotions, which can overwhelm and stress individuals with schizophrenia, increasing their positive symptoms like hallucinations and delusions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What symptoms are linked to high EE in families?

A

High EE is linked to an increase in positive symptoms of schizophrenia, such as hallucinations and delusions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is alpha bias in the context of the schizophrenogenic mother theory?

A

Alpha bias occurs when differences between genders are exaggerated, and in this context, it results in unfairly placing blame on mothers for the development of schizophrenia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How does the schizophrenogenic mother theory demonstrate alpha bias?

A

The theory places undue blame on mothers, reinforcing negative stereotypes about women as the primary cause of family dysfunction and overlooking the role of fathers or broader family dynamics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What negative stereotypes are reinforced by the schizophrenogenic mother theory?

A

The theory reinforces negative stereotypes about women, portraying them as the primary cause of family dysfunction and the development of schizophrenia in their children.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does the alpha bias in the schizophrenogenic mother theory impact mothers?

A

By focusing on maternal behaviour, the theory can cause emotional distress for mothers, who may already be coping with the challenges of having a child with schizophrenia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Why is the alpha bias in the schizophrenogenic mother theory problematic?

A

The alpha bias is problematic because it shifts attention away from more effective treatments and support systems, unfairly blaming mothers and overlooking the complexity of the disorder.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What research supports the double-bind theory?

A

Berger (1965) found that individuals with schizophrenia reported higher exposure to double-bind communication during childhood compared to non-schizophrenic individuals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What limitation is associated with the research on double-bind theory?

A

A limitation is recall bias, as individuals with schizophrenia may misremember or distort their childhood experiences, which weakens the reliability of the evidence.

21
Q

Why does recall bias weaken the evidence for the double-bind theory?

A

Recall bias weakens the evidence because individuals with schizophrenia may not accurately remember or may distort their experiences, making the findings less reliable.

22
Q

What is a limitation of family dysfunction theories regarding cultural relevance?

A

Family dysfunction theories often fail to account for the cultural variability in family structures and communication styles.

23
Q

Why may the family dysfunction model be less universally applicable?

A

What is considered dysfunctional or high in expressed emotion may differ significantly across cultures, limiting the model’s relevance across different societies.

24
Q

How does cultural variability affect the family dysfunction model?

A

In some cultures, strong emotional involvement or critical communication may be the norm, but this does not necessarily lead to higher rates of schizophrenia.

25
What does cultural bias in family dysfunction theories impact?
Cultural bias limits the theory’s relevance and applicability, as the definitions of dysfunction and high expressed emotion may not be universally applicable.
26
What does research into expressed emotion (EE) theory focus on?
Research into EE theory focuses on how high EE environments, characterized by criticism, hostility, and emotional over-involvement, contribute to relapse rates in schizophrenia.
27
What research supports the link between high EE environments and relapse rates?
Brown found that patients returning to families with high EE were twice as likely to relapse compared to those in low EE households.
28
What did Vaughn and Leff find about relapse rates in high and low EE environments?
Vaughn and Leff found that 51% of patients in high EE environments relapsed within 9 months, compared to just 13% in low EE environments.
29
What do the findings of Brown and Vaughn & Leff highlight?
The findings highlight the significant role that family dynamics, particularly high EE, play in the course of schizophrenia and maintaining recovery.
30
What is the major issue with the family dysfunction model of schizophrenia?
The major issue is the causality problem, where it's difficult to establish direct cause-and-effect relationships between family dynamics and the development of schizophrenia.
31
Why is causality hard to establish in the family dysfunction model?
Causality is hard to establish because family dynamics may play a role in the development of schizophrenia, but they fail to account for the biological and genetic factors strongly associated with the disorder.
32
What biological and genetic factors are important in schizophrenia?
Schizophrenia has a significant genetic component, with individuals who have a family history being at greater risk. Dopamine dysregulation, brain structure abnormalities, and neurochemical imbalances also play key roles.
33
What is a limitation of focusing primarily on family dynamics in schizophrenia?
Focusing primarily on family dynamics can overlook the biological underpinnings of schizophrenia, such as genetic factors and neurochemical imbalances, which are crucial to understanding the disorder.
34
How does the family dysfunction model fail to account for other factors in schizophrenia?
The family dysfunction model overlooks the genetic and neurobiological factors, like dopamine dysregulation and brain structure abnormalities, which are integral to the development and progression of schizophrenia.
35
What is the main criticism of the family dysfunction explanation for schizophrenia?
The family dysfunction explanation is considered reductionist because it oversimplifies the development of schizophrenia by attributing it solely to family interactions.
36
Why is the family dysfunction explanation reductionist?
It overlooks the complex interplay of genetic, biological, psychological, and social factors that contribute to schizophrenia.
37
What does the diathesis-stress model suggest about schizophrenia?
The diathesis-stress model suggests that individuals may have a genetic predisposition to schizophrenia, but the disorder only manifests under certain environmental stressors, such as dysfunctional family dynamics.
38
How does the family dysfunction model fail to provide a comprehensive explanation of schizophrenia?
It neglects the complexity of factors like genetics and biology, failing to account for the interaction of these factors in the development of schizophrenia.
39
What evidence does the Tierney adoption study (1982) provide against family dysfunction as the sole cause of schizophrenia?
The study found that 36.8% of children with family dysfunction developed schizophrenia, but this was due to their high genetic risk from having a biological mother with schizophrenia, not family dysfunction alone.
40
What does the Tierney adoption study suggest about the relationship between family dysfunction and schizophrenia?
The study suggests that while family dysfunction may contribute to the onset or relapse of schizophrenia, it is not the primary cause; genetic predisposition plays a significant role.
41
How does the Tierney adoption study challenge the family dysfunction model?
It challenges the family dysfunction model by showing that children with family dysfunction who developed schizophrenia were also at high genetic risk, highlighting the importance of biological factors.
42
What is a criticism of the family dysfunction theory regarding blame?
The family dysfunction theory is criticized for its blame-shifting nature, particularly in theories like the schizophrenogenic mother and double-bind theory, which place responsibility on the family, especially the mother.
43
How does the blame-shifting nature of the family dysfunction theory affect parents?
It can lead to feelings of guilt and stigma among parents, who may already be struggling to cope with their child’s illness.
44
Why is the focus on blame problematic in family dysfunction explanations?
"The focus on blame can create unnecessary tension within families, making it harder for them
45
What practical application has emerged from the family dysfunction explanation for schizophrenia?
The family dysfunction explanation has led to the development of family therapy, which is effective in reducing relapse rates and improving patient outcomes.
46
How does family therapy help individuals with schizophrenia?
Family therapy addresses high expressed emotion (EE) and promotes healthier family dynamics, creating a supportive environment for individuals with schizophrenia.
47
What does research by Pharaoh (2010) show about family therapy?
Research by Pharaoh shows that family therapy reduces relapse rates by 25% compared to standard care.
48
Why is family therapy a valuable practical application in managing schizophrenia?
Family therapy is valuable because it helps improve family dynamics, which in turn reduces relapse rates and provides long-term benefits for both patients and their families.