Interactionalist Approach - Explaining Flashcards
What factors does internationalist approach acknowledge contribute to SZ
Biological, psychological, environmental
Diathesis stress model
Made the first attempt at explaining how different factors might interact to contribute to sz
Diathesis stress model formula
Diathesis (vulnerability) + stress trigger (negative psychotic experience) = schizophrenia
Def internationalist approach to treating sz
Examines how the combination of biological, psychological and social factors explains the development of schizophrenia
Who introduced original diathesis stress model
Meehl 1962
Def diathesis stress model
Is a psychological concept that holds that schizophrenia is due to diathesis (an internal vulnerability) and an environmental trigger (stressor)
Internal vulnerability or diathesis is predisposed meaning
According to meehl it was due to a single szhizogene
Meehl believed schizophrenia only caused by
Having a schziogene and external stressors, without one no trigger of schizophrenia
What’s the modern undertaking of developing diathesis
It is a polygenic disorder in which dopamine imbalances, external and environmental factors cause predisposition of the disorder
Read research into diathesis
Developed idea that vulnerability might be related to nervous system development, early trauma leads to biological abnormalities altering neurological development
2 examples of stressors
Chronic stress through childhood and adolescents
Presence of schizophrenogenic mother
How is cannabis related to stress
Cannabis increases risk by 7% by interfering with dopamine
Not everyone who smokes gets schizophrenia
So must be other vulnerability factors
4 evaluation points
Strength - supportive evidence
Weakness - original model too simplistic
Weakness - problems establishing how they react
Strength - helps us understand nature nurture interaction
Elaboration strength - supportive evidence
Tienari studied biological children of schizophrenic mothers
- 5% of children developed sz in healthy family environment
- 36% children developed sz in dysfunctional family environment
- suggest biological diathesis is triggered by psychological stress or
Elaboration strength - useful application
- tarrier found significant benefits to combined therapy over 18 months compared to treatment with antipsychotic medication alone
- patients had fewer positive symptoms, were less severe and spent fewer days in hospital
- internationalist approach more effective than antipsychotic treatment alone