Interactionalistic Approach

Question 1

Why?

Answer 1

Explanations are reductionist so interactionalist view overcomes this

Question 2

Diathesis

Answer 2

Predisposition to develop a disorder

Question 3

Stress

Answer 3

Trigger on vulnerability

Question 4

Meehls original diathesis - stress model

Answer 4

• stress = childhood trauma (schizophrenogenic mother) - high EE and double bind
• diathesis = schizogene

Question 5

Modern diathesis - stress model

Answer 5

• stress = dompaminergic substances e.g. THV as cannabis effects D2 receptors leading to psychotic episodes in someone with diathesis
• diathesis = childhood trauma as causes an overactive hypothalamic-pituitary-adrenal system which releases too much adrenaline at times of stress

Question 6

Diathesis-stress AO3 + Houton et al

Answer 6

Cannabis and childhood sexual assualt increases risk of Sz
- SA = diathesis
- Cannabis = stess
- there are multiple factors both biological an psychological affecting D+S

Question 7

Diathesis-stress AO3 + Cannon et al

Answer 7

Association between bith complication and Sz in later life (stress seen in later life)

Question 8

Example of diathesis stress model study

Answer 8

Tienari et al

Question 9

Tienari et al ppts

Answer 9

303 adoptees
- 145 with Sz mother = only 11 with Sz
- 158 without genetic risk = only 3 with Sz

Question 10

Tienari et al D+S findings

Answer 10

• high genetic risk + adoptive stress = Sz
• low genetic risk + adoptive stress = no Sz
• high genetic risk + no adoptive stress = no Sz
• low genetic risk + no adoptive stress = no Sz

Question 11

Therapy interactionalist

Answer 11

Antipsychotics and psycholigical therapy
- relieve biological cause and relieve psychological symptoms

Question 12

Therapy AO3 +

Answer 12

TARRIER ET AL = 315 ppts
- grp 1 = drugs + CBTp
- grp 2 = drugs + counselling
- grp 3 = drugs

Grp 1 + 2 had less symptoms

= interactionalist approach as practical value