L5 Psychological Explanations for SZ Flashcards

1
Q

What are the two main psychological explanations for SZ?

A

Family dysfunction and Cognitive Explanations

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2
Q

What are the 3 family dysfunction explanations?

A

The Schizophrenogenic Mother
Double Bind Theory
Expressed Emotions

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3
Q

The Schizophrenogenic Mother

A
  • This type of mother is cold, rejecting and controlling, creating a family climate of secrecy and tension
  • Leads to the child having a lack of trust in relationships that later develop into paranoid delusions, ultimately developing into SZ
  • The Father is often passive and does not get involved in the upbringing
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4
Q

Double Bind Theory

A
  • Bateson et al suggested that children who received contradictory messages from parents, e.g the mum says they love them and looks away in disgust
  • The child finds themselves trapped in situations which they fear doing the wrong thing but receive mixed messages about what the right thing is
  • The child sees the world as a dangerous, uncertain place - leading to paranoid delusions and SZ
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5
Q

Expressed Emotion

A
  • The level of negative emotion expressed towards a patient by their parents
  • This can be verbal criticism, shown with violence
  • Hostility towards the patients, including anger and rejection
  • Emotional over-involvement, showing self-sacrifice for the patients
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6
Q

Strengths of Family Dysfunction? (2)

A

Finnish Adoptees
Double Bind research

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7
Q

Finnish Adoptees (+) FD

A
  • Research support, found Finnish adoptees who were biologically inclined to have SZ are more likely to get it
  • However this was only the case when their adopted parents relationships was dysfunctional, showing environmental conditions were just as important as biological ones
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8
Q

Double Bind research (+) FD

A
  • SZ patients recalled more double-blind statements from their parents than non-SZ patients
  • However this has validity issues, as their memory may be impaired due to the delusions and hallucinations experiences during SZ, making it harder to verify if their recall is accurate
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9
Q

Weaknesses of Family Dysfunction? (2)

A

Parent Blaming
Does not account for biology

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10
Q

Parent Blaming (-) FD

A
  • The dysfunctional family explanations for SZ can be unethical
  • They put pressure on parents and blame them entirely for their child’s SZ
  • This can lead to further trauma for the parents and cause harm
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11
Q

Does not account for biology (-) FD

A
  • Does not consider that the abnormal thinking and dysfunctional thought processes are due to abnormal levels of dopamine
  • Does not consider the dopamine hypothesis enough
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12
Q

What is the Cognitive Explanation for SZ?

A
  • Focus on the role of mental thought processes
  • SZ is associated with several types of dysfunctional thought processing and this is used to explain SZ
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13
Q

What are the two Cognitive Explanations presented by Frith et al?

A

Metarepresentation
Central Control

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14
Q

What is Metarepresentation?

A
  • The cognitive ability to reflect on thoughts and behaviour which enables us an insight into our own intentions and goals, also allows us to interpret actions of others
  • Dysfunction in this would disrupt the ability to know your own actions and thoughts as your own and not someone else’s
  • This could explain symptoms such as auditory hallucinations and delusions where an SZ patient believes someone is putting thoughts into their head
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15
Q

What is Central Control?

A
  • Cognitive ability to suppress automatic responses while we perform other actions that are more necessary
  • Speech poverty and thought disorder could arise from the inability to ignore your own automatic thoughts
  • Derailment can occur where the sufferer is unable to think properly due to their being too much going on in their thought processes
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16
Q

Strengths of the Cognitive Explanation? (2)

A

CBT
Word colour task

17
Q

CBT (+) CE

A
  • The cognitive approach has clear applications and is shown through the success of CBT
  • CBT aims to challenge the hallucinations and delusions by challenging this dysfunctional thinking
  • This being an effective treatment shows the merit the cognitive explanation has in understanding SZ
18
Q

Word colour task (+) CE

A
  • Compared 30 SZ patients with 18 non-patients
  • He found that SZ patients took twice as long to say the colour of the words in a task where they had to separate the colour from the word
  • This shows that SZ is accompanied by the notion of dysfunctional thinking
19
Q

Weaknesses of the Cognitive Explanation? (2)

A

Reductionist
Does not account for biology

20
Q

Does not account for biology (-) CE

A
  • The cognitive explanation reduces SZ down to dysfunctional thinking
  • Does not account that the cause of the dysfunctional thinking and subsequent SZ is a result of abnormal dopamine levels
  • This adds an element not considered by the cognitive explanation
21
Q

Reductionist (-) CE

A
  • Can be argued ideas like metarepresentation are extremely reductionist
  • They reduce a complex illness like SZ down to three simple parts, and one area of dysfunction when many are involved