Mental Illness- Gottesman Flashcards

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1
Q

What are the monoamines?

A

Serotonin (controls N & D)

Dopamine (mood)

Noradrenaline (activity levels)

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2
Q

Depression theory one?

A

Stress lowers serotonin

Noradrenaline and dopamine misbalanced

Lowered mood and activity levels

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3
Q

Schizophrenia theory?

A

Enzymes in synapses decreases noradrenaline levels

Increased dopamine means hallucinations and messes with speech areas

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4
Q

Monoamine oxidase inhibitors?

A

Prevent MA reabsorption

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5
Q

Tricyclics?

A

Prevents noradrenaline and serotonin

Side effects like fatigue

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6
Q

Selective serotonin reuptake inhibitors

A

Prevents only S réabsorption

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7
Q

What is schizophrenia caused by?

A

Caused by increased or decreased dopamine in PFC.

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8
Q

What did Purdon do?

A

Gave drugs

LH weak so right hand weak

Gave drugs

Increased strength in right hand

Drugs work

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9
Q

Juckel

A

Depression means lower VS activity

Means depression

Caused by lower D, N or S

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10
Q

Milo?

A

Hypo-perfusion in brain = lower blood flow.

ECT brought those levels up almost immediately

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11
Q

Coffey

A

Lower PFC activity = lower thinking

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12
Q

Serotonin transporter genes

A

3 types

Short long

Short short (depression)

Long long

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13
Q

Polygenic?
Aetilogically homogeneous?
Aetilogically heterogeneous?

A

Polygenic= many genes contribute
Aetilogically homogeneous= 1 symptom stems from 1 gene
Aetilogically heterogeneous= many symptoms from many genes = hard to cure.

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14
Q

Aim Gottesman?

A

Likelihood of kids inheriting MI when one or both parents inherits themselves

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15
Q

Sample

A

From 2.7 million Danish kids

83 BxB gives 146 kids

196 SxS gives 270 kids

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16
Q

Design

A

Cohort study

IV- diagnoses parent

DV- diagnoses kid

17
Q

Method

A

Parent diagnosed by ICD

Later check if kids have anything

18
Q

Results

A

SxS- 27.3% kids had too

0 parents- 1.12%

BxB- 24.9% kids had too

19
Q

Conclusions

A

1.12% vs 27.3% suggest genetics play huge role

Hard to tell if environmental though

20
Q

Ethics

A
  • antipsychotics to quite pateints not to cure
  • short term use recommended but against human rights
  • side effects like tardive dyskinesia
21
Q

Usefulness

A
  • research provides drugs
  • Arroll- tricyclics vs placebo. 60% patients felt benefit of tricyclics. If all biological would increase to 100% surely.
  • Thornley- chlorpromazine associated in better focus and fewer symptoms in 1100 patients
22
Q

Nature vs nurture

A

Nature

  • genetics
  • abnormal brain structure
  • drugs work so must be to di with brain structure in some way

Nurture

  • oxygen starvation at birth
  • prenatal exposure to flu
  • being influenced by parents behaviour growing up
23
Q

Freewill vs determinism

A

Deterministic

  • brain abnormalities
  • genetic vulnerability
24
Q

Individual vs situational

A

Individual

  • brain chemistry
  • genes
  • brain physiology

Situational

  • poverty
  • environment growing up
  • work stress
25
Q

Psychology as a science

A
  • biological
  • objective
  • brand new technologies however cant really tell if accurate
  • drugs are pretty effective