Psychological

Question 1

what is a schizophrenogenic mother

Answer 1

Fromm Reichman patients had controlling rejecting parents
explains paranoid delusions

Question 2

explain double bind theory

Answer 2

Bateson says contradiction causes Sz
Eg mother saying I love you but showing no affection

Question 3

explain expressed emotions

Answer 3

family giving verbal criticism towards sufferer

Question 4

evaluate psychological explanations

Answer 4

• double bind- Berger says it is valid but Liam found no difference with family with Sz and no sz
• determinism/oversimplified
  -abstract so low scientific validity
  +Support- Tiernari- Sz 36.8% in dysfunctional family and Hooley found relapse rates 2 times higher
• EE- Altorfer- 1/4 of patients have no response to negative comments

Question 5

how does CBTp treat Sz

Answer 5

identifys irrational thoughts and disputes them with pragmatic analysis
5-20 sessions
behavioural activation
identifys symptom origins

Question 6

how does family therapy work

Answer 6

improves communication and negative emotions
forms therapeutic alliance
reduces family stress
Pharoh

Question 7

how do token economies work? what are primary reinforcers/ secondary reinforcers

Answer 7

operant conditioning negative symptoms with reward based system
primary reinforcers-anything that gives pleasure
secondary reinforcers- token initially has no value, pair with primary reinforcers and has value
clinicians set targets

Question 8

Evaluate CBT

Answer 8

+ Sensky - CBT for those not responding to drugs- reduced symptoms after 19 sessions in long term
- Jabhar- limited benefits: time, money
+ no side effects

Question 9

Evaluate family therapy

Answer 9

+ Leff found only 8% relapse- consistent, McLaren found it 50% lower
- takes a year and doesn’t cure

Question 10

Evaluate token economies

Answer 10

• sultana found only 1/3 improved. Not appropriate for severe sufferers
  + Dickerson found it was effective