Psychological Explanations Flashcards
Family Dysfunction explanations
Double Bind + High expressed emotion
Double Bind
- parents predispose children
- meta communication conradict primary communications
- children lose grip on reality
Research evidence for double bind
BERGER ET AL asked about childhood relationship w parents and found Sz pts had more double bind than non-Sz pts
HOWEVER self report
Research evidence against double bind
LIEM found no difference when measuring patterns of prenatal communication in families with Sz child and without Sz child
High expressed emotion
- hostility, criticism, emotional over involvement
- explains why pt relapse, have worse diagnosis + trigger vulnerable individuals
Research evidence for high expressed emotion
BROWN ET AL found 58% relapse in high EE famalies compared to 10% relapse in low EE famalies
High EE AO3 -
- cause or effect
- many Sz relapse when away from famalies
High EE AO3 +
Practical application to therapy resulting in drug compliance
Cognitive explanations
- breakdown in metarepresenatation ability
- breakdown in central control
Breakdown in meta-representation ability
- Disruption in ability to recognise our own thoughts and actions as out own
- results in delusions and hallucinations
Breakdown in metarepresentation ability AO3 +
SARIN and WALLIN = Sz pts show biases in thinking e.g. low reality testing
Breakdown in central control
Inibility to ignore automatic thoughts and speech
- derailment of thoughts
- unctrolled chain
Breakdown in central control AO3 +
STIRLING ET AL = Sz pt 2x longer than non Sz in stroop task where you name colour of word which is different to the colour name
Cognitive explanation AO3 +
Application to success of therapy which lends credibilty to explanation
Cogntive explanation AO3 -
Describes the symtoms but not the cause
- Sz explained by risk genes and stressors which lead to unusual though processing
