Schizophrenia Flashcards

1
Q

What are the negative symptoms of schizophrenia?

A

Speech Poverty (lessening of speech fluency and productivity, reflects slow thoughts), avolition (inability to initiate goal directed behaviour)

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2
Q

What are the positive symptoms of schizophrenia?

A

Hallucinations (false perceptions, auditory, visual, olfactory, tactile), delusions (false beliefs, delusions of reference or inflated beliefs, paranoid)

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3
Q

What is reliability in terms of schizophrenia?

A

The consistency of a measuring tool used in diagnosis.

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4
Q

What is affective flattening?

A

A reduction in emotional response

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5
Q

What are the two types of reliability?

A

Test retest reliability and inter rater reliability

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6
Q

What is test retest reliability in terms of schizophrenia?

A

Doctors must reach same conclusion about patient at two different points in time, ensures not ‘labelled’ with a diagnosis which then changes.

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7
Q

Describe the study for the reliability of schizophrenia.

A

Two psychiatrists, 100 patients, used DSM criteria, first thought 26, second thought 13.
Suggests inter rater is poor as the same amount should be found

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8
Q

What are the 2 types of diagnosis for schizophrenia?

A

DSM and ICD

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9
Q

What 5 symptoms must a person have for a month to be schizophrenic?

A

Delusions, Hallucinations, Disorganized speech, catatonic behavior, negative symptoms

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10
Q

What is validity in terms of schizophrenia?

A

The extent to which a diagnosis is accurate and meaningful

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11
Q

What are the three evaluative points of schizophrenia validity?

A

Gender bias, symptom overlap, co mobility

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12
Q

What do genetics suggest schizophrenia is?

A

Hereditary, polygenic, made of candidate genes

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13
Q

What is the definition for polygenic?

A

Determined by a few genes

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14
Q

What is the definition for candidate genes?

A

A gene thought to have been implicated in the development of schizophrenia

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15
Q

What are the three ways of studying the genetic explanations for schizophrenia?

A

Family studies, twin studies, adoption studies

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16
Q

How can family studies be used to study the genetic explanations of schizophrenia?

A

Show its more common in biological relatives, than non biological. The closer the degree of genetic relatedness the greater the risk

17
Q

How can twin studies be used to study the genetic explanations of schizophrenia?

A

If monozygotic twins more concordant than dizygotic suggests greater similarity is due to genetics.

18
Q

How can adoption studies be used to study the genetic explanations for schizophrenia?

A

Can truly separate the influence of genetics and the environment, therefore can investigate individuals genetically related but reared apart.

19
Q

What are the biological explanations for schizophrenia?

A

Genetics, The Dopamine Hypothesis, Neural Correlates

20
Q

Describe the dopamine hypothesis.

A

Excess dopamine related to positive symptoms of schiz. Too many D2 receptors. Neurons fire more easily/often

21
Q

What are the 2 dopamine hypotheses?

A

Hyperdopaminergia (excess = + symptoms) and hypodopaminergia (lack = - symptoms)

22
Q

What are the 5 neural correlates?

A

Ventricular space, ventral striatum(avolition), superior temporal gyrus(Auditory hallucinations), amygdala(loss of emotion), pre - frontal cortex

23
Q

Describe the neural correlate ventricular space.

A

People with schiz have large ventricles (fluid filled cavities) in brain, meaning their brains are lighter than usual.

24
Q

Describe the neural correlate pre - frontal cortex.

A

Many schizs have lower activity in pre - frontal cortex, linked with delusions and disorganized thoughts.

25
What is the biological treatment for schizophrenia?
Drug Therapy
26
What are the 2 types of drug therapy?
Typical Antipsychotics (1st generation) and Atypical Antipsychotics (2nd generation)
27
Describe how typical antipsychotic drugs work.
Are a dopamine antagonist so bind to but do not stimulate dopamine receptors. Around 60-75% D2 receptors need to be blocked.
28
Describe how atypical antipsychotic drugs work.
They target dopamine and serotonin, are temporary, block D2 receptors and affect both positive and negative symptoms
29
What is the psychological explanation for schizophrenia?
Family Dysfunction and Cognitive Explainations
30
What are the 3 family dysfunction explanations?
Schizophrenogenic mothers, double bind theory, expressed emotion
31
What is the double bind theory?
Contradicting messages from parents create a confusing and conflicting worldview and is attributed to delusions due to the contraindications and difficulty predicting the family environment.
32
Explain how expressed emotion causes schizophrenia.
Involves high levels of emotional involvement, micromanaging family members' lives, being overly critical and hostile. EE can result in delusions as it can feel like they are being watched and overly observed and criticised.
33
Expain how schizophrenogenic mothers cause schizophrenia.
Is a cold and rejecting mother figure who causes stress. Psychodynamic psychologists believe this creates unconscious conflicts which causes symptoms e.g. paranoid delusions
34
What are the 3 cognitive explanations for schizophrenia?
Dysfunctional thought processing, metarepresentation, central control dysfunction
35
Describe how dysfunctional thought processing causes schizophrenia.
Schiz is disruption to normal thought processing. Disruption of ventral striatum = negative symptoms. Disruption of temporal and cingulate gyri = hallucinations
36
Describe how metarepresentation causes schizophrenia.
Meta is the ability to distinguish your thoughts/behaviours to other peoples. If dysfunctional will disrupt this ability = hallucinations of voices (your own but seem to be someone elses)
37
Describe how central control dysfunction causes schizophrenia.
Issue with suppressing automatic responses while we perform deliberate actions e.g. each word triggers an association with an automatic response they cant suppress
38
Explain cognitive behaviour therapy.
Involves helping patients correcting their faulty interpretations by considering alternative ways of explaining what they think. NICE