schizophrenia paper 3 Flashcards

1
Q

what are the three biological explanations of schizophrenia

A

genetics, dopamine hypothesis, neural correlates

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2
Q

how many gene variations are associated with schizophrenia

A

108

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3
Q

what does polygenetic mean

A

it means that there are multiple genes which can cause schizophrenia

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4
Q

briefly explain Grottesman’s research

A

he found that having 2 schizophrenic parents you have a 46% chance of having schizophrenia if you have one schizophrenic parent you have a 13% chance of having schizophrenia and if you have schizophrenic siblings you have a 9% chance of having schizophrenia

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5
Q

evaluation of the genetic explanation of schizophrenia

A
  1. STRENGTH: biological determinism - you wouldn’t choose to have a mental illness
  2. LIMITATION: socially sensitive research - puts blame on the parents
  3. LIMITATION: idiographic research - schizophrenia only affects 1% of the population
  4. STRENGTH: adoption studies - 164 adoptees who had biologically schizophrenic mothers was 6.7% whereas 197 adoptees with non-schizophrenic mothers was only 2%
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6
Q

what type of neurotransmitter is dopamine

A

an excitation neurotransmitter

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7
Q

what is an excitation neurotransmitters

A

it gives a positive charge within the body

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8
Q

what feeling does dopamine stimulate

A

feelings of happiness

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9
Q

what does hypERdopaminergia mean

A

that there are high levels of dopamine resulting in disorganised speech which leads to speech poverty

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10
Q

what does hypOdopaminergia mean

A

that there a low levels of dopamine resulting in poor decision making which leads patients to have delusions

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11
Q

what are the family dysfunction explanations of schizophrenia

A

schizophrenogenic mothers, double-bind theory and expressed emotion (EE)

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12
Q

what is a schizophrenogenic mother

A

they are mothers who are cold and rejecting, they often create a tense family climate

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13
Q

how do schizophrenogenic mothers cause schizophrenia

A

they create distrust which leads to the creation of paranoid delusions

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14
Q

what is the double-bind theory

A

where children receive conflicting messages from their parents about what is wrong and right

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15
Q

how does double-bind theory lead to causing schizophrenia

A

it results in the patient having disorganised thoughts which leads to them having hallucinations and delusions

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16
Q

what is expressed emotion

A

negative expressed emotion towards a patient in the form of verbal criticism, hostility and over-involvement in their life

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17
Q

how do expressed emotions cause schizophrenia

A

it causes stress in patients ultimately resulting in relapse

18
Q

what are the three cognitive explanations of schizophrenia

A

dysfunctional thought processing, metarepresentation and dysfunction of central control

19
Q

what is dysfunctional thought processing

A

lower levels of information processing in some areas of the brain suggest cognition is impaired

20
Q

what is metarepresentation

A

the cognitive ability to reflect on thoughts and behavior. This dysfunction disrupts our ability to recognise our thoughts as our own

21
Q

what is a central control

A

central control is the ability to suppress automatic responses while performing deliberate actions.

22
Q

how does metarepresentation cause schizophrenia

A

leads to the sensation of hearing voices (hallucinations) and having thoughts placed in the mind by others (delusions)

23
Q

evaluation of the psychological explanations of schizophrenia

A
  1. STRENGTH: Stirling et al - compared 30 schizophrenic patients with 18 non-patients on a cognitive task (stroop test), those with schizophrenia took twice as long to process compared to the control group
  2. LIMITATION: socially sensitive research - sensitive to put blame on mothers for causing schizophrenia
  3. LIMITATION: cultural variations - auditory hallucinations seen as normal in some cultures
  4. STRENGTH: read at al - 69% of 46 studies showed that women who had experienced child abuse had also been diagnosed with schizophrenia
24
Q

what are the three types of psychological treatments of schizophrenia

A

CBT therapy, family therapy and token economy

25
how does CBT treat schizophrenia
patients identify their irrational thoughts, they are given homework, experiments and journals which focus on their specific symptoms of schizophrenia, for example avolition
26
how does family therapy treat schizophrenia
aims to improve communication between family members and create a less stressful environment
27
what are the stages used in family therapy
1. patient talks to therapist alone 2. therapist talks to family, educating them on schizophrenia 3. therapist brings family and patient together
28
who is token economy used on
hospitalised patients
29
how is token economy used to treat schizophrenia
tokens are used to encourage typical behaviour, tokens are given when a patient displays normal behaviour, tokens can be swapped for rewards of the patients choice
30
what type of reinforcers are tokens
secondary
31
what type of reinforcers are rewards
primary
32
evaluation of CBT as a treatment of schizophrenia
1. STRENGTH: nice et al - CBT reduces relapse rates and increases social functioning 2. (counter) LIMITATION: patients used in nice's study were also using antipsychotics and so we don't know what caused the reduction in relapse rates 3. STRENGTH: tarrier et al - investiagated 87 patients with schizophrenia, some treated by antipsychotics and some antipsychotics and CBT - results = CBT group had fewer symptoms of schizophrenia 4. (counter) LIMITATION: cost - it is expensive to give drug treatment and CBT to patients so it is likely they would only get one type of treatment not both
33
evaluation of family therapy as a treatment of schizophrenia
1. STRENGTH: Pharoah et al - reviewed 53 studies of family therapy and found that the therapy helped patients to understand their illness resulting in reduced relapse rates 2. LIMITATION: Garety et al - compared family therapy and carers with no family therapy. The carers group had low relapse rates due to the carers expressing less EE.
34
evaluation of token economy as a treatment of schizophrenia
1. STRENGTH: Dickerson et al - 11/13 studies reported beneficial effects due to the treatment of increasing adaptive behaviours in a psychiatric setting. 2. LIMITATION: ethical concerns - bad for the doctors to restrict certain food, privacy and enjoyable activities until patients show desirable behaviours
35
what hormone is used in typical antipsychotics
dopamine
36
what are dopamine antagonists
they reduce the action of dopamine
37
how do dopamine antagonists work
by blocking dopamine receptors in the synapses in the brain, reducing the action of dopamine
38
what effect does chlorprozamine have
it as a sedation effect - t is also used to calm anxious patients when they are first admitted to hospital.
39
what neurotransmitters do atypical psychotics target
dopamine and serotonin
40
how does clozapine improve mood
clozapine binds to dopamine, serotonin and glutamate receptors. it reduces anxiety and depression in patients as well as improving cognitive functioning
41
what is the difference between clozapine and risperidone
risperidone is safer