Social Explanation For Schizophrenia - Dysfunctional Family Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Double bind theory

A

Bateson - families communicate with schizo children in a non clear way that is destructive.
-e.g. mother tells son she love him but in an aggressive tone
Becomes unable to respond logically to others - suggest schizo Chad by family

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Double bind theory - paralanguage

A

Sometimes parent unaware they are using double bind.

-Dad ask son how was school, dad ignores response leaving child confused:
A)If they respond to dad, they get met with lack of care
B)If they ignore dad, they will be punished

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How double bind lead to symptoms of schizophrenia

A

If believe all conversation have harmful meaning = delusions of prosecution - could lead to avolition, decrease care in surrounding or interact with others

Causing symptoms to be relief instead of something bad

Berger - interview schizo, higher recall of double bind from mother than non-schizophrenic control

Mischler + Waxler- mother talk to schizo children more aloof + unresponsive. Normal to normal children - schizo cause double bind? No mention of double bind but communication is different

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Expressed emotions (EE)

A

The different ways families treat schizo members. Can either cause someone to maintain schizophrenia or help to prevent symptoms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

High EE

A

If relative have high EE more likely to cause schizophrenic to relapsed:

Critical comment - negative statement for schizo ‘so lazy’ those who low EE do acknowledge illness cause lack of ability

Hostility - showing usually non-verbal negative actions. (Shouting, ignoring) - anger or rejection

Emotional over involvement - excessive self sacrifice or protective over schizo children, due to guilt for children illness
-not let them play with others, spend majority of time on them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Low EE

A

Less likely to cause relapse:

Warmth: nice vocal messages, actions + empathy
-give positive comment + body language

Positive regard: number of times caregiver give statements showing support or appreciation to schizo children (lots of gifts+ actions, kiss)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

EE study

A

Kavanagh- schizo in high EE family 4 times likely to relapse than low EE family

Brown - 156 men with schizo after discharged from hospital
-those discharge to family or wives home more likely to relapse than those with lodging or with siblings
-interview with parent + wives = EE + likelihood of relapse linked

Vaugh + Leff - 53% of schizo with high EE relative relapse in 9 months, 12% with low EE relative relapse did

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Evaluation - Double bind - subjective

A

Double bind can be interpreted different
-Ringuette + Kennedy - expert in DB + non expert. Same ability in recognising double bind in letter from nurse or family
-shows people who encounter double a lot still make mistake in recognising DB
-decrease reliability as what some shcizo think it’s double bind not to others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

EE - backed by research

A

Brown - those live with house of high EE with family or wives more often replase than with sibling or self
Kavanagh - schizo in high EE family 4 time more likely to relapse than low EE
-shows the reliability of of the EE theory as researches produces similar data, can be used in therapies of schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

EE - causal relationship

A

Is high EE causes schizo it schizo cause people to behave in a high Ee way
-Or third variable such as Genin Quadriplets
-Where gene is a factor that cause schzio in children and adult behave negative way, or environment such as poverty causes high stress environment
-Without EE having a solid cause further research may be more difficult to find if using EE as explanation (look work sheet for research that says this)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Overal - usefulness

A

This approach allow people to understand importance of family
-future, family may be incorporated with therapies (lecture or info to better understand schizo)
-if shcizo more aware of dysfunctional family, can use growing technology such as social to talk with people about problems or find methods for stress relief - understand what they encounter is not normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly