SZ: Psychological Explanations Flashcards

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1
Q

Cognitive explanations

A

Propose abnormalities in cognitive function are a key component of SZ.

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2
Q

Dysfunctional though processing

A

Cognitive habits or beleifs that cause the individual to evaluate information inappropriately.

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3
Q

Family dysfunction

A

The presence of problems within a family that contribute to relapse rates in recoering SZ, including lack of warmth between parents and child, dysfunctional communication patterns and parental overprotection.

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4
Q

What did Bateson suggest?

A

The double bind theory.

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5
Q

What is the double bind theory?

A

Children who frequently recieve contradictory messages from their parents are more likely to develop SZ.

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6
Q

How does the double bind theory suggest SZ symptoms can be caused?

A
  • Child receives contradictory messages from parent.
  • Ability to respond is incapacitated by contradictions as one message invalidates the other.
  • Prevent the development of internally coherent construction of reality.
  • Overtime this manifests as SZ symptoms, eg. flattened affect and withdrawal.
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7
Q

Apart from the double bind theory, what is another family variable associated with SZ?

A

Expressed emotion

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8
Q

Expressed emotions (EE)

A

A family communication style in which members of the family of a psychiatric patient talk about the patient in a critical or hostile manner or in a way that indicatees emotional over-involvement or over-concern with the patient or their behaviour.

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9
Q

How might EE levels affect SZ patients?

A
  • High EE relatives talk more and listen less.
  • High levels of EE are most likely to influence relapse rates.
  • Patients returning to high EE families are 4 times more likely to relapse than a patient whose family is low in EE.
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10
Q

What does EE research suggest about SZ patients?

A

SZ patients have a lower tolerance for intense environmental stimuli, particularly intense emotional comments and interactions with family members.

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11
Q

What are the cognitive explanations of delusions?

A
  • Critical characteristic is degree to which the individual perceives themself as the central component in events - egocentric bias.
  • Manifests in tendency to relate irrelevant events to themselves - so arrive at false conclusions.
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12
Q

What are the cognitive explanations of hallucinations for hallucination-prone individuals?

A
  • Hallucinating individuals are hypervigilant and so have a higher expectancy for the occurance of a voice.
  • Find it harder to distinguish between imagery and sensory stimulus and so produce an auditory image - eg. the idea ‘what do people think of me’ can manifest as an auditory image ‘he is not a good person’.

More likely to misattribute the source of self-generated auditory experience to an external source.

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13
Q

Why can auditory errors in SZ patients not be corrected by dsconfirming evidence?

A

SZ patients do not go through the same processes of reality testing (eg. checking external sources) that others do.

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14
Q

What are the evaluation points for family dysfunction?

A
  • Family relations - importance.
  • Double bind theory.
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15
Q

Write a PEEL paragraph discussing the family relationships in relation to family dysfunction and SZ:

A

P - Importance of family relationships in SZ development can be seen in Tienari’s adoption study.

E - Those adopted children who had SZ biological parents were more likley to become ill than those with non-SZ biological parents.

E - However, this difference only emerged in situations where the adopted family was rated as disturbed.

L - Shows that genetic vulnerability alone was not sufficient for SZ development = diathesis-stress model.

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16
Q

Write a PEEL paragraph discussing the double bind theory:

A

P - Some evidence to support account of how family relationships may lead to SZ.

E - Berger found that SZ reported higher recall of double bind statements by their mothers than non-SZ - not reliable as SZ can affect recall.

E - Liem measured patterns of parental communication in families with a SZ child and found no difference when compared to normal families.

L - Conflicting evidence shows that theory may not be hugely significant, and may have a lack of population validity as cannot apply to all scenarios/people/families.

17
Q

What are the evaluation points of the cognitive explanations of SZ?

A
  • Supporting evidence for the cognitive model of SZ
  • Support from the success of cognitive therapies
  • An integrated model of SZ
18
Q

Write a PEEL paragraph discussing the supporting evidence for the cognitive model of SZ:

A

P - Sarin and Wallin found supporting evidence for claim that positive symptoms have origins in faulty cognitions.

E - Eg. delusional patients were found to show various biases in their information processing, like jumping to conclusions and lack of reality testing.

E - Likewise, hallucinatory SZ were found to have impaired self-monitoring and tended to experience own thoughts as voices.

L - Supports internal validity of theory.

19
Q

Write a PEEL paragraph discussing the support from successful cognitive therapies:

A

P - Cognitive-based therapies for SZ reinforce the claim that symptoms of SZ arise from faulty cognition.

E - CBTp (cognitive behavioural therapy for psychosis) encourages patients to evaluate the content of their delusions and consider ways they might test the validity of faulty beleifs.

E - Effectiveness of approach demonstrated in NICE review - found consistent evidence that, when compared to antipsychotic medication, CBTp was more effecting in reducing symptom severity and improving levels of social functioning.

L - Shows the ecological validity of theory as has practical appilcations in treatment - cost-benefit analysis perhaps needed?

20
Q

Write a PEEL paragraph discussing an integrateed model of SZ:

A

P - Cognitive explanation is reductionist.

E - Howes and Murray addressed this with an integrated model - suggest vulnerability factors (genes etc) paired with exposure to significant social stressors, sensitises dopamine system and causes it to increase the release of dopamine.

E - Biased cognitive processing results in paranoia and hallucinations which can lead to psychosis - contributes to stress = more dopamine released = more symptoms etc .

L - Diathesis-stress.