The Interactionist Approach To Schizophrenia Flashcards
Interactionist Approach
combines both biological and psychological factors in understanding the development of schizophrenia.
Suggests that genetic vulnerability (diathesis) and environmental stressors (stress) interact to trigger the onset of schizophrenia
Diathesis-Stress Model
The diathesis refers to a genetic predisposition or vulnerability to schizophrenia.
The stress refers to environmental factors, such as trauma or substance abuse, that may trigger the onset of the disorder in vulnerable individuals
Gottesman and Shields (1976) and Genetic Vulnerability
Gottesman and Shields: Found higher concordance rates for schizophrenia in monozygotic (MZ) twins (48%) than dizygotic (DZ) twins (17%).
Supports the role of genetic vulnerability in the development of schizophrenia, though it’s not the sole facto
Role of Stress
Stressful life events, like childhood trauma, family conflict, or drug abuse, may trigger schizophrenia in individuals who are genetically predisposed
Turkington et al. (2006) on Treatment Based on the Interactionist Approach
Turkington et al. suggested that a combination of biological treatments (e.g., antipsychotics) and psychological therapies (e.g., CBT) leads to better treatment outcomes.
This integrated treatment approach targets both the biological and psychological aspects of schizophrenia
How Does the Interactionist Approach Influence Treatment
encourages a multidisciplinary treatment strategy, combining medication (e.g., antipsychotics) with psychological therapies (e.g., CBT, family therapy)
Evidence for the Diathesis-Stress Model
Tienari et al. (2004): Studied Finnish adoptees and found that individuals with both genetic predisposition and adoptive family stress were more likely to develop schizophrenia.
This supports the idea that genetic vulnerability and environmental stressors together increase the risk of schizophrenia
strengths
✅ Considers multiple factors
→ Example: Combines genetic vulnerability (diathesis) with environmental triggers (stress), offering a holistic view.
✅ Supported by evidence
→ Example: Tienari et al. (2004) found adopted children with a family history of schizophrenia were more likely to develop it if raised in a dysfunctional family
limitation
Causality issues: The interactionist model faces challenges in establishing clear cause-and-effect relationships between genetic vulnerability and environmental stressors.
→ Example: It’s difficult to determine how much of the disorder is due to genetics versus environmental stressors, making it hard to predict which individuals will develop schizophrenia