uplearn family dysfunction Flashcards

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1
Q

Britta developed schizophrenia as a teenager, and continues to display symptoms as an adult. When she lived at home, her parents were rarely happy and constantly argued. When they weren’t mad at each other, they would get cross with her, for what felt like weirdly small things to get upset about. This had an emotional impact on Britta, and she began to feel paranoid and developed a speaking problem.

According to the family dysfunction explanation of schizophrenia, which of the following statements is true?

A

DBritta experienced a lot of family conflict when she was younger, the stress of which led to the development of schizophrenia.

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2
Q

What types of symptoms can be caused by stress as a result of family dysfunction?

A

CBoth Positive and Negative Symptoms.

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3
Q

Which of the following statements are true of the family dysfunction explanation of schizophrenia? Select all that apply.

A

DFamily conflict leads to stress and confusion in individuals, which causes the development of schizophrenia.

BBoth positive and negative symptoms of schizophrenia can develop over time.

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4
Q

What is a double blind study?

A

BNeither the researcher nor the participants know which of the participants are in the experimental group.

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5
Q

According to the family dysfunction explanation, what is a consequence of the stress and confusion caused by double bind situations?

A

Increased risk of developing schizophrenia.

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6
Q

Which of the following statements are true? Select all that apply. About double bind

A

BA double bind is when someone experiences contradictory messages, confusing them on how they should behave.

CA double bind is a very stressful experience, that can lead to the development of schizophrenia.

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7
Q

According to the family dysfunction explanation, when families have a high degree of expressed emotion, this creates stress and confusion, which…

A

leads to the development of schizophrenia

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8
Q

A high degree of expressed emotion is when…?

A

Members of a family speak to each other in negative ways, consistently expressing lots of criticism and complaints about what everyone else is doing.

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9
Q

Which of the following statements best describes the family dysfunction explanation of schizophrenia?

A

Stress and confusion caused by family conflict leads to symptoms of schizophrenia.

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10
Q

Katie lived at home with her parents. From a young age, she would constantly hear them argue about every little thing, every single day.

Her parents had different ideas about how she should be raised, and would tell her different things. Katie’s dad would tell her to stay indoors and avoid being around other people. He worries that she may turn out like his own dad (Katie’s grandad), who was very ‘eccentric’. Katie’s grandad was known to see angels and demons, and was paranoid that the government was trying to assassinate him.

On the other hand, Katie’s Mum would tell her to get out as much as possible, to remain social and physically active by hanging out with the other kids on her street. In either case, one parent would tell Katie off for doing what the other parent wanted her to do.

Question 5. Demonstrate how the family dysfunction explanation of schizophrenia would explain how Katie could develop schizophrenia.

A

Katie is living in a family that uses a high degree of expressed emotion. Her parents are always arguing around her, being critical of both each other and Katie, and are very involved in how Katie should live her life. Katie is also experiencing a double bind around her social activity. Her parents are telling her contradictory messages about what she should be doing in her spare time, which is likely to cause confusion and distress. Both of these factors are likely to cause a significant amount of stress in Katie’s life, which the family dysfunction explanation states is the cause of schizophrenia development.
Take note that the question is asking about the family dysfunction explanation here. Though there may be evidence in the scenario that the biological explanation could explain, this shouldn’t be in your answer. It is important to focus on what the question is asking for in longer, essay style questions.

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11
Q

Which of the following statements are true? Select all that apply. Berger

A

CBerger found that people with schizophrenia were more able to recall more experiences of double binds from their childhood, compared to a control group.
ABerger conducted research on the effects of double binds on the development of schizophrenia.

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12
Q

Which of the following statements about Vaughn and Leff’s study is correct. Select all that apply.

A

DVaughn and Leff conducted observations to investigate the family relationships of people with schizophrenia.
More like to relapse if they had high expressed emotions at home

AVaughn and Leff conducted research on the effects of expressed emotion on people with schizophrenia

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13
Q

What did Berger do in his study?

A

CBerger conducted interviews in which he asked people with schizophrenia to recall childhood experiences.

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14
Q

What are the limitations of using a self-report method, for recalling events that happened a long time ago? Select all that apply.

A

AParticipants may be susceptible to leading questions.

BSelf-reports often lack objectivity.

CThe researcher may have an influence on how the participants respond.

DParticipants can sometimes forget what happened, or miss out details.

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15
Q

People with schizophrenia are less likely to recall past events accurately, because they have dysfunctional…?

A

Mental processes,

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16
Q

Altorfer et al. measured the number of times families were critical and negative towards the family member with schizophrenia. So, they were looking at the degree of

A

Altorfer et al. measured the number of times families were critical and negative towards the family member with schizophrenia. So, they were looking at the degree of expressed emotion that families displayed.

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17
Q

Altorfer et al found that most patients whose families displayed a high degree of expressed emotion sweated lots when they were criticised, indicating that they showed

A

Altorfer et al found that most patients whose families displayed a high degree of expressed emotion sweated lots when they were criticised, indicating that they showed a(n) increase in their stress response when they were criticised.

18
Q

Some patients were observed as displaying no stress response to the expressed emotion they experienced. This indicates that there are

A

Some patients were observed as displaying no stress response to the expressed emotion they experienced. This indicates that there are individual differences in patients’ responses to high expressed emotion.

19
Q

Which of the following statements are true about Altorfer et al.’s research? Select all that apply.

A

BAltorfer et al. found that there are individual differences in responses to expressed emotion amongst people with schizophrenia.

CAltorfer et al. found that a quarter of all people with schizophrenia had no stress response to a high degree of expressed emotion aimed towards them.

20
Q

Describe the method Berger used in his study of double binds.

A

Berger interviewed two groups of patients. One group were patients who had schizophrenia, and the other group were patients who did not have schizophrenia. Berger asked questions about all of the participants’ relationships with their families, specifically asking of any instances where the patients’ parents gave them contradictory messages.

21
Q

The family dysfunction explanation states that family c

A

The family dysfunction explanation states that family conflict , such as double binds and a high degree of expressed emotion , causes stress, which causes schizophrenia.

22
Q

The therapist teaches the family to replace yelling and crying with more constructive ways to deal with conflict. In doing so, what is the therapist trying to reduce?

A

expressed emotion

23
Q

Which of the following statements are correct about family therapy?

A

DFamily therapy aims to reduce the level of family conflict that the patient experiences.

BFamily therapy is a psychological intervention that involves both the patient and their family members.

24
Q

What are the steps involved in family therapy?

A

EChanging the family’s communication style.

ATeaching new coping strategies to manage the patients’ symptoms.

BEducating the family about the symptoms of schizophrenia.

25
Q

Family therapy is a psychological therapy that must involve…

A

AA patient with schizophrenia.

BA patient’s family.

26
Q

The first step of family therapy is…

A

Educating families

27
Q

The second step of family therapy is…

A

Teaching coping straggles

28
Q

The third step of family therapy is…

A

Changing communication style

29
Q

As all of the studies in Pharoah’s review used random allocation and a control group, what can be said about those studies?

A

CThe studies had high reliability.

AThe studies had high validity.

30
Q

Which of the following statements are true about Pharoah et al.’s review?

A

BPharoah et al.’s review aimed to investigate the effectiveness of combining family therapy and medication.

CPharoah et al. found that those who received family therapy were more likely to take their medication consistently.

31
Q

After family therapy, people with schizophrenia…

A

Bare less likely to relapse.

32
Q

What did NICE find about family therapy?

A

CFamily therapy reduces the likelihood of relapse.

DFamily therapy is cost effective for the NHS.

33
Q

Pharoah et al.’s review only looked at studies that had…

A

BRandom allocation.

CControl groups.

34
Q

Many of the studies that said they’d used random allocation hadn’t actually used it. This meant that participant variables weren’t

A

Many of the studies that said they’d used random allocation hadn’t actually used it. This meant that participant variables weren’t controlled .

35
Q

If randomisation was not used in this research, participants in the family therapy group may have already had a lower stress response to expressed emotion, compared to the control group. What type of variable would this be?

A

confounding variable

36
Q

Which of the following statements are true of the studies in Pharoah et al.’s review?

A

CMany studies did not control for participant variables.

DSome studies may have lacked objectivity.

ESome studies lack reliability.

FSome studies lack validity.

AMany studies did not use any random allocation, which they had originally claimed.

37
Q

What does family therapy aim to do for people with schizophrenia?

A

Reduce the family conflict that the patient experiences at home.
Family therapy does not attempt to cure a person of their schizophrenia, nor allow family members to feel good about the negativity in the household. The family dysfunction explanation states that it is stress caused by family conflict that causes schizophrenia, which family therapy aims to reduce.

38
Q

According to Pharoah et al’s study, what will happen to some patients’ symptoms and mental health, because of receiving family therapy?

A

CImproved symptoms.

DLess mental health problems.

ENo change in symptoms.

FNo change in mental health problems.

39
Q

Explain why family therapy is a cost-effective treatment for schizophrenia.

A

Though family therapy is itself expensive, it helps patients to take medication consistently, leading to a lower likelihood that patients will relapse. Because of this, patients are less likely to be readmitted to hospital, which overall reduces the costs of having to look after patients with schizophrenia.

40
Q

Pharoah et al. originally claimed to have only included studies that used random allocation or a control group in their review, when this was later found out to not be the case. Explain why this is an issue.

A

As Pharoah et al. did not exclusively use studies that had random allocation or a control group, this means that many of the studies did not control for participant variables. Individual differences may have created different outcomes after family therapy, acting as an extraneous or confounding variable to those studies. This lack of randomisation could also have lead to researcher bias, and a lack of objectivity, because some studies had researchers that were not blind to how participants were allocated to the experimental group. Also, this means that some studies may lack reliability or validity.