schizophrenia
- Created by: sophiemai
- Created on: 17-04-19 14:14
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- Schizophrenic
- classification & diagnoses
- international classifcation of disease- ICD 10; 2 neg symptoms
- diganostic statistical manual DSM-5; needs 1 pos symptom for a month
- symptoms
- positive; hallucinations, delusions
- negative; alogia, avolition
- eval; 1- bad reilability 2- bad validity 3- co morbidity 4- gender bias
- biological explanation
- dopamine
- neuro transmitters, hypo/adompaminergia - broca's area - speech - hallucinations
- eval; 1- ampethamines make it worse 2- anti psychotics make it better 3- real life aplication 4- cause & effect
- neural corrolates
- physical brain differences- ventral stratium loss of moviation & gyrus causing hallucinations
- eval; 1- fMRIs agree 2- helpful in prediagnosis 3- cause & effect 4- not conclusive
- genetics
- more genes shared more chance. 48% with MZ twin 46% 2 parents 17% 1 parent candidate gene chromosome 22 - linked to dopamine
- eval; 1- adopted children proved 2- polygenetic 3- nature vs nurture
- dopamine
- family dysfunction
- double binds & schizophrenogenic mothers
- eval; 1- supporting evidence for EE 2- cause & effect3- gender bias 4- contradictory evidence agaist SZ mothers
- double binds & schizophrenogenic mothers
- dysfunctional thought
- cetral control - filter out excess information & meta representation- inability to undeerstand own voice in head
- eval; 1- supporting brain functions 2- real life application 3- contrasting evidence 4- causs e& effect
- drug treatments
- typical- dopamine antagonist e.g.chloropromazine
- eval; 1- drug tests support 2- dont help neg symptoms 3- severe side effects e.g. tardive dyskinesia
- a-typical - mulitple neuro transmitteres targetted e.g. clozapine & risperidrone
- eval; 1- meta anal supporting 2- effects neg symptoms 3- different side effects
- typical- dopamine antagonist e.g.chloropromazine
- CBT
- cognitive behavioural therapy , aims at enhancing current coping strategies targeting one specfic hallution/ delusion at a time
- eval; 1- better than nothing 2- cognitive illness = cognitive treatment 3- works with how SZ people cope anyway 4- CBT hard
- token economy
- using 2ndry rewarders which can be exchanged for rewards aiming to combat maladaptive behaviours
- eval; 1- supporting evidence 2- lacking scientific rigour 3- attempts to target neg symp 4- cant use in daily life
- family therapy
- psycho education aiming to help suport and understand each other to reduce EE
- eval; 1- good alongside drugs 2- not everyone has a family 3- not suitable for everyone 4-real life application
- interactionalist approach
- diathesis stress model
- explaining - how a dispositional vunrability with an added stress factor can cause SZ
- treatment; people already understand its not fully biological equally important to offer drugs and therapy
- eval; 1- adoption study supports 2- better symp reduction with both treatments 3- holistic pproach 4- hard to know what to fund/research
- explaining - how a dispositional vunrability with an added stress factor can cause SZ
- eval; 1- adoption study supports 2- better symp reduction with both treatments 3- holistic pproach 4- hard to know what to fund/research
- diathesis stress model
- classification & diagnoses
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