Schizophrenia (Part 2)

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  • Created by: Natalie
  • Created on: 10-06-14 11:54
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  • Schizophrenia (2)
    • Family Therapy
      • Aims to reduce the level of negative emotion in the family
        • Family are provided with educational information about SZ and ways of managing it
      • Pharoah et al.
        • Meta-analysis, found that family interventions were effective in significantly reducing rates of relapse
        • Family therapies have a wide range of less effective outcomes
          • Not reliable findings
      • Helps improve compliance with taking medication
      • Only suitable for patients who still live with or are close to families
      • Patients may not be in the right state of mind to accept the therapy
    • Clinical Characteristics
      • ICD
        • One symptom must be present for at least 1 month
          • Thought echo, withdrawal or broadcast
          • Delusions of control
          • Hallucinatory voices
          • Persistent delusions
      • DSM
        • Two symptoms must be present for at least 1 month
          • Persistent hallucinations
          • Neologisms (made-up words)
          • Catatonic state
          • Negative symptoms
      • Issues surrounding classification and diagnosis
        • When diagnosed with SZ, it does not suggest which symptoms you have
          • Can lead to a lack of validity
        • Diagnosis can aid research into investigating the underlying cause
        • Diagnosis can lead to an appropriate treatment
        • Symptoms are subjective
          • Can lead to misdiagnosis
        • Diagnosis leads to labelling
          • Individual may be judged by society
          • May live up to their label
        • Does not account for individual differences
          • People with severe symptoms are treated the same as people with mild symptoms
        • Cultural issues
          • Cannot generalise western theories and assumptions to non-western cultures
          • What the western culture see's as abnormal may be normal in another culture
        • Reliability
          • Diagnosis of SZ is subjective
        • Validity
          • Overlap in symptoms to different illnesses
            • Supported by Bentall
              • Found that symptoms in SZ can also be found in bipolar depression
        • Rosenhan
          • Sent 8 pseudo patients to different asylums and they said they could hear the word 'thud'
          • One of the patients was diagnosed as bipolar, the other 7 as schizophrenic
            • All of the patients were sane, so the validity is poor as it was not measuring what it was supposed to

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