Schizophrenia

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  • Created by: Tiddles99
  • Created on: 01-05-17 11:08
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  • Scizophrenia
    • Symptoms
      • Positive
        • Hallucination; Delusions; Disorganised speech; Disorganised behaviour
      • Negative
        • Avolition; Speech poverty; Affective flattening
      • Evaluation
        • Inter-rater reliability; Symptoms encompass different abnormalities
    • Biological Explanations
      • Genetics
        • Runs in families; MZ twins at 46% concordance rate, DZ 14% concordance rate; 10% adopted children of Sz mothers, compared with 1% non Sz mothers
        • Evaluation
          • Small samples; not 100% concordance rates; twins may go on to develop Sz
      • Dopamine hypothesis
        • Excessive dopamine causes Sz; post-mortem, PET scans
        • Successful drug therapy; cause and effect; simplistic; excessive dopamine only positive symptoms; dopamine receptors, rather than dopamine levels
      • Neural correlates
        • Structure and function of brain; enlarged brain ventricles
        • Evaluation
          • Cause and effect; Could be misdiagnosed immune disorder
    • Psychological explanations
      • Family disfunction
        • Double bind - saying one thing, but body language suggests nother; Expressed emotion - emotional over-involvement
        • Evalution
          • cause and effect; diathesis stress model; individual differences; EE can't be measured
      • Cognitive explanations
        • dysfunctional thought processes
        • Evaluation
          • Positive symptoms have origin in faulty cognition; Sz take longer at cognitive tasks; Cause and effect; cannot explain every symptom
    • Treatment
      • Drug therapy
        • Typical
          • bind to dopamine receptors - blocking their action
        • Atypical
          • Bind to dopamine receptors - blocking their action TEMPORARY
      • CBT
        • ABC model; develop alternative explanations
      • Token economies
        • Giving or withholding tokens which can be exchanged for privileges
        • Evaluation
          • work for certain behaviour; don't work in long term; ethical issues - control over lives; problems assessing effectiveness

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