Socio-cultural explanation for Schizophrenia- ESSAY PLAN

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Sociocultural explanation for Schizophrenia
Labelling: > When a person is labelled as schizophrenic, if effects their behaviour in the
future self fulfilling prophecy
> Diagnosis is simply a way of labelling individuals who society considers to be
> The patient becomes stereotyped, their subsequent actions are considered
to be a part of their schizophrenic behaviour and there is an expectation of
they should behave
> The patient will want to live up to these expectations which is reinforced by
patient receiving attention when they act in the expected way
> Rosenhan 8 pseudo patients complaining of auditory hallucinations were
admitted to a psychiatric hospital, 7 with schizophrenia, 1 with manic
depression. Stopped complaint after admittance, took an average of 19 days
get discharged concluded that once a patient is admitted they are labelled,
with all behaviour after this point being interpreted in line with the diagnostic
label supports explanation, BUT ethics?
> Evaluation Strength demonstrates how a diagnostic label can influence
attitudes and expectations, therefore it could be a possible
explanation for the maintenance of symptoms
Diagnosis without diagnosis medical professionals would be
unable to research and treat the problem without distinguish
individuals actually had the disease
Spitzer argued behaviour is only meaningful when understood in
context, criticising Rosenhan's study
Choosing to show schizophrenic symptoms hard to justify
someone choosing to live up to a label that carries such a heavy
Diathesis Stress Model: > The idea that schizophrenia is caused by combination of a
predisposition and an environmental trigger
> Genes and the environment rarely work in isolation with a
combination of nature and nurture being the most likely
explanation the diathesis stress model supports this
> Possible environmental triggers can be double bind
communication, marital schism/ skew, trauma/ stress, smoking
Double Bind Communication: > Parents who communicate a verbal message (tone and
language) that is contradictory to their nonverbal

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Child becomes confused and develops a strategy where
ignore the verbal message limited moral understanding
> Leads to a suspicion surrounding what people say and a
fixation on the meaning of gestures and tones
> Can lead to paranoia or delusions of reference (neutral
event is considered to have a special and personal
Marital schism/skew: > Proposed by Lidz and is another form of family dysfunction
> E.g.…read more

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Cause and effect Hard to distinguish whether the
proposed by the theory cause schizophrenia or vice versa e.g.…read more


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