the main issue is that it's unclear whether brain abnormalities are a causal factor in schiz or are due to having the disorder
studies of the brain abnormalities are only performed after schiz has been diagnosed - longitudinal studies are needed that study the brain preceding schiz
the issue of causality is highlighted by the fact that there are brain differences in the MZ twin pairs where only 1 twin has schiz - unlikely that the brain differences were present at brith
another problem is that studies of the brain abnormalities in schiz do not always produce consistent results:
Lewis (1990) examined 18 studies and found no significant link between enlarged ventricles and negative symptoms in schizophrenics, thus, reducing the support for the explanation