X difficult to know what influence of each factor is?
each sz patient is different meaning have different diathesis & stressors
difficult to know how factors contribute to development of sz in each person
eg one person may be affected more severely by stressor - childhood trauma compared to another person who this doesnt have impact for
dont know what factor contributes to causing sz the most
not knowing root cause can increase relapse rates/worsen symptoms
* evidence from tienari 2004?
explored genetic vulnerability to sz & its link with parenting style
looked at children who has finnish biological mum with sz & been adopted
compared to adopted children with no biological mum with sz
parenting style of high criticism,high conflict & low empathy from adoptive parent was associated with developing sz in children with biological mum with sz
not in children with non sz mother
biology & environment influences do interact with each other to cause sz
if it was down to environment they would all have sz
* evidence to support?
research shows that smoking cannabis increases likelihood of developing sz in those who have genetic predisposition for sz
shows sz is due to combination of biological factors & environmental influences
cannabis - stressor can worsen positive symptoms - hallucincations & can reduce cognitive functioning
genetics - diathesis
* holistic?
approach claims that our biology causes sz
eg hyperdopaminergia suggests sz due to high levels of dopamine in brain supporting nature side
supports nurture side as it says if were with family of high ee were likely to have sz
claims both factors need to be present to cause sz rather than being byproduct of just 1 factor
takes into accout both nature & nurture side of debate