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Schizophrenia
Biological explanation
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Ellie Monk
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Genetic explanation:
suggests schizophrenia is
inherited
and results from the activity of certain
genes
schizophrenia is
polygenic
—>
collection
of
genes
associated with
higher
risk
Ripke
et al -
2014
genetic
analysis of
36,000
schizophrenia cases
identified
108
genetic locus associated with the development of the disorder
polygenic
aetiologically heterozygous
- different combinations of genes are correlated with having the disorder
concordance rate
- the
more
closely
related
2 people are, the more likely that if one person has schizophrenia so will the other
Gottesman
-
1991
studied
schizophrenia
in families
found concordance rate of:
48
% in
monozygotic
twins
17
% in
dizygotic
twins
suggests there is a
genetic
aspect as large difference between MZ and DZ
both are much
higher
than general population (1%)
both share
similar
environments
not
100
% concordance rate so not fully
genetic
Tienari
-
2004
studied adopted children of biological schizophrenic mother
5.8
% of children adopted into psychologically healthy families developed schizophrenia
36.8
% of children raised in dysfunctional families developed schizophrenia
suggests
genetic
basis as both much
higher
than 1%
suggests
psychological
factors play a role
what are
neural
correlates
?
variations in neural structure and
biochemistry
that are correlated with
higher risk
of developing schizophrenia
e.g
dopamine
hypothesis
what is the
dopamine
hypothesis?
symptoms are associated with
too
much
or an
imbalance
of
dopamine
across the
brain
exact mechanism not know - it is though that:
excessive
amounts of
dopamine
in the brain in speech centres may lead to
auditory hallucinations
(
hyperdopaminergia
)
lower
levels of dopamine in
frontal area
leads to negative symptoms like avolition and
speech poverty
(
hypodopaminergia
)
evidence:
observations that
dopamine
releasing
drugs can produce schizophrenia like symptoms in
healthy
patients
antipsychotic drigs
that
decrease
schizophrenia symptoms
reduce
dopamine levels
What is
glutamate
?
excitatory
neurotransmitter
involved in learning,
attention
and
memory
found in
low
quantities in people with
schizophrenia
what is another effective treatment?
serotonin
AO3 of dopamine hypothesis?
Leueht
et al:
meta-analysis
of
212
studies
assessed effectiveness of biological antipsychotic drugs that worked by
normalising
levels of dopamine
drugs were more effective than
placebo
suggests the theory has
validity
What are
ventricles
?
voids filled with
cerebrospinal
fluid deep in the brain
thought to provide
protective
cushioning
found
enlarged
ventricles are associated with people with
schizophrenia
ventricles A03?
Johnstone
-
1976
identified this using
CT scans
structural
difference may be linked to
schizophrenia
counterpoint:
may be due to
third factor
e.g medication as it is based off
correlational
research
determinist
vs
free will
?
biological approach assumes
schizophrenia
is
inevitable
and biologically determined
can make sufferers feel
disempowered
reductionist vs holistic?
reductionist:
explained at basic
cellular
and
chemical
level
fewer
assumptions
biological reductionism
fails to consider evidence for range of psychological aspects e.g expressed
emotion
holistic:
would consider
diathesis
stress model
root cause of disorder is
biological
/
genetic
weakness
environmental stressor
e.g family stress triggers disorder