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Schizophrenia
Explanations – Biological
    vs Psychological




       Nature vs Nurture
Biological Explanations

     Genetics
   Bio chemicals
  Brain Structure
Genetics – Twin Studies
   • Gottesman 1991 suggests that
     schizophrenia is inherited through
     genes. Studied 40 twins - the
     concordance rate for MZ twins is
     about 48% and only about 17% for
     DZ twins.

   • Also Cardno 2002 – showed
     concordance rate of 26.5 MZ and
     0% for DZ.
Evaluation – Twin Studies

• However, the fact that the concordance rate for twins is
  not 100% means that Schizophrenia cannot be accounted
  for by genetics alone

• As we already know, the higher concordance between
  MZ twins could be explained by greater environmental
  similarity rather than genetic similarity – MZ twins elicit
  more similar treatment than DZ twins (so can be
  explained by other theories)

• Also the sample size of such twin studies is always going
  to be very small, so ……..
Further Twin Evaluation
Twin studies do not all use the same diagnostic
criteria – Therefore different diagnosis will
produce different concordance rate.



Concordance rates can also be calculated
differently depending on the method used –
questions the reliability of such studies.
Genetics - Adoption Studies
    • Tienari – 155 adopted children –
      who biological mothers had
      schizophrenia –they had a
      concordance of 10% compared to 1%
      in adopted children without
      schizophrenic parents.

    • This is very strong evidence that
      genetics are a risk factor for
      schizophrenia
Genetics – Family Studies
    • Gottesman also studied families – he
      concluded that if both your parents
      suffer from Schizophrenia, then you
      have a 46% chance of developing it
      yourself (compared to a 1% chance of
      someone selected at random will
      suffer)

    • The more genetically similar relatives
      are, the more concordance is found.
Family Evaluation

• This evidence again strongly suggests
  genetics is a factor

However:
• It could also be explained in terms of the
  fact that genetically similar family
  members tend to spend more time
  together and so environment could also
  affect.
Biochemical Factors – The
  Dopamine Hypothesis
  • This theory claims that excessive
    amounts of dopamine or an
    oversensitivity of the brain to
    dopamine is the cause of schizophrenia

  • Eval: There is strong empirical support
    which suggests that dopamine plays an
    important role in schizophrenia – e.g
    drugs which block dopamine
    (Phenothaiazines) also seem to reduce
    the symptoms of schizophrenia.
The Dopamine Hypothesis -
            Evaluation
• L-Dopa – a drug for Parkinson’s disease
  actually increases dopamine – this in turn
  can produce symptoms of schizophrenia.

• Post mortems of schizophrenics, show an
  increase of dopamine in parts of the brain.
  (Seeman 1987)
Dopamine Evaluation - Negatives
• Phenothiazines do not seem to work for everyone
  therefore....

• Cause or effect?

• This theory is over simplistic and has been
  criticized for using the treatment to determine
  the cause. This is an AETIOLOGY FALLACY
Neuroanatomy - Brain Structure
There is growing evidence that
 schizophrenia is down to physical
 abnormalities in the brain.

Szesko et al found that the ‘asymmetry’
  found in normal brains – in the prefrontal
  cortex is absent in people with
  schizophrenia.
Brain Structure
       People with
       schizophrenia have
       abnormally large
       ventricles in the brain.
       Ventricles are fluid
       filled cavities. This
       means that the brains
       of schizophrenics are
       lighter than normal.
Brain Structure Evidence
    • Andreasen et 1990 – conducted a
      very well controlled CAT scan
      study and found significant
      enlargement of the ventricles in
      schizophrenics compared to
      controls.

    • However this was only the case
      for men and not for women.
      Therefore cant generalise to
      everyone.
Evaluation

• Research is difficult to interpret and there
  have been contradictory findings.

• Difficult to establish cause and effect – as
  many participants have suffered from
  schizophrenia for a while and have been
  undergoing treatment. So.......
Further Evaluation

 • The main problem with such
   studies is that it is not found in
   all schizophrenics. This has lead
   to further research done by
   Crow 1985.

 • He suggested two types of
   schizophrenia with two
   biological causes.
Two Syndrome Hypothesis - Crow 1985

     • Type one - genetically inherited
       associated with dopamine –
       characterised by positive
       symptoms.

     • Type Two – Neurodevelopmenal
       disorder – to do with Brain
       structure – characterised by
       negative symptoms.
Summery
 • Biological explanations do
   account for schizophrenia,
however the fact that there is no
  conclusive explanation that
accounts for all schizophrenics –
psychological explanations need
        to be considered.
Exam Question
• TASK: Exam Question: PLAN THE QUESTION

• Outline and evaluate one or more biological
  explanations for schizophrenia. In your
  evaluation you should refer to research
  evidence. (25 marks)

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Biological explanations by S Laljee

  • 2. Explanations – Biological vs Psychological Nature vs Nurture
  • 3. Biological Explanations Genetics Bio chemicals Brain Structure
  • 4. Genetics – Twin Studies • Gottesman 1991 suggests that schizophrenia is inherited through genes. Studied 40 twins - the concordance rate for MZ twins is about 48% and only about 17% for DZ twins. • Also Cardno 2002 – showed concordance rate of 26.5 MZ and 0% for DZ.
  • 5. Evaluation – Twin Studies • However, the fact that the concordance rate for twins is not 100% means that Schizophrenia cannot be accounted for by genetics alone • As we already know, the higher concordance between MZ twins could be explained by greater environmental similarity rather than genetic similarity – MZ twins elicit more similar treatment than DZ twins (so can be explained by other theories) • Also the sample size of such twin studies is always going to be very small, so ……..
  • 6. Further Twin Evaluation Twin studies do not all use the same diagnostic criteria – Therefore different diagnosis will produce different concordance rate. Concordance rates can also be calculated differently depending on the method used – questions the reliability of such studies.
  • 7. Genetics - Adoption Studies • Tienari – 155 adopted children – who biological mothers had schizophrenia –they had a concordance of 10% compared to 1% in adopted children without schizophrenic parents. • This is very strong evidence that genetics are a risk factor for schizophrenia
  • 8. Genetics – Family Studies • Gottesman also studied families – he concluded that if both your parents suffer from Schizophrenia, then you have a 46% chance of developing it yourself (compared to a 1% chance of someone selected at random will suffer) • The more genetically similar relatives are, the more concordance is found.
  • 9. Family Evaluation • This evidence again strongly suggests genetics is a factor However: • It could also be explained in terms of the fact that genetically similar family members tend to spend more time together and so environment could also affect.
  • 10. Biochemical Factors – The Dopamine Hypothesis • This theory claims that excessive amounts of dopamine or an oversensitivity of the brain to dopamine is the cause of schizophrenia • Eval: There is strong empirical support which suggests that dopamine plays an important role in schizophrenia – e.g drugs which block dopamine (Phenothaiazines) also seem to reduce the symptoms of schizophrenia.
  • 11. The Dopamine Hypothesis - Evaluation • L-Dopa – a drug for Parkinson’s disease actually increases dopamine – this in turn can produce symptoms of schizophrenia. • Post mortems of schizophrenics, show an increase of dopamine in parts of the brain. (Seeman 1987)
  • 12. Dopamine Evaluation - Negatives • Phenothiazines do not seem to work for everyone therefore.... • Cause or effect? • This theory is over simplistic and has been criticized for using the treatment to determine the cause. This is an AETIOLOGY FALLACY
  • 13. Neuroanatomy - Brain Structure There is growing evidence that schizophrenia is down to physical abnormalities in the brain. Szesko et al found that the ‘asymmetry’ found in normal brains – in the prefrontal cortex is absent in people with schizophrenia.
  • 14. Brain Structure People with schizophrenia have abnormally large ventricles in the brain. Ventricles are fluid filled cavities. This means that the brains of schizophrenics are lighter than normal.
  • 15.
  • 16. Brain Structure Evidence • Andreasen et 1990 – conducted a very well controlled CAT scan study and found significant enlargement of the ventricles in schizophrenics compared to controls. • However this was only the case for men and not for women. Therefore cant generalise to everyone.
  • 17. Evaluation • Research is difficult to interpret and there have been contradictory findings. • Difficult to establish cause and effect – as many participants have suffered from schizophrenia for a while and have been undergoing treatment. So.......
  • 18. Further Evaluation • The main problem with such studies is that it is not found in all schizophrenics. This has lead to further research done by Crow 1985. • He suggested two types of schizophrenia with two biological causes.
  • 19. Two Syndrome Hypothesis - Crow 1985 • Type one - genetically inherited associated with dopamine – characterised by positive symptoms. • Type Two – Neurodevelopmenal disorder – to do with Brain structure – characterised by negative symptoms.
  • 20. Summery • Biological explanations do account for schizophrenia, however the fact that there is no conclusive explanation that accounts for all schizophrenics – psychological explanations need to be considered.
  • 21. Exam Question • TASK: Exam Question: PLAN THE QUESTION • Outline and evaluate one or more biological explanations for schizophrenia. In your evaluation you should refer to research evidence. (25 marks)