Sz Flashcards

Question

What is he psychodynamic explanation of SZ

Answer 1

that there is a conflict entered the personality. The ego is overwhelmed by the ID/ superego and therefore regresses back to childhood. This is said to explain why those with SZ have poor social skills. Hallucinations and delusions occur because the person struggles to gain a sense of reality. The voices are the superegos critical opinions

Answer 2

✅unfalsifiable- cannot be disproved ❌ doesn't consider cognitive processes/ dopamine ❌ unscientific- occurs in the unconscious ❌ little evidence- Freuds theory was applied after ❌ research found no link between childhood and SZ after diagnosis

Answer 3

Labelling and family dysfunction

Answer 4

Szaz and modrow stated that when a person is labelled as SZ they may live up to this/ are influenced by it. Self-fulfilling prophecy

Answer 5

Sent 8 psychologically health subjects into different hospitals complaining of voices in their heads. They were all diagnoses with SZ and sent to hospital. When they were there; they were told to act normal, and refuse treatment. They had to convince the staff they were sane. They were kept on the ward for an average of 17 days. Other patients realised they weren't SZ. They left with the diagnosis of SZ in recovery. This shows that the label of schizophrenia caused normal behaviour to be seen as abnormal

Answer 6

Where stress factors for developing schizophrenia are caused by relationship patterns are communication in a family

Answer 7

High interpersonal conflict Communication difficulties Critical and controlling personalities

Answer 8

Found that families where expressed emotion levers were high, resulted in 58% of people with SZ returning to hospital in comparison to only 10% with low emotion families

Answer 9

❌ diagnosing schizophrenia is a lot more rigorous now than it was during Browns study ❌ he was criticised for purposely misleading professionals ✅ did show how the influence of labelling and self fulfilling prophecy affect things

Answer 10

✅fits with diathesis stress model | ✅ treatments which work to reduce the levels of expressed emotions in families did reduce the relapse rates

Answer 11

Conventional antipsychotic drugs- chlorpromazine Atypical antipsychotics drugs- risperidone

Answer 12

First used in 1950's. Used to block the dopamine receptors in the synapses. Reduces firming of dopamine neurons and reduced positive symptoms. Side effects similar to Parkinson's- muscle tremors

Answer 13

Used since early 1990's. Reduce levels of dopamine in the brain but also reduce serotonin levels too. They alleviate negative symptoms as well as positives. Clozapine can be used on SZ who haven't responded to congenital drugs. Side effects- nausea, weight gain

Answer 14

✅ both make a huge difference to the lives of people with SZ and bake families ❌ we don't know if excess dopamine is a cause or effect of schizophrenia and therefore can affect treatment ❌some patients find the side effects too much ❌ not a cure- will return if you stop taking the drug

Answer 15

✅ dramatically reduced hospitalisation in the 1950's ❌ unpleasant side effects ❌ must be taken regularly and all the time otherwise symptoms will return, and often they are worse

Answer 16

✅ effective with 25% of SZ who haven't responded to conventional drugs ❌ some side effects- can lead to rare white blood cell condition which is life threatening ❌ symptoms return quickly if not taken

Answer 17

Talk rationally about feelings and experiences to alleviate schizophrenia

Answer 18

One to one therapy where the therapist aims to gain the trust of the patient so they can talk about the patients disturbing thoughts

Answer 19

Aims to change communication in family to reduce expressed emotion levels. Uses help groups and meetings with specialists. Aims to make family members less critical and more tolerant. Helps the family to feel less guilty about the disorder

Answer 20

Completed family therapy to 3 other therapies and find that 40% of people receiving drug therapy relapsed, and 20% who used drug therapy and social skills training relapsed. Wheras those who received medication, social skills and family therapy have 0 relapse rate

Answer 21

❌ usually of little value. Patients are expected to talk about their condition and talk rationally about themselves which they cannot do ❌ found to make symptoms return in partially recovered schizophrenics ❌ Sullivan used this the rosy and found the suffered returned to a child like state ✅ trusting relationship can be built but this is very time consuming and expensive ✅ is evidence that family therapy used alongside other treatments is effective

Answer 22

A patient is a resident at a facility where they will be cared for. In early days, patients were treated awfully. Often held in straight jackets and kept away from society, with electro convulsive shock therapy and insulin induced comas were used. When antipsychotic drugs were introduced patients positive symptoms subsided and the use of straight jackets and poor care was reduced. These places were seen as poor and became de-institutionalised and community care was developed

Answer 23

❌ all patients were dressed the same, forced to live the same lifestyle with no variety- batch living ❌ they may lose relationships if they are kept away from friends and family which may make treatment more difficult ❌ patients may not be able to fend for themselves when they come out of care ❌ social learning theory would state that there aren't any positive models to learn from ✅ patients can't be forgotten about like they can in community care

Answer 24

Where patients live in the community- in sheltered housing with monitored medication and support networks. Individual tailored therapy is used, and social skills therapy can be used to avoid isolation for patients. Resulted in the bigger decrease in hospitalisation for SZ. Enables patients to live a normal life- holding down employment etc

Answer 25

Compared effectiveness of hospitalisation and community care of SZ patients. Compared the 2 groups. Found that unsupported hospital patients relapsed. 58/65 patients returned to hospitals. Whereas all of those who received community care, stayed in the community. Community care is more effective in preventing relapse

Answer 26

✅ highly effective/ supported by stein and test ❌ expensive treatments- need specialist team to look after 10-15 patients ❌ if treatment is withdrawn due to cost, relapse occurs ❌ need the same care workers to have a positive effect which is difficult in some communities especially with agencies ❌ differences in the quality of care through different communities- depends on the funds in that area. Some patients don't receive the correct care ❌ the stigma attached to mental illness is hard to battle with other members of the community who label the patients as, sick/weirdos

Answer 27

✅ most effective is a combination of drugs, psychotherapy and community care. This is very expensive though ✅ over time the treatments have be some a lot more effective. There are fewer side effects from drug treatments and there are new therapies being developed ❌ must always be on going as it will result in relapse otherwise

Sz Flashcards

(51 cards)