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Biological Explanation of Schizophrenia
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Biological explanations for schizophrenia
Genetics The dopamine hypothesis Neural correlates
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Underlying assumptions
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Genetics Heredity Lifetime risk- 1 in a 100
High proportion of schizophrenics have a close relative with the disorder. Gottesman (1991) What does this table mean? Relative with schizophrenia Chance of developing schizophrenia None 1 in 100 Parent 1 in 10 (13% concordance in twin study) Identical Twin (MZ) 1 in 2 Non-identical Twin (DZ) 1 in 8 2 parents with schizophrenia 46% concordance rate in twin study
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Genetic Evaluation? Is the research method conclusive? Reductionism
Determinism
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Are paedophiles' brains wired differently?
Dr James Cantor, of the Centre for Addiction and Mental Health in Toronto, Canada, spends much of his time exploring the brains of paedophiles using MRI scans. He has reached a startling and controversial conclusion. "Paedophilia is a sexual orientation," he says. "Paedophilia is something that we are essentially born with, does not appear to change over time and it's as core to our being as any other sexual orientation is." Cantor found that the brains of the paedophiles he studied were wired differently to non-paedophiles - something he describes as effectively a "cross-wiring" of the brain. "It's as if, in these people, when they perceive a child, it's triggering the sexual instincts instead of triggering the nurturing instincts," he says. Cantor's work provides an alternative explanation of how paedophilia develops. However, it carries with it the stark implication that, if you are born a paedophile, you are condemned to stay a paedophile. How could this link to another evaluation point for the genetic explanation of Schizophrenia?
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Before we start… Essays Teaching Plan until Christmas Tracking Sheet
2 mark questions
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The Dopamine Hypothesis: Using the explanations from the textbook draw the relevant diagram
Excess of dopamine- Fire to easily Too many D2 receptors on post- synaptic Associated with Positive symptoms Example of Amphetamines- hallucinations and delusions
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One student from each table to label on the board
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Examples from Drugs Amphetamines- A DA agonist. What happens?
Key Terms: Agonist; a chemical that binds to a receptor and activates it to produce a biological response. Causes an action. Antagonist; blocks the action of the agonist, causes an action opposite to that of the chemical. Examples from Drugs Amphetamines- A DA agonist. What happens? ‘Cocaine- Psychosis’. Speed Crystal Meth Ketamine Mephodrome MDMA Adderall L-Dopa- a DA Agonist prescribed for Parkinson disease- leads to symptoms of Schizophrenia. Antipsychotics- next lesson
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What is meant by Neural Correlates?
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Neural Correlates through Brain Scanning (Davis and Kahn ‘91)
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Neural Correlates through Brain Scanning (Davis and Kahn ‘91)
Prefrontal Cortex Subcortical Patel et al ‘10, PET Scans, lower DA dorsolateral PFC than controls Excess Dopamine Deficit in Dopamine
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How to structure AO1 Underlying assumptions of the approach.
Explanation of the theory in context. Examples where possible to show understanding. If appropriate a behavioural prediction.
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Learning to think! In two groups assign each person a relevant hat.
Put the hat on. Complete your section of the page. Share with your group. Share with the class.
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DA Hypothesis and Neural Correlates Evaluation?
Possible discussion points: Use of evidence to support / refute- Success of Drug Therapy Comparison with psychological explanations- cant do yet Value of the diathesis-stress approach- cant do yet Implications, eg determinism, early identification, consequences for treatment Reductionism – explanation at a basic cellular and chemical level and consequences of this
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AO3 on A3 Evidence from Drug Therapy Reductionism Determinism
Which drugs? What do they do? How does it support DA Hypothesis? How does it support Neural Correlates Explanation? On the other hand can you rely on correlational evidence? Consider the Treatment Aetiology Fallacy Reductionism What does it mean and how are these explanations reductionist? Why is this an issue in terms of how realistic it is, and how well it represents a complex human being, and why ignoring these higher order factors could be an issue in treatment, how it could lead to relapse. Counter argue it by suggesting strengths of reductionism in terms of it being good scientific practice- remember the quote from Einstein. Determinism What does it mean and how are these explanations determinist? Why is this an issue in terms of how much motivation it gives patients, how much responsibility it takes from them, how, difficulties in placing blame, challenges for the judicial system. Counter argue by suggesting strengths of determinism in terms of it being more scientific, allowing us to establish a cause of the issue, which has allowed us to develop treatment, which has alleviated symptoms for many patients, which has had a good impact on the economy.
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Essay Plan: Genetic AO1 Underlying Assumptions of Biological Approach
Explain what heredity means Explain what concordance means Explain the rationale for the use of family studies in this area Outline the life time risk and the findings of Gottesman ‘91 AO3 Separation of genetics and environmental influences Reductionism Determinism
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Essay Plan: Dopamine Hypothesis
AO1 Underlying Assumptions of Biological Approach Explain what dopamine is Explain what neural correlates means Explain area related to positive symptoms (subcortical, mesolimbic, excess) Explain area related to negative symptoms (prefrontal, mesocortical, deficit) Explain how this is evident through brain scans AO3 Success of Drug therapy Reductionism Determinism
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Essay Plan: Neural Correlates
AO1 Underlying Assumptions of Biological Approach Explain what dopamine is Explain the process taking place at the synapse when there is an excess firing (key bio. Terms) Explain the process taking place at the synapse when there is are too many D2 receptors (key bio. Terms) Explain how this is evident through the example of Amphetamines AO3 Success of Drug therapy Reductionism Determinism
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Group Essay Plans Groups of 4- A3 Planning- neat for photocopying for the group. Genetic Explanation Dopamine Hypothesis Neural Correlates 1 Person for AO1 1 Person for each AO3 points
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Knowledge Quiz Using the Key Term and the Assessment Objective you have been given write a question for the class. Offer a mark allocation (1, 2 or 3 marks). Prizes for winners so make it challenging! Genetic- AO1 Dopamine Hypothesis- AO1 Neural Correlates- AO1 Reductionism- AO3 Determinism- AO3 Drug use- AO3 Amphetamines- AO1 Positive Symptoms – AO1 Gottesman AO1 Negative Symptoms- AO1 Twin Studies- AO3 Cause and Effect- AO3 Concordance Rate- AO1
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Key Terms Pictionary!
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