Biological Explanations of Schizophrenia- Essay Plan
1. Describe in some detail the genetic factors- family studies- Gottesman
found that schizophrenia is more common among biological relatives of a person with schizophrenia and also that the closer the degree of genetic relatedness, the greater the risk. For instance, children with 2 schizophrenic parents have a concordance rate of 46%, children of one schizophrenic parent 13% and siblings 9%. Although this could be due to common rearing patterns or other factors not relating to heredity. Twin studies- Joseph calculated concordance rates of 40.4% for MZ twins and 7.4% for DZ twins. Adoption studies- Tienari- 164 adoptees- bio mothers diagnosed as schizophrenic found that 6.7% also got same diagnosis, as opposed to 2% of the 197 controls, conclude that the genetic liability to schizophrenia had been decisively confirmed. 2. Describe in some detail the dopamine hypothesis- messages from neurons that transmit dopamine fire too easily or too often which leads to the characteristic symptoms of schizophrenia. Schizophrenics seem to have abnormally high levels of D2 receptors on receiving neurons which results in more dopamine binding and so more neurons firing. 3. Evidence for Dopamine hypothesis- Amphetamines- dopamine agoniststimulates the nerve cells causing the synapse to be flooded with the dopamine; large doses of this drug give similar effects of a schizophrenic episode. Antipsychotic drugs- block activity of dopamine in the brain, done by reducing stimulation of the dopamine system, eliminate symptoms like hallucinations and delusions, therefore this provides strong evidence for dopamine being a significant contributory factor for this disorder. Parkinsons disease- low levels of dopamine activity are found in Parkinsons disease sufferers- Grilly found some people who were taking the drug L-dopa to raise their levels of dopamine were developing schizophrenic type symptoms. 4. Enlarged ventricles- Torrey found that on average the ventricles of a schizophrenic are about 15% bigger than normal people. 5. Critical Point 1: There is a methodological flaw with the majority of the studies carried out on MZ and DZ twins. Joseph points out that it is widely accepted that MZ twins are treated more similarly, encounter more similar environments and experience more identity confusion than DZ twins. Consequently, there is a question of whether the differences in concordance rates between MZ and DZ twins is down to nothing more than the environmental differences that distinguish the two types of twin. 6. Critical Point 2: There is evidence to suggest that schizophrenia is an ancient disorder. Torrey found schizophrenics in Australian Aborigines who lived about 60,000 years ago. The evolutionary adaptive explanation for schizophrenia is that schizoid personalities have acted in the past to perform the valuable function of dividing tribal communities when they become too large so it helped to maintain dwindling food resources. Stevens and Price suggest that maintaining schizoid symptoms would lead to the splitting of communities and the formation of new ones. This is due to the fact that schizoid symptoms like mood changes, bizarre beliefs, hallucinations and delusions of grandeur would induce discontented group
members to leave. This supports biological explanations for schizophrenia
as an evolutionary explanation is considered a biological explanation especially as it implies an adaptation that would be beneficial to humans. 7. Critical Point 3: There is a flaw with one of the key pieces of evidence to support the dopamine hypothesis. The drugs used to treat schizophrenia by blocking the dopamine receptors can actually increases it as neurons struggle to compensate for the sudden deficiency. Haracz, in a review of post-mortem studies of schizophrenics, found that most of those studied who showed elevated dopamine levels had received antipsychotic drugs shortly before death, unlike post-mortem of schizophrenics who hadnt received medication these results showed that these individuals had normal levels of dopamine. Therefore, this evidence weakens the support for the dopamine hypothesis. 8. Critical Point 4: The dopamine hypothesis has a flaw. Copolov and Crook failed to find convincing evidence of altered dopamine activity in the brains of individuals with schizophrenia. As a result of this, this seems to disprove the dopamine hypothesis further as this was one of the key features for the explanation. 9. Critical Point 5: There is conflicting evidence for the view that enlarged ventricles lead to schizophrenia. Copolov and Crook conducted a Meta analysis of over 90 CT scans and found a substantial overlap between schizophrenic and control groups in terms of ventricle size. Consequently, this theory is flawed as consistent evidence has not been found yet. 10.Critical Point 6: There is evidence to suggest the enlarged ventricles are actually due to the antipsychotic drugs. Lyon found that as the dose of medication increased, the density of brain tissue decreased which lead to enlarged ventricles. Therefore, this research seems to suggest that one of the biological treatments of schizophrenia could actually be making the patients symptoms, especially negative symptoms of schizophrenia, worse.