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Biological explanations of
      schizophrenia
          Genetics
Genetics                              A01
The fact that schizophrenia                      According to the
tends to run in families led to                 genetic hypothesis,
the conclusion that it has a                     the more closely
genetic basis.                                   related the family
                                                  member to the
                           As you can
                  see....inheriting a gene...   schizophrenic, the
                    does not mean you
                 WILL HAVE blonde hair             greater their
                 (or schizophrenia)....but
                 by studying genetic links
                                                     chance of
                 in families, it can help us      developing the
                       to predict the
                     likelihood of that               disorder.
                     feature occurring.
Genetics - evidence       A01

          Much relevant
         evidence comes
              from...


 Concordance rates:
 These show the
 percentage of family
 members developing
 schizophrenia.
Genetics –                         A01
                 family studies
            Family studies: Show that the risk of
            developing schizophrenia is greater for
            those more closely related to the
            schizophrenic.
AO1:
Kendler et al (1985) found that the first-
degree relatives of those with schizophrenia
were 18 times more at risk of developing the
disorder.

                                   X 18
Genetics –                                A01/2
                         family studies
                    If there was no genetic element then there should be
                    no difference in the level of risk between first degree
                    relatives and a random member of the public.

AO2:                                                          The comparison:
                                                              there is a 1%
However, Gottesman (1991)                                     probability of
provided supporting evidence for the genetic                  schizophrenia in
explanation using family studies.                             someone selected
1) Both parents = 46% risk                                    at random.
2) One schizophrenic parent = 16% risk
3) If a sibling has schizophrenia = 8% risk
4) If a grandparent has schizophrenia = 5% risk
5) If the identical twin of one parent has
    schizophrenia = 17% risk.
                                                                     1%
Genetics –                         A02
                      family studies
                 Using family studies can you think of any
                       evidence against the genetic
                               explanation?
1) The fact that concordance rates increase with genetic
   relatedness may be explained by the fact that this is because
   people in families are also likely to spend more time together,
   which means that environmental factors may be influential.

2) Less than 50% of children where both parents have
   schizophrenia develop the disorder, which can be used as
   evidence against a direct genetic link.

3) Psychological explanations can be used against the Biological
   explanations (for example????)
Genetics –                            A01
                  family studies recap
1. Define Concordance rate
 Concordance rate:
 This is the extent to which twins/ family members are similar and
 they show the likelihood of family members developing a
 particular disorder.
2. Identify the 4 types of evidence used to study genetic
   explanations:           1.Family studies; 2.Twin studies;
                             3. Adoption studies; 4.Gene mapping.

3. What did Kendler et al (1985) find?
Kendler et al (1985) found that the first-degree relatives of
those with schizophrenia were 18 times more at risk of developing
the disorder.
                                                         X 18
Genetics –                             A01
                          twin studies
                 Gottesman (1991) reviewed 40 twin studies
                 and found:
                        48% concordance for MZ twins
                        17% concordance for DZ twins

                 Shields (1962) found that Concordance rates
                 for MZ twins brought up apart are similar to
Elaboration      those brought up together.
  AO2
 This suggests a genetic link for schizophrenia because the likelihood of
 developing schizophrenia appears to be correlated with genetic relatedness.
 If there was no genetic factor then there should be no difference between
 MZ and DZ twins.The fact that there is a difference suggests a strong
 genetic link for schizophrenia.
Genetics –                                A02
                       twin studies

    Can you think of any criticisms of this piece of evidence?

The higher concordance rate in MZ twins may be due to the fact
that MZ twins tend to be treated more similarly than DZ twins
and so NURTURE may explain the concordance rates rather than
NATURE (Loehlin and Nichols [1976]).

Shields (1962) can be criticised because in the studies of twins
reared apart – it is unlikely that the twins spent all of their
childhood apart. Some would have been raised by close relatives
and may have gone to the same school – and so would have
shared a very similar environment.
                     The fact that the concordance rates are not 100%
                     means that schizophrenia cannot be a wholly genetic
                     disorder.
Genetics –                                 A01
                adoption studies
             Adoption studies: Allow researchers to look at
             people who were born to schizophrenic mothers but
             brought up by adoptive parents with no history of the
             disorder.


AO1:
Kety (1994) found high rates of schizophrenia in
people whose biological parents had the disorder but
who had been adopted by psychologically healthy
parents.
                                  What does this
                         A02          suggest?
Genetics –                 A01
               adoption studies

                       What does this suggest?....

AO2: Supporting evidence from Tienari (1991)

 Adopted    Biological mother/     % of children
 children   biological family      developing
  Group                            schizophrenia
     1      Schizophrenic                10%
     2      No family history of          1%
            schizophrenia
Genetics –                       A01
   adoption studies
 Can you think of any criticisms of this
              evidence?
+VE: Studies such as these provide
strong evidence for a genetic
explanation for schizophrenia.
BUT

-VE: Again, it is unlikely that the twins
spent all of their childhood apart. Some
would have been raised by close
relatives would have gone to the same
school – and so would have shared a
very similar environment.
Genetics –                      A01
                    gene mapping



AO1:
A gene located on chromosome 5 has been linked to
schizophrenia in a small number of extended families where a
number of family members have the disorder (Sherrington et al
1988)

                      What does this suggest?
                       ....Your thoughts?.....
Genetics –                     A02
                  gene mapping
             However.... it is not as
             straightforward as you may
                   think..... (see page 5)
• The Genome project has identified a much lower
  number of genes than first anticipated.
• It is now recognised that genes have multiple
  functions
• Strong evidence that schizophrenia is the result of
   multiple factors (genes + environment).
• The research on gene mapping is over-simplistic as
   schizophrenia is not due to a single gene
A02                          Genetics



However, a theory based on “nature” alone would be reductionist
and highly deterministic and with the continual development of
research in this area, even biologists agree that;

Although twin studies appear to provide strong genetic
evidence, there is not 100% concordance, therefore
schizophrenia can’t be a wholly genetic disorder. It is likely that genes alone
do not cause schizophrenia instead they predispose an individual to the
disorder i.e., they place the individual at a greater risk for developing the
disorder if the necessary “trigger” is also available in the environment
 (see Diathesis-stress model on page 6 in booklet).
A03                          Genetics



Methodological weaknesses of concordance rates
 Family, twin and adoption studies must be considered cautiously because
 they are retrospective and may be biased by knowledge that another
 family member has been diagnosed.

Sample bias
The sample size of twin, family and adoption studies tends to be small and
so population validity may be low. This casts doubt on the
generalisability of the findings. The gene mapping study was conducted on a
restricted number of families and has failed to be replicated; which shows the
problems of sample bias.
Genetics



                Independent written activities:

1. Complete the BUZZ WORDS on page 10
2. Complete questions 1 to 4 on page 11 in booklet 2.
3. Draw a mind map or create a set of cue cards for the genetic
   explanation of schizophrenia.
4. Prepare to complete a timed summary:
- Outline any one biological explanation of schizophrenia (9 marks)
Biological explanations of
      schizophrenia
Neurochemical – dopamine hypothesis
Dopamine Hypothesis A01
Genetic factors may lead to   According to the
       imbalance in                dopamine
   neurotransmitters          hypothesis excess
                                 levels of the
                              neurotransmitter
                               dopamine is the
                                cause of the
                                   disorder
A01 /
               Dopamine Hypothesis                       A02
      Biological Evidence

  If inhibiting dopamine              Phenothiazines
  reduces schizophrenic        (anti-psychotics) act to inhibit
symptoms what does that         dopamine and reduce
tell us about the cause of       the symptoms of the
       the disorder?
                                           disorder

        L-Dopa increases
                                        L-Dopa is given to sufferers
     dopamine levels and can               of Parkinson’s disease
      produce many of the               (which is caused by low levels
          symptoms of                           of dopamine)
          schizophrenia
A01 /
                 Dopamine Hypothesis                  A02
       Biological Evidence



                                 Amphetamines (drugs that
     If drugs that increase      increase dopamine) produce
       dopamine produce
                                  symptoms which are
schizophrenic symptoms what
 does this tell you about the         similar to those
   cause of schizophrenia?      experienced by someone
                                    with schizophrenia
A01 /
         Dopamine Hypothesis                   A02

Randrup et al (1966)

Behaviour similar to that found with schizophrenia
was induced in rats by administering amphetamines
and the effect was reversed with anti-psychotic drugs

Randrup’s research provides evidence for the link
between high levels of dopamine and schizophrenia
Additional
           Dopamine Hypothesis A02
Post-mortem examinations

have shown an increase of dopamine in parts of the brain.
Seeman (1987) found increases in dopamine receptor density
of between 60-110% compared to controls


PET scans

have allowed the investigation of a live brain.
Wong et al (1986) found a 2-fold increase in density of
dopamine receptor sites in schizophrenic patients who hadn’t
been treated with anti-psychotics
IDEA’s /
                 Dopamine Hypothesis                    A03
  Approaches:                     Issues:

    Biological – objective and              Reductionist
          measureable



 Debates:                            Ethics:
  Deterministism Vs. Free will
  Nomothetic Vs. Idiographic              Long term effects of
                                        intentionally increasing
                                       dopamine level in humans

Animal Ethics:

    Randrup – increasing
                                 Scientific measurements
   dopamine levels in rats
                                 Laboratory experiments
Biological explanations of
      schizophrenia
Brain Structure – brain dysfunction
Brain Dysfunction                     A01
      Enlarged
      Ventricles         Recent advances in technology have
  It has been found       enabled the medical profession to
 that the ventricles    examine the life brains of people with
(cavities that supply               schizophrenia
     nutrients and
 remove waste) are
     15% larger in
                                 Enlarged ventricles tend to
    schizophrenics
                                 be associated with negative
                                     rather than positive
                                 symptoms, are linked with
                                      greater cognitive
                                   disturbances and poor
                                   responsiveness to drug
                                           therapy
Brain Dysfunction                        A02
MRI evidence
Young et al (1990) found a number of structural differences using
MRI scans when comparing the brains of schizophrenic and non-
schizophrenic individuals.
This suggests that brain differences are strongly linked with the
development of schizophrenia

Schizophrenia and brain damage
Warner (1994) suggested that structural abnormalities in the
brains of some schizophrenics indicates some earlier brain trauma
– drugs taken whilst the mother was pregnant, viral infection during
pregnancy, complicated delivery.
This suggest that brain damage is a predisposing factor in the
development of schizophrenia
Brain Dysfunction                         A02
Inconclusive
There is great difficulty in establishing cause and effect – whether
the brain damage is the cause of the schizophrenia or has
developed as a result of the schizophrenia

Enlarged ventricles in non-schizophrenics
Enlarged ventricles have been found in people not suffering from
schizophrenia – this contradicts enlarged ventricles as a cause

Negative Symptoms
Brain dysfunction is linked to the negative symptoms of
schizophrenia only – can the Brain Dysfunction theory be
generalised?

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Biological explanations of schizophrenia

  • 1. Biological explanations of schizophrenia Genetics
  • 2. Genetics A01 The fact that schizophrenia According to the tends to run in families led to genetic hypothesis, the conclusion that it has a the more closely genetic basis. related the family member to the As you can see....inheriting a gene... schizophrenic, the does not mean you WILL HAVE blonde hair greater their (or schizophrenia)....but by studying genetic links chance of in families, it can help us developing the to predict the likelihood of that disorder. feature occurring.
  • 3. Genetics - evidence A01 Much relevant evidence comes from... Concordance rates: These show the percentage of family members developing schizophrenia.
  • 4. Genetics – A01 family studies Family studies: Show that the risk of developing schizophrenia is greater for those more closely related to the schizophrenic. AO1: Kendler et al (1985) found that the first- degree relatives of those with schizophrenia were 18 times more at risk of developing the disorder. X 18
  • 5. Genetics – A01/2 family studies If there was no genetic element then there should be no difference in the level of risk between first degree relatives and a random member of the public. AO2: The comparison: there is a 1% However, Gottesman (1991) probability of provided supporting evidence for the genetic schizophrenia in explanation using family studies. someone selected 1) Both parents = 46% risk at random. 2) One schizophrenic parent = 16% risk 3) If a sibling has schizophrenia = 8% risk 4) If a grandparent has schizophrenia = 5% risk 5) If the identical twin of one parent has schizophrenia = 17% risk. 1%
  • 6. Genetics – A02 family studies Using family studies can you think of any evidence against the genetic explanation? 1) The fact that concordance rates increase with genetic relatedness may be explained by the fact that this is because people in families are also likely to spend more time together, which means that environmental factors may be influential. 2) Less than 50% of children where both parents have schizophrenia develop the disorder, which can be used as evidence against a direct genetic link. 3) Psychological explanations can be used against the Biological explanations (for example????)
  • 7. Genetics – A01 family studies recap 1. Define Concordance rate Concordance rate: This is the extent to which twins/ family members are similar and they show the likelihood of family members developing a particular disorder. 2. Identify the 4 types of evidence used to study genetic explanations: 1.Family studies; 2.Twin studies; 3. Adoption studies; 4.Gene mapping. 3. What did Kendler et al (1985) find? Kendler et al (1985) found that the first-degree relatives of those with schizophrenia were 18 times more at risk of developing the disorder. X 18
  • 8. Genetics – A01 twin studies Gottesman (1991) reviewed 40 twin studies and found: 48% concordance for MZ twins 17% concordance for DZ twins Shields (1962) found that Concordance rates for MZ twins brought up apart are similar to Elaboration those brought up together. AO2 This suggests a genetic link for schizophrenia because the likelihood of developing schizophrenia appears to be correlated with genetic relatedness. If there was no genetic factor then there should be no difference between MZ and DZ twins.The fact that there is a difference suggests a strong genetic link for schizophrenia.
  • 9. Genetics – A02 twin studies Can you think of any criticisms of this piece of evidence? The higher concordance rate in MZ twins may be due to the fact that MZ twins tend to be treated more similarly than DZ twins and so NURTURE may explain the concordance rates rather than NATURE (Loehlin and Nichols [1976]). Shields (1962) can be criticised because in the studies of twins reared apart – it is unlikely that the twins spent all of their childhood apart. Some would have been raised by close relatives and may have gone to the same school – and so would have shared a very similar environment. The fact that the concordance rates are not 100% means that schizophrenia cannot be a wholly genetic disorder.
  • 10. Genetics – A01 adoption studies Adoption studies: Allow researchers to look at people who were born to schizophrenic mothers but brought up by adoptive parents with no history of the disorder. AO1: Kety (1994) found high rates of schizophrenia in people whose biological parents had the disorder but who had been adopted by psychologically healthy parents. What does this A02 suggest?
  • 11. Genetics – A01 adoption studies What does this suggest?.... AO2: Supporting evidence from Tienari (1991) Adopted Biological mother/ % of children children biological family developing Group schizophrenia 1 Schizophrenic 10% 2 No family history of 1% schizophrenia
  • 12. Genetics – A01 adoption studies Can you think of any criticisms of this evidence? +VE: Studies such as these provide strong evidence for a genetic explanation for schizophrenia. BUT -VE: Again, it is unlikely that the twins spent all of their childhood apart. Some would have been raised by close relatives would have gone to the same school – and so would have shared a very similar environment.
  • 13. Genetics – A01 gene mapping AO1: A gene located on chromosome 5 has been linked to schizophrenia in a small number of extended families where a number of family members have the disorder (Sherrington et al 1988) What does this suggest? ....Your thoughts?.....
  • 14. Genetics – A02 gene mapping However.... it is not as straightforward as you may think..... (see page 5) • The Genome project has identified a much lower number of genes than first anticipated. • It is now recognised that genes have multiple functions • Strong evidence that schizophrenia is the result of multiple factors (genes + environment). • The research on gene mapping is over-simplistic as schizophrenia is not due to a single gene
  • 15. A02 Genetics However, a theory based on “nature” alone would be reductionist and highly deterministic and with the continual development of research in this area, even biologists agree that; Although twin studies appear to provide strong genetic evidence, there is not 100% concordance, therefore schizophrenia can’t be a wholly genetic disorder. It is likely that genes alone do not cause schizophrenia instead they predispose an individual to the disorder i.e., they place the individual at a greater risk for developing the disorder if the necessary “trigger” is also available in the environment (see Diathesis-stress model on page 6 in booklet).
  • 16. A03 Genetics Methodological weaknesses of concordance rates Family, twin and adoption studies must be considered cautiously because they are retrospective and may be biased by knowledge that another family member has been diagnosed. Sample bias The sample size of twin, family and adoption studies tends to be small and so population validity may be low. This casts doubt on the generalisability of the findings. The gene mapping study was conducted on a restricted number of families and has failed to be replicated; which shows the problems of sample bias.
  • 17. Genetics Independent written activities: 1. Complete the BUZZ WORDS on page 10 2. Complete questions 1 to 4 on page 11 in booklet 2. 3. Draw a mind map or create a set of cue cards for the genetic explanation of schizophrenia. 4. Prepare to complete a timed summary: - Outline any one biological explanation of schizophrenia (9 marks)
  • 18. Biological explanations of schizophrenia Neurochemical – dopamine hypothesis
  • 19. Dopamine Hypothesis A01 Genetic factors may lead to According to the imbalance in dopamine neurotransmitters hypothesis excess levels of the neurotransmitter dopamine is the cause of the disorder
  • 20. A01 / Dopamine Hypothesis A02 Biological Evidence If inhibiting dopamine Phenothiazines reduces schizophrenic (anti-psychotics) act to inhibit symptoms what does that dopamine and reduce tell us about the cause of the symptoms of the the disorder? disorder L-Dopa increases L-Dopa is given to sufferers dopamine levels and can of Parkinson’s disease produce many of the (which is caused by low levels symptoms of of dopamine) schizophrenia
  • 21. A01 / Dopamine Hypothesis A02 Biological Evidence Amphetamines (drugs that If drugs that increase increase dopamine) produce dopamine produce symptoms which are schizophrenic symptoms what does this tell you about the similar to those cause of schizophrenia? experienced by someone with schizophrenia
  • 22. A01 / Dopamine Hypothesis A02 Randrup et al (1966) Behaviour similar to that found with schizophrenia was induced in rats by administering amphetamines and the effect was reversed with anti-psychotic drugs Randrup’s research provides evidence for the link between high levels of dopamine and schizophrenia
  • 23. Additional Dopamine Hypothesis A02 Post-mortem examinations have shown an increase of dopamine in parts of the brain. Seeman (1987) found increases in dopamine receptor density of between 60-110% compared to controls PET scans have allowed the investigation of a live brain. Wong et al (1986) found a 2-fold increase in density of dopamine receptor sites in schizophrenic patients who hadn’t been treated with anti-psychotics
  • 24. IDEA’s / Dopamine Hypothesis A03 Approaches: Issues: Biological – objective and Reductionist measureable Debates: Ethics: Deterministism Vs. Free will Nomothetic Vs. Idiographic Long term effects of intentionally increasing dopamine level in humans Animal Ethics: Randrup – increasing Scientific measurements dopamine levels in rats Laboratory experiments
  • 25. Biological explanations of schizophrenia Brain Structure – brain dysfunction
  • 26. Brain Dysfunction A01 Enlarged Ventricles Recent advances in technology have It has been found enabled the medical profession to that the ventricles examine the life brains of people with (cavities that supply schizophrenia nutrients and remove waste) are 15% larger in Enlarged ventricles tend to schizophrenics be associated with negative rather than positive symptoms, are linked with greater cognitive disturbances and poor responsiveness to drug therapy
  • 27. Brain Dysfunction A02 MRI evidence Young et al (1990) found a number of structural differences using MRI scans when comparing the brains of schizophrenic and non- schizophrenic individuals. This suggests that brain differences are strongly linked with the development of schizophrenia Schizophrenia and brain damage Warner (1994) suggested that structural abnormalities in the brains of some schizophrenics indicates some earlier brain trauma – drugs taken whilst the mother was pregnant, viral infection during pregnancy, complicated delivery. This suggest that brain damage is a predisposing factor in the development of schizophrenia
  • 28. Brain Dysfunction A02 Inconclusive There is great difficulty in establishing cause and effect – whether the brain damage is the cause of the schizophrenia or has developed as a result of the schizophrenia Enlarged ventricles in non-schizophrenics Enlarged ventricles have been found in people not suffering from schizophrenia – this contradicts enlarged ventricles as a cause Negative Symptoms Brain dysfunction is linked to the negative symptoms of schizophrenia only – can the Brain Dysfunction theory be generalised?