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Schizophrenia

Social psychological explanations: Dysfunctional families

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Key term

Give one reason to be cautious about family findings in schizophrenia.

Who and when

What did Lidz and colleagues (1957) describe?

Questions from this subtopic

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  1. 1

    What do dysfunctional family explanations propose?

    Model answer

    That patterns of communication and relationship within a family create stress and confusion which contribute to the development or persistence of psychotic symptoms.

  2. 2

    What did Wynne and Singer (1963) mean by communication deviance?

    Model answer

    Vague, fragmented or confusing ways of speaking within a family which make it difficult for a child to establish a shared focus of attention and clear meaning.

  3. 3

    What did Lidz and colleagues (1957) describe?

    Model answer

    Marital schism, in which parents are in open conflict and compete for the child's loyalty, and marital skew, in which one dominant parent's distorted view of reality goes unchallenged.

  4. 4

    What did the Finnish adoption study by Tienari and colleagues (2004) find?

    Model answer

    Adoptees at high genetic risk developed schizophrenia at raised rates only when brought up in disturbed adoptive families, while those at low genetic risk did not, even in similar family conditions.

  5. 5

    Why is the Tienari finding so important?

    Model answer

    It shows that genes and family environment interact, so neither alone is sufficient, which is stronger evidence than a family study or a genetic study could provide on its own.

  6. 6

    What did Varese and colleagues (2012) conclude in their meta-analysis?

    Model answer

    That childhood adversity, including abuse and neglect, was associated with a substantially increased likelihood of psychosis in later life.

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