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Issues in Mental Health

Gottesman et al. (2010) offspring of psychiatrically ill parents: conclusions and evaluation

  • 3 things to know
  • Component 03

Overview

Recall questions on Gottesman et al.'s findings on any psychiatric diagnosis and overlapping risk, their main conclusion and diathesis-stress, and the evaluation of strengths, underestimated risk, forty years of records, genes versus environment, social sensitivity and the medical model.

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Answer each one before you reveal it.

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What did the overlap in risk between the two disorders suggest?

Key term

Why is Gottesman et al.'s research socially sensitive?

Key term

What proportion of the children of two parents with schizophrenia went on to receive any psychiatric diagnosis?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What proportion of the children of two parents with schizophrenia went on to receive any psychiatric diagnosis?

    Model answer

    Around two thirds of them received some psychiatric diagnosis by the end of the follow-up period.

  2. 2

    What did the overlap in risk between the two disorders suggest?

    Model answer

    Children of parents with one of the disorders were also at raised risk of the other, which suggests the two conditions share part of their genetic liability rather than being wholly separate illnesses.

  3. 3

    Why do the findings also support the diathesis-stress model?

    Model answer

    Even with two affected parents, about three quarters of the children did not develop the disorder, so an inherited vulnerability must interact with other factors before illness appears.

  4. 4

    Give two strengths of Gottesman et al.'s research.

    Model answer

    The sample was an entire national population followed for four decades, which gives exceptional generalisability, and the diagnoses came from clinical records made independently of the research, which removes researcher bias.

  5. 5

    Why may the reported figures underestimate the true risk?

    Model answer

    Only people admitted to hospital were counted, so milder cases treated in the community or never treated at all were missed.

  6. 6

    What problem arises from tracking diagnoses across forty years of records?

    Model answer

    The diagnostic criteria in use changed during that period, so cases recorded early in the study may not have been judged by the same standards as later ones.

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