Predisposing Factors: Precipitating Factors: Perpetuating factors: Risk factors:
- Social Isolation - Need for companionship - Social Isolation - Male
- Preoccupation to work - Social competition - Age: 15-25 (Male)
- Overachieving behavior - Stress related to work 25-35 (Female)
- Genetics - Unable to meet needs (based
on Maslow’s hierarchy of
needs)
- Migration
Neuro transmitter hypothesis: Psychosocial Hypothesis:
Abraham maslow’s Hierarchy of needs +
GABA/Glutamate/Dopamine:
Psychodanamic approach (Kolb and Brodie, ):
↓ GABA secretion
Prolonged social isolation Migration to a new university ↑Desire for social achievement
and acknowledgment
Inability of GABA to carry out inhibitory signals
↑ Difficulty to meet
Fluctuation of Dopamine levels Deprivation of love and Esteem needs
belongingness need
Maladaptive coping Getting rejected for the
placement ↑Stress related to work
↑ Dopamine levels Hallucinations
↓ Esteem ↑ Work Hours
Affects Nucleus Accumbens
Maladaptive coping
Food deprivation
- Hallucinations (Physiologic Need) +Need
Hallucinations for companionship
- Delusions
Maladaptive coping
Hallucinations
GENETIC THEORY OF SCHIZOPHRENIA: ABRAHAM MASLOW’S HIERARCHY OF NEEDS:
In the largest study of twins in schizophrenia research to date, Every person has the desire to move up the hierarchy
researchers at the University of Copenhagen, Denmark, toward a level of self-actualization. Unfortunately,
estimate that as much as 79% of schizophrenia risk may be progress is often disrupted by a failure to meet lower level
explained by genetic factors. The estimate indicates that needs. Therefore, not everyone will move through the
genetics have a substantial influence on risk for the disorder. hierarchy in a uni-directional manner but may move back
and forth between the differerent types of needs.
The estimated 79% heritability of schizophrenia is congruent
with previous reports and indicates a substantial genetic risk. Not being able to move up the hierarchy indicates stress
The high genetic risk also applies to a broader phenotype of on the person’s wellbeing. In the case of John Nash, There
schizophrenia spectrum disorders. The low concordance rate are multiple times that his needs are not met which
of 33% in monozygotic twins demonstrates that illness resulted to him maladaptively coping to the stress which
vulnerability is not solely indicated by genetic factors. led to his delusions and hallucinations.
Need for even higher acknowledgment
even after