A2: Psychopathology - Schizophrenia Topic 1. Introduction to Schizophrenia Objectives 2. Issues of Reliability and Validity To describe the clinical descriptions of schizophrenia. To outline methods of diagnosis for schizophrenia. To outline issues of reliability and validity within schizophrenia. Methodology Starter: Discuss course content and distribute unit planners. Students join up the definition jigsaw. Then copy down the definition. Main: Watch video clip – A Case Study in Schizophrenia (10 mins) Students to recall three pieces of information from the film clip and discuss with a partner. Discuss the positive and negative symptoms of schizophrenia. Students match up symptoms with their definitions and glue in. Then colour code the symptoms which are positive or negative. Students read and highlight DSM-IV criteria for a diagnosis of schizophrenia. Extension: Start to read Rosenhan study Plenary: Traffic light quiz. Homework: Read outline of Rosenhan (1973) study and highlight key information. Starter: Discuss Rosenhan study which students read for hmk and how this links to the issues of R & V with schizophrenia. Main: Students have a list of symptoms relating to schizophrenia, bipolar disorder and depression which they have to place on the Venn diagram. They can check their answers using the textbook or the Internet. Check through the answers as a group. Extension: Resources PPT: Introduction to Schizophrenia. Schizophrenia Unit Planner Schizophrenia Definition Jigsaw. Video: A Case Study in Schizophrenia. Outline for Rosenhan (1973) study (p.167 of Psychology Through Diagrams) Schizophrenia – Symptoms and Diagnosis (p.170 of Psychology Through Diagrams) PPT: Reliability & Validity with Schizophrenia Issues of Reliability & Validity w/s Description of Study Sheet One Flew Over the Cuckoo’s Nest DVD A2: Psychopathology - Schizophrenia 3. Biological Explanations of Schizophrenia: The Dopamine Hypothesis 4. Evaluating the Dopamine Hypothesis To outline the workings of neurotransmitters and synapses. To describe the dopamine hypothesis of schizophrenia. To evaluate research into the dopamine hypothesis. Plenary: Key word Pictionary Homework: Read p.163 and make a mind map on the issues of reliability and validity surrounding schizophrenia. Starter: Maps from Memory of synapse diagram. Discuss prior learning of synapses and neurotransmitters. Main: Students use the information on the board to label how synapses work. Talk through PPT and discuss the dopamine hypothesis. Students complete dopamine hypothesis cloze passage. Randomly pick a number between 50 and 100 and students have to write a description of the dopamine hypothesis in that number of words. The closest wins a prize. Extension: Read Psychology Review article on schizophrenia and complete extension worksheet. Plenary: Play You Say We Pay Homework: N/A Starter: Students are each given a card with the details of research which links different substances to schizophrenia. They have to complete the table to identify the substance; say what it is and suggest the link to the dopamine hypothesis. Students move around the room to record each other’s findings. Main: Card sort of evaluation of dopamine hypothesis, students identify the strength or weakness, its explanation and what that suggests. Check and glue in. Using the information from today’s lesson, write a 350 to 400 PPT: Dopamine Hypothesis for Schizophrenia Synapse diagram Worksheet: Synapses & Neurotransmitters Blanked Out Diagram Worksheet: Dopamine Hypothesis Cloze PPT: Evaluating the Dopamine Hypothesis W/S: Dopamine Hypothesis Evaluation Starter. Cards: Dopamine Hypothesis Evaluation Starter. Card Sort: Evaluating Dopamine Hypothesis Evaluating Dopamine Hypothesis Multiple A2: Psychopathology - Schizophrenia 5. Biological Explanations of Schizophrenia 2: Genetic 6. Evaluating Genetic Factors in Schizophrenia To describe research into the genetic causes of schizophrenia. To evaluate research conducted into the genetic factors in the prevalence of word evaluation of the dopamine hypothesis for schizophrenia. Extension: Peer assessed using templates. Plenary: Multiple choice question sheet and reordering of stages in synapses. Homework: Complete written evaluation of the dopamine hypothesis. Research genetic causes of schizophrenia. Starter: Top three, pair share and teach. Students choose three terms that they feel most confident about explaining. They share with a partner and explain one each, then vice versa. Main: Talk through PPT Students read through Genetic Evidence w/s and fill in what conclusions can be drawn from the information about the genetic causes of schizophrenia. Students read and highlight the overview of the Gottesman & Shields (1966) twin study of schizophrenia and prepare to be tested on the information in it. Extension: Make notes on Methodological Problems with Heredity Studies (p.165) Plenary: Play Blankety Blank based on the Gottesman & Shields study. Homework: Write a 100-150 word explanation of the genetic explanation of schizophrenia. Starter: T/F quiz on last lesson’s work. Main: Read Evaluating Genetic Theories worksheet, highlight strong Choice Qs PPT: Genetic Factors in Schizophrenia W/S: Genetic Factors in Schizophrenia W/S: Gottesman Twin Study PPT: Evaluating Genetic Factors in Schizophrenia. W/S: A2: Psychopathology - Schizophrenia 7. Biological Explanations of Schizophrenia 3: Brain Abnormality schizophrenia. To discuss the nature nurture debate in relation to the causes of schizophrenia. evaluative points and underline evaluative errors. In the spaces below, add an addition or make any corrections. Students use the commentary points on p.165 as well as those highlighted on the previous sheet to create a mini-mind map on the AO2/3 points relating to genetic influences. Discuss the necessity for students to use synoptic skills in their essays. Using the speech bubbles on the Nature/Nurture w/s, students discuss this debate using genetic evidence and evaluation of that evidence. Feedback on evaluation sheet. Extension: Make notes on ‘An Evolutionary Perspective’ (p.165) Plenary: SPLAT! Homework: To outline and evaluate structural brain abnormalities of schizophrenia. To consider the two syndrome hypothesis for schizophrenia. To plan for a midunit assessment. Starter: Odd one out with pictures on PPT Main: Students have to go around the room to find information about brain abnormality in schizophrenia and fill in the A3 overview sheet. Talk through PPT to ensure all students have all Peer assess exemplar essay of biological explanations of schizophrenia. Students create essay plan. Extension: Students check each other’s plans and suggest any improvements. Plenary: Top 3, Compare & Teach Homework: Outline and evaluate two biological explanations for schizophrenia. (9 & 16 marks) PPT: Brain Abnormalities Explanations. A4 printouts of PPT slides W/S: A3 Brian Abnormality Overview A2: Psychopathology - Schizophrenia 8. & 9 Psychological Explanations of Schizophrenia 1: Psychological Theories (Dbl) To outline and evaluate psychological theories of schizophrenia, including: - Psychodynamic - Cognitive 10.Psychological Explanations of Schizophrenia 2: Urbanicity To describe and evaluate the effect of high density living on the prevalence of schizophrenia. Starter: Picture quiz Main: Students are given information on psychodynamic and cognitive explanations of schizophrenia. They have to work in pairs to present a mini lesson on their topic. Within the double lesson, students need to prepare and present their lesson (20 minutes to prepare). Students have peer assessment sheets to feedback on. Students read and cut out the AO2 comments relating to psychodynamic and cognitive explanations of schizophrenia. Glue down under the appropriate headings. Highlight key points on the evaluations. Extension: Create a mini quiz on the psychological theories of Schizophrenia. Plenary: Feedback from group presentations. Homework: Min-unit assessment plan and essay. Starter: Maps from Memory – Mechanism of Urbanicity diagram Main: Talk through first 3 slides on PPT. Students study graphs on Urbanicity and Schizophrenia w/s and note the main points of Pedersen and Mortensen’s findings. Discuss 4th slide and students outline the problems of interpreting correlational data. Discuss slides 5-7 and students note the main findings from Pedersen and Mortensen’s studies in to change in location and childhood exposure to Urbanicity, and write a few sentences to outline what this suggests. Extension: PPT: Psychological Theories of Schizophrenia. A3 paper, pens, etc. Behaviourist Explanations of Schiz. w/s Cognitive Explanations of schiz. w/s PPT: Urbanicity Urbanicity and Schizophrenia w/s Schizophrenia – Environmental Contributions w/s A2: Psychopathology - Schizophrenia 10.Psychological Explanations of Schizophrenia 2: SocioCultural Factors 11.Biological Therapies for Schizophrenia 1: Antipsychotic To describe and evaluate the effect of abnormal patterns in family communication on the prevalence of Schizophrenia To describe how conventional and atypical antipsychotic drugs Plenary: Feedback responses to activities. Homework: Schizophrenia – Environmental Contributions w/s – read the findings from relevant studies and answer questions. Starter: Provide students with double bind statements, ask them to identify the connection. Main: Students complete teaching towers for the different sociocultural factors involved in schizophrenia: 1. Life events 2. Double Bind Theory 3. Expressed Emotion 4. Labelling Theory. In groups of three, students use the information on p.166-7 to complete their tower. One person now stays with their tower to teach other people about their topic. The others from the group need to split up and visit other towers to learn one topic each. Students then regroup and teach each other the two new tower topics. Extension: Create a mind-map of biological and psychological causes of schizophrenia. Plenary: Randomizer questions. Homework: End of unit assessment. Starter: Picture quiz for biological methods of treatment for schizophrenia. Main: PPT: Family Systems Family Systems w/s Family Stress and Schizophrenia w/s PPT: Biological Therapies A2: Psychopathology - Schizophrenia Drugs 12.Evaluation of Antipsychotic Drugs work to treat schizophrenia. To evaluate the effectiveness and appropriateness of antipsychotics. To analyse the fairness of placebo tests. To evaluate the synoptic links between antipsychotic medication, neurotransmitters, the nature-nurture debate and ethical issues. Talk through PPT and discuss typical and atypical drugs. Students cut out and sort information about typical and atypical drugs onto the A3 sheet. Watch clip of Treatment for Early Onset Schizophrenia Spectrum Disorders Study and students make notes of the APFC of the research. Extension: Identify one critical point from the synoptic toolkit relevant to drug therapies and write an explanation of the connection. Plenary: Group statements: “Atypical antipsychotic drugs are most effective at treating schizophrenia than older typical drugs.” Homework: Prepare for timed essay: Discuss two or more biological therapies for schizophrenia. 9 marks + 16 marks Starter: Read the story ‘The Magic Shoes’. The story tells the tale of a man who hates dancing and has no confidence in his ability. That is, until a man sells him ‘magic shoes’, which transform his dancing moves and coordination. Dave’s dancing vastly improves. The twist in the tale is that the ‘magic shoes’ were actually fake, yet Dave’s dancing improved anyway. OR Show a clip of Penn and Teller who con people in to using placebo therapies (7 mins). These both demonstrate the placebo effect, which students need to understand in order to interpret the findings of studies that investigate the effectiveness of drug therapies for schizophrenia. After reading the story/watching the clip, ask students to discuss how they think it relates to the topic. Main: Students create a table with evidence to support or undermine antipsychotics vs placebos. PPT: Evaluating Antipsychotic Drugs W/S: Biological Therapies Connect 4 W/S: Lesson Evaluation Bubbles A2: Psychopathology - Schizophrenia Show students a short video clip illustrating the undesired effects of antipsychotic medication and discuss what issues this raises. Students fill in the Connect 4 sheet - In the grey shaded areas, students should articulate their understanding of the principles, i.e. nature vs. nurture, neurotransmitters, antipsychotic medication, etc In between the grey shaded areas, students should try and explain how the elements of the theory link together. For example, neurotransmitters are linked to antipsychotic medication because the drugs influence the effects of neurotransmitters such as dopamine by binding to receptors and blocking their action (and hence reducing high dopamine activity associated with hallucinations and delusions). Extension: “Antipsychotics are an appropriate method to treat schizophrenia.” 2 arguments for and 2 against. Plenary: Students complete a lesson evaluation bubble sheet. Homework: 13.Biological Therapies for Schizophrenia 2: ECT Describe the process involved in ECT. Outline research which considers the effectiveness of ECT in treating schizophrenia. Consider the appropriateness of using ECT. Starter: Odd one out with biological explanations and for schizophrenia and side effects of biological treatments. Main: Watch clip from One Flew Over the Cuckoo’s Nest to demonstrate traditional ECT and then compare with a more recent example in the clip of Modern ECT. Students each have a focus question to think about whilst watching the clip. Students read and highlight text outlining the history, procedure, effectiveness and appropriateness of ECT. Play team quiz game University Challenge based on the information. Extension: PPT: ECT W/S: ECT A2: Psychopathology - Schizophrenia Create a mind map on biological treatments for schizophrenia. Plenary: Students write their names on a post-it note and stick on on the Venn diagram on the board according to the LOs that they’ve achieved. Students should be prepared to justify their position. Homework: Prepare for timed essay: Discuss two or more biological therapies for schizophrenia. 9 marks + 16 marks Starter: Students complete Schizophrenia Crossword as a recap. Main: Create a mini-mind map on biological treatments Individually, students answer mini-test on biological treatments – allow 35 mins. Swap papers and peer assess using mark scheme. Extension: Students create an essay plan for: Discuss two or more biological therapies for schizophrenia. 9 marks + 16 marks. Plenary: SPLAT Homework: Research and bring in information on the use of CBT for schizophrenia. Starter: Picture quiz of ‘Cognitive Behavioural Therapy’. Main: Students create a spider diagram on CBT based on what they remember about CBT from the Abnormal Psych unit at AS level. Discuss as a whole group. Watch clip of CBT and students write down three things they learnt about CBT. Watch clip of CBT in action and again students write down three things they learnt. Students complete cloze passage on CBT and check through 14.Biological Therapies for Schizophrenia 15.Psychological Therapies for Schizophrenia 1 To test knowledge of biological therapies for schizophrenia. To outline the use of CBT in Schizophrenia To evaluate the effectiveness and appropriateness of CBT in treating schizophrenia. PPT: Biological Therapies Schizophrenia Crossword Biological Therapies Mini Test Biological Therapies Mini Test Mark Scheme PPT: CBT & Schizophrenia Video: Overcome Mental Illness with CBT Video: Judith Beck Phd talks about Cognitive Therapy W/S: CBT & Schizophrenia Cloze CBT & Schizophrenia Cloze Crib A2: Psychopathology - Schizophrenia together as a group. The evaluation worksheet is designed to illustrate to students the level of depth required to achieve top AO2 marks. Students should start by reading the boxes on the far lefthand side of the page, which outline simple evaluation points. Ask them to highlight (or shade in) each of the boxes in that column with a different colour. The students should then read the boxes in the next column. Each represents further explanation and elaboration of one of the evaluation points, but they are not in the same order. Students should highlight (or shade in) those boxes with the correct, corresponding colour. They should repeat this until all boxes in all columns are shaded in. This will require some thought from the students Extension: Students read Schizophrenia case studies at the bottom of the cloze passage and suggest alternative beliefs that might be encouraged for the patients. Plenary: Lucky Dip – plenary questions. Homework: Research and bring in information on the use of psychoanalysis in schizophrenia. Starter: Students create a spider diagram on psychoanalysis based on what they remember about it from the Abnormal Psych unit at AS level. Discuss as a whole group. Main: Talk through PPT to explain the role of psychoanalysis. Watch Application of Psychoanalytic Theory video and students each recall three points from the clip. Quick Questions – Students answer one question from the AO1 row, two from the AO2 row and 2 from the AO3 row. Extension: Students work in pairs to build an essay response to the W/S: Evaluation of CBT and Elaboration PPT: Psychoanalysis & Schizophrenia Video Summary Sheet Fairy Tale Card Sort 16.Psychological Therapies for Schizophrenia 2 To outline the use of psychoanalysis in Schizophrenia To evaluate the effectiveness and appropriateness of psychoanalysis in treating schizophrenia. A2: Psychopathology - Schizophrenia 17.Revision To revise for an end of unit assessment. following question: Outline and evaluate one psychological therapy used in the treatment of depression. (25 marks) Plenary: Roll Up! Display the numbers 1 to 6 on your whiteboard with six corresponding key words, psychologists, theories or other. Ask individual students to roll a die and then say all they can about the topic that corresponds to the number they rolled. For this topic (psychological therapies for schizophrenia), you could use the following: 1. CBT 2. Psychoanalysis 3. Maladaptive beliefs 4. Unconscious conflicts 5. Transference 6. Evaluation of CBT or psychoanalysis Homework: Organise schizophrenia unit and complete any missing work. Revise for end of unit assessment. Starter: A-Z unit key words. Students highlight the terms that they feel least confident about – this can help to focus their revision. Main: Students choose one question from the list of possible exam questions and create a mini-mind map to plan how they would answer the question. They then have the length of a track from a chill out album to start writing the answer. When the music track ends, they must pass their essay and mind map on to another student who should first read through, correcting any errors. They can then write their initials in the margin and continue writing, using the plan provided, for the length of another track. They continue this process until the essays are completed and A2: Psychopathology - Schizophrenia returned to the original student. Extension: Plenary: Students read each other’s work and peer assess using the Peer Assessment templates. Homework: 18.Assessment Starter: Roll Up! Display the numbers 1 to 6 on your whiteboard with six corresponding key words, psychologists, theories or other. Ask individual students to roll a die and then say all they can about the topic that corresponds to the number they rolled. For this topic (schizophrenia), you could use the following: 1. Characteristics of schizophrenia 2. Issues of reliability and validity 3. Biological explanations (AO1/AO2) 4. Psychological explanations (AO1/AO2) 5. Biological therapies (AO1/AO2) 6. Psychological Therapies (AO1/AO2) Main: Students have 30 minutes to answer the set question. a) Describe two psychological treatments for Schizophrenia (9 marks) b) Evaluate the effectiveness and appropriateness of each treatment use with Schizophrenic patients (16 marks) Extension: Plenary: Students read each other’s work and peer assess using the Peer Assessment templates. Homework: N/A PPT: Revision & Assessment Dice (one for each table) Peer assessment templates. A2: Psychopathology - Schizophrenia