Evaluation: Social Causation Hypothesis as an Explanation for Schizophrenia
Descripción
Evaluation of the social causation hypothesis as an explanation for schizophrenia. Includes AO1 and AO3.
Spec: Edexcel (new specification), clinical psychology (year 2).
Evaluation: Social Causation Hypothesis
as an Explanation for Schizophrenia
Social Adversity
Social adversity is when basic
needs such as nutrition,
warmth, shelter, intellectual,
emotional and social needs are
not met by an individual.
People in lower social classes live in less favourable
environments which may make them more
vulnerable to mental health issues. Families may be
affected by poverty, unemployment and poor living
standard which will expose them to more stress.
Families coming from a lower socio-economic
background may lack access to treatments for Sz,
exacerbating their problems.
A study found that when an individual is placed in
a confrontational situation, the individual may
become stressed, suggesting that environmental
stressors can contribute to these feelings. This
supports the idea that the environment can cause
stress, making people more vulnerable to mental
health disorders such as schizophrenia.
The social drift hypothesis refutes the social causation
hypothesis as it suggests that people with disorders like
schizophrenia drift down the social classes as they struggle to
hold down a job, for example. This idea would suggest that
social adversity is a consequence of schizophrenia, rather
than a cause.
Urbanicity
Urbanicity refers to the
impact living in an urban
environment has on an
individual, such as living in
inner city areas.
There are more environmental stressors
linked to city life, such as noise and light
pollution, criminality, a faster pace and
greater anonymity. Furthermore, cities
being more crowded makes life more
competitive, which again increases an
individual's stress and could make them
more vulnerable to disorders like
schizophrenia.
Eaton found that city life increases stress
levels due to long lasting exposure to noise
and light etc. This could support the
hypothesis as it suggests the more stress an
individual is exposed to, the more likely they
are to develop a disorder like schizophrenia.
This is backed up by Pederson and
Morten, who found that individuals
who spent their first 15 years of life
in the city were 3x more likely to
develop sz.
However, people with schizophrenia may
move to the city in order to have better
access to treatment and perhaps for
greater anonymity, which may be why
incidence in cities seems to be larger.
Social Isolation
Social isolation is when an
individual withdraws
themselves from social
situations and becomes
isolated.
High anonymity within city areas may
lead to people withdrawing from
society and therefore increases their
stress. Minority groups may withdraw
as they are seen as the 'out' group,
increasing their environmental stress.
immigration and Minority Status
Minority status refers to
groups in society that are
considered to be a part of an
out group, such as
immigrants.
The marginalisation of minority groups
may lead to isolation due to
discrimination and a weaker cultural
identity. This makes them more
vulnerable as it places more stress on
the individual.
Boyell et al found that first and second generation
immigrants are at a greater risk of Sz than the general
population. However, as the number of people from the
same ethnic background increases, the risk of developing
schizophrenia decreases. This suggests that an out-group
minority status increases the risk of developing
schizophrenia.
However, minority groups may be less likely
to seek help and get early intervention,
especially if their culture heavily stigmatises
mental health disorders. This might explain
why it seems more prevalent in minority
groups (as it isn't being treated).
The social causation hypothesis
suggests that the human
environment acts as a major cause
of schizophrenia, or may at least
contribute to the relapse of those
already with a diagnosis.