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Adolescent-onset schizophrenia: neurological, cognitive, and social
models
- Facts about schizophrenia
- Puzzle: If schizophrenia is caused by an early neurological defect,
why does it manifest itself in late adolescence?
- Timing of neurological
development
- Peri- and postpubertal
neurological change:
- synaptic pruning
associated with gonadal hormones
- mylenization of frontal
cortex
- Peri-
and postpubertal social cognitive change
- increases in social
cognitive ability:
- executive (metacognitive)
functioning
- contextualization
(wisdom)
- reciprocal social
interaction
- Peri- and postpubertal
cognitive demands
- changes in social
cognitive demands of friendship
- increased importance
of peer relationships
- increases demands
for appropriate reciprocity
- social role demands
increase
- Reciprocal relationship
between neurological development and environmental stimuli
- Diathesis-stress
model:
- weakened system collapses
under strain
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