Interactionist Approach - Diathesis-Stress Model
Psychology: AQA A Level, topic 12.2.10
The Diathesis-Stress Model
The diathesis-stress model is a major component of the interactionist approach. It was originally developed by Meehl in 1962.

The interactionist approach
- The interactionist (or biosocial) approach acknowledges that there are biological, psychological, and societal factors in the development of schizophrenia.
- Biological factors include genetic vulnerability, and neurochemical and neurological abnormality.
- Psychological factors include stress, potentially resulting from life events and daily hassles, including poor quality interactions in the family.

Diathesis-stress model
- A major part of the interactionist approach is the diathesis-stress model, originally developed by Meehl (1962). The theory has since been revised to take into account advances in genetics.
- Diathesis means vulnerability, and in the case of schizophrenia applies to negative psychological experiences.
- According to the diathesis-stress model, vulnerability to schizophrenia and a stress-trigger are necessary for the condition to develop.

Meehl (1962)
- In Meehl’s original model, diathesis was entirely genetic. Diathesis was the result of a single ‘schizogene’, which led to the development of a biologically based schizotypal personality.
- One characteristic of this was a sensitivity to distress.
- According to Meehl, people without the schizogene will not develop schizophrenia, regardless of levels of stress.
- But the presence of a schizophrenogenic mother could result in the development of the condition if the schizogene was present.

Development of the model
- Modern interpretations of diathesis-stress take into account the current understanding that many genes are involved in the development of schizophrenia and there is no single schizogene.
- Instead, the current version of the model acknowledges a range of factors beyond genetics (such as psychological trauma) which lead to the trauma becoming the diathesis rather than the stressor.
The Development of the Diathesis-Stress Model
Vulnerability and stress do not have one single source, as the original diathesis-stress model suggested.

Why the model has changed
- Studies like Tienari et al (2004) have helped psychologists see how the original diathesis-stress model is too simple, especially regarding the idea of a single schizogene and schizophrenic parenting style.

How the model has changed
- It is now understood that multiple genes increase vulnerability to schizophrenia, each having a small effect on its own.
- Stress is no longer believed to be limited to dysfunctional parenting.
- Instead, it is now accepted that vulnerability can be the result of early trauma as well as genetic make-up, and that stress can come in many forms including biological.

Houston et al. (2008)
- In a recent study by Houston et al. (2008), childhood sexual trauma emerged as a vulnerability factor while cannabis use was a trigger.
- This shows that the old idea of diathesis as biological and stress as psychological is overly simple.
- This is a problem with the older form of the diathesis-stress model, but not the new version.
Test yourself on Interactionist Approach - Diathesis-Stress Model
According to the diathesis-stress model, which of the following is NOT required for schizophrenia to develop?
Who found childhood sexual trauma to be a vulnerability factor while cannabis use was a trigger?