AI Flashcards
What is the focus of Cognitive Behaviour Therapy?
Thought processes and individual symptoms such as hallucinations and delusions
How many sessions does Cognitive Behaviour Therapy typically involve?
Between 5 and 20 sessions
What is the purpose of Enhancing Coping Strategy Therapy?
To help the patient develop coping strategies to deal with their symptoms
For example, identifying hallucinations and assessing their impact on emotions
What is the goal of Reality Testing Therapy?
To challenge delusional beliefs and help the patient become aware of the link between beliefs, real events, and the effect of delusions on behavior
What did the study of Nigel conducted by Chadwick demonstrate?
Nigel, a schizophrenic, did not correctly predict what was coming next in videos during reality testing
What is a limitation of cognitive therapy?
High drop-out rate when the patient is de-institutionalized
Patients can become disillusioned if there are no changes in their symptoms
What is the purpose of Token Economies in behavioural therapy?
To modify behavior and change negative symptoms in schizophrenic patients
What did the study of Paul and Lentz (1977) demonstrate about Token Economies?
Patients in the social learning ward and the milieu ward showed reduced positive and negative symptoms and acquired self-care, housekeeping, and social and vocational skills
What is a major strength of token economies?
Customized treatment tailored to each individual patient’s needs
What is a limitation of family therapy?
High expressed emotion in families can contribute to schizophrenia and communication patterns may need to be changed
What therapy attempts to address communication patterns and high expressed emotion in families?
Family therapy
What are the main objectives of family therapy?
- To help family members become aware of expressed emotion and to become more tolerant, less critical and decrease negative types of communications.
- To provide support for members of the family who sometimes can feel guilty and responsible for causing the illness or have difficulties coping
- To help family members become aware of symptoms and the monitoring and administration of medication
What was the result of Leff et al.’s study on the effectiveness of family therapy?
After nine months of treatment, 50% of the routine outpatient care group had relapsed compared to 8% of the group receiving family therapy. After 2 years of treatment, the relapse rate for the outpatient group rose to 75% compared to 50% for the family therapy patients.
Leff et al’s study compared the effectiveness of treatments administered to schizophrenics from families rated high in expressed emotion. One group received routine outpatient care treatment, while the other group received family therapy.
What did Hogarty’s study find about relapse rates in schizophrenics receiving family therapy?
For schizophrenics receiving family therapy and drug therapy, the relapse rate was 19%. For patients receiving social support therapy and medication, the relapse rate was 20%. For patients receiving drug therapy alone, the relapse rate was 41%. For patients receiving family therapy, social support therapy, and drug therapy, the relapse rate was 0%.
Hogarty’s study assessed relapse rates in schizophrenics from high expressed emotion families receiving various treatments.
What is one of the main advantages of family therapy?
It enables the schizophrenic to be deinstitutionalized and lead a relatively normal life. It helps them to reintegrate into society by observing and imitating the behavior of family members.
