bradshaw - carol Flashcards
who is carol? and what was the aim?
a 26 year old diagnosed with undifferentiated schizophrenia. - the aim was to see how CBT can treat a women with schizophrenia.
what is unique about carol?
there is no history of mental health in her family.
when did signs of mental health start showing and what were they?
during her 1st year of uni, she began acting bizarrely, began retracting from friends and experienced auditory hallucinations and delusions.
was carol her real name?
no it is a pseudonym ( fake name ) .
what measures were used to asses carol’s symptoms?
RFS ( role functioning scale ) - score for work, social and living
goal attainment scale? - ability to meet targets and achieve goals.
global assessment scale - out of 100
global pathology index - 8 point scale measuring the severity of symptoms.
what was stage 1:
established a rapport between the clinician and carol - they both liked soft ball and went for walks.
what was stage 2:
understanding CBT and setting goals and targets
what was stage 3:
treatment and challenging faulty thinking.
what happened in the middle phase?
16 months building coping strategies and 3 months planning how to maintain performance.
what were the results?
she was never hospitalised again
GPI - 6 in year 1 , 1 in year 3
GAS - 19.85 in year 1 , year 3 80.15
RFS - 6 before treatments, 27 by year 3.
what did the case study of carol do?
contributed towards the establishment of ICBT
and changed the perceptions that CBT was ineffective in treating schizophrenia.
what type of case study was this?
prospective - she was followed for three years
then followed up on her progress 6 months after and then one year after.
