bradshaw - shiz cbt

Question 1

what kind of case study was it and why?

Answer 1

prospective case study

tracked carol over three years

Question 2

how long was the study?

Answer 2

three years

Question 3

when were the follow ups?

Answer 3

6months and again at one year

Question 4

what was the womens name?

Answer 4

carol

Question 5

how old was she?

Answer 5

26

Question 6

when did she start having delusions and hallucinations?

Answer 6

first year of college

Question 7

what was she diagnosed with?

Answer 7

undifferentiated schizophrenia

Question 8

why did she move back in with her parents?

Answer 8

could not live independently, completely withdrew

Question 9

how as her symptoms measured?

Answer 9

using four scales

Question 10

what were the four variables measured?

Answer 10

symptomology, psychosocial functioning, attainment of treatment goals and hospitalisations

Question 11

how was symptomology measured?

Answer 11

global pathology index

8 point scale

Question 12

what was carols base line score on the GPI?

Answer 12

7

severe

Question 13

how was psychosocial functioning measured?

Answer 13

on the role functioning scale

looks at work, social, family and independent living

Question 14

how attainment of treatment goals measured?

Answer 14

goal attainment scale

how many goals she was meeting

Question 15

who may stages did carols treatment go through?

Answer 15

3

Question 16

what were the three stages?

Answer 16

1st building a rapport
2nd understanding cbt
3rd treatment

Question 17

what does rapport mean and involve?

Answer 17

means trust and honesty

involves genuineness, respect and empathy

Question 18

how long did cbt sessions last?

Answer 18

15 to 1 hour

Question 19

what did the therapist do to help build the rapport?

Answer 19

disclosed his own problems and interests

Question 20

what common interest did they both share

Answer 20

soft ball

Question 21

how long did it take carol to understand cut and decide on treatment>.

Answer 21

2 months

Question 22

what took two months?

Answer 22

to understand cbt and decide on treatment

Question 23

what did the second stage involve?

Answer 23

educating carol about cat and how it might be treated

Question 24

what is schiz vulnerable to and how was this helped in the second stage?

Answer 24

stress

teaching new ways to cope with stress

Question 25

what model was used to cope with stress?

Answer 25

ellis (1957) abc model

Question 26

what is the abc model?

Answer 26

understand aan activating event and its consequnces whilst reflecting on behaviour that caused these consequences

Question 27

what was the third stage?

Answer 27

treatment

Question 28

what was the first year of treatment focused on?

Answer 28

managing stress and anxiety

Question 29

when did carols delusions and hallucinations get worst and how did cut help?

Answer 29

when her parents told her what to do
got worst
taught her new ways to deal with this other than going to bedroom

Question 30

what helped her improve loss of daily structure?

Answer 30

weekly activities

Question 31

what was she asked to record and why?

Answer 31

what she did day to day

recognise signs of stress and help new ways of coping

Question 32

what was the middle phase?

Answer 32

16 months of building more strategies on how to deal with stressful situations
focus on carols fear of relapse

Question 33

what was carols fear?

Answer 33

relapse and going back into hospital

Question 34

how long was the middle phase?

Answer 34

16 months

Question 35

what was included in the end phase?

Answer 35

carol developed plans on how to maintain the treatment without therapist
wrote cue cards with coping strategies

Question 36

how long was the ending phase?

Answer 36

3 months

Question 37

what were written on the cue cards?

Answer 37

coping strategies to review each day

Question 38

what did carol show improvement in?

Answer 38

reduced symptoms, psychosocial functioning, achievement of goals and reduction of hospitalisations

Question 39

how many times was carol re admitted to hospital?

Answer 39

she wasn’t

Question 40

what did carol score on the GPI after one year?

Answer 40

1

Question 41

how may hospital administrations did she have pretest?

Answer 41

60

Question 42

what was concluded?

Answer 42

carol experienced improvements in all measures showing that cbt can be successful in treating schizophrenia

Question 43

why might it be hard to generalise the study? (w)

Answer 43

• female, disorder may occur differently in males
• undifferentiated type
• much younger than normal females
• no family history of mental illness
• supportive family

Question 44

why is it hard to replicate the study? (W)

Answer 44

aspects of the study are hard to replicate such as the rapport
this is because it is unique to therapist and the client
other clients may worst or better rapport

Question 45

why are there issues with consent? (W)

Answer 45

due to her bad state at the start of the study, presumptive consent gained
however full given at the end

Question 46

what is the strength in ethics? (S)

Answer 46

bradshaw respected privacy and dignity by using a different name

Question 47

why was the study reliable? (S)

Answer 47

used standardised procedure of cbt
included well established scales in order to measure
carols symptoms checked through dsm

Question 48

why is there test retest reliability?(S)

Answer 48

measures were used at the start of the study, 3 times during and twice afterwards

Question 49

why is it useful? (S)

Answer 49

promote the use of cbt and show its effectiveness

lower use of antipsychotics

Question 50

what percentage of sufferers is treatment available to in uk and what does this limit? (W)

Answer 50

10%

its usefulness

Question 51

what is the benefit of it being a prospective case study?(S)

Answer 51

reduces demand characteristics and social desirability as we can be sure we are seeing real changes in carol

Question 52

what data does it collect? (S)

Answer 52

qual and quan