bradshaw - shiz cbt Flashcards
what kind of case study was it and why?
prospective case study
tracked carol over three years
how long was the study?
three years
when were the follow ups?
6months and again at one year
what was the womens name?
carol
how old was she?
26
when did she start having delusions and hallucinations?
first year of college
what was she diagnosed with?
undifferentiated schizophrenia
why did she move back in with her parents?
could not live independently, completely withdrew
how as her symptoms measured?
using four scales
what were the four variables measured?
symptomology, psychosocial functioning, attainment of treatment goals and hospitalisations
how was symptomology measured?
global pathology index
8 point scale
what was carols base line score on the GPI?
7
severe
how was psychosocial functioning measured?
on the role functioning scale
looks at work, social, family and independent living
how attainment of treatment goals measured?
goal attainment scale
how many goals she was meeting
who may stages did carols treatment go through?
3
what were the three stages?
1st building a rapport
2nd understanding cbt
3rd treatment
what does rapport mean and involve?
means trust and honesty
involves genuineness, respect and empathy
how long did cbt sessions last?
15 to 1 hour
what did the therapist do to help build the rapport?
disclosed his own problems and interests
what common interest did they both share
soft ball
how long did it take carol to understand cut and decide on treatment>.
2 months
what took two months?
to understand cbt and decide on treatment
what did the second stage involve?
educating carol about cat and how it might be treated
what is schiz vulnerable to and how was this helped in the second stage?
stress
teaching new ways to cope with stress
what model was used to cope with stress?
ellis (1957) abc model
what is the abc model?
understand aan activating event and its consequnces whilst reflecting on behaviour that caused these consequences
what was the third stage?
treatment
what was the first year of treatment focused on?
managing stress and anxiety
when did carols delusions and hallucinations get worst and how did cut help?
when her parents told her what to do
got worst
taught her new ways to deal with this other than going to bedroom
what helped her improve loss of daily structure?
weekly activities
what was she asked to record and why?
what she did day to day
recognise signs of stress and help new ways of coping
what was the middle phase?
16 months of building more strategies on how to deal with stressful situations
focus on carols fear of relapse
what was carols fear?
relapse and going back into hospital
how long was the middle phase?
16 months
what was included in the end phase?
carol developed plans on how to maintain the treatment without therapist
wrote cue cards with coping strategies
how long was the ending phase?
3 months
what were written on the cue cards?
coping strategies to review each day
what did carol show improvement in?
reduced symptoms, psychosocial functioning, achievement of goals and reduction of hospitalisations
how many times was carol re admitted to hospital?
she wasn’t
what did carol score on the GPI after one year?
1
how may hospital administrations did she have pretest?
60
what was concluded?
carol experienced improvements in all measures showing that cbt can be successful in treating schizophrenia
why might it be hard to generalise the study? (w)
- female, disorder may occur differently in males
- undifferentiated type
- much younger than normal females
- no family history of mental illness
- supportive family
why is it hard to replicate the study? (W)
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
why are there issues with consent? (W)
due to her bad state at the start of the study, presumptive consent gained
however full given at the end
what is the strength in ethics? (S)
bradshaw respected privacy and dignity by using a different name
why was the study reliable? (S)
used standardised procedure of cbt
included well established scales in order to measure
carols symptoms checked through dsm
why is there test retest reliability?(S)
measures were used at the start of the study, 3 times during and twice afterwards
why is it useful? (S)
promote the use of cbt and show its effectiveness
lower use of antipsychotics
what percentage of sufferers is treatment available to in uk and what does this limit? (W)
10%
its usefulness
what is the benefit of it being a prospective case study?(S)
reduces demand characteristics and social desirability as we can be sure we are seeing real changes in carol
what data does it collect? (S)
qual and quan
