CBT Flashcards
Over how long of a period does CBT usually last when treating SZ?
5-20 sessions.
What does CBT aim to deal with?
Thoughts, feelings and behaviour.
What does the CBTp aim to do with the patient?
Identify and change faulty cognitions/irrational thoughts.
How may a therapist help to reduce/change faulty cognitions?
Normalisation
Reality testing
Using logic
What other model is adopted when using CBT for SZ patients?
ABCDE model.
Focus on cognitively restructuring the irrational beliefs e.g dispute and effect.
What is reality testing?
Person with SZ and their therapist jointly examine the likelihood that the beliefs are true.
What is normalisation?
E.G People hearing voices can be helped by teaching them that voice-hearing is an extension of the normal experience of thinking in words.
What other things might CBT aim to reduce in someone with sz?
Anxiety/depression
How did Jauhar support the idea of CBT for sz?
He reviewed 34 studies of CBT finding small but significant effects on both positive and negative symptoms (P<0.001)
How did Tarrier (2000) support the idea of CBT for SZ?
Found people with schizophrenia receiving 20 sessions of CBT in 10 weeks, coupled with drug therapy, followed by four booster sessions during the next year, had a better reduction in symptoms than sufferers receiving drug therapy alone.
What are some general strengths of CBT?
FREE WILL
IDIOGRAPHIC
LACK OF SIDE EFFECTS
What are some general limitations of CBT?
Lengthy & time consuming (drop out rates/economic cost)
Issues with availability - NICE said 1/10 other research suggested less than 7% of people and fewer take it up.
Not a cure/symptoms might still also be present.