CBT schizophrenia Flashcards
What is CBT based on?
Cogntive Psychology changing negative thoughts
How does CBT work?
Altering the negative or dysfunctional thoughts which cause problems
Describe how the process of CBT works for Schizophrenia
You work 1to1 with a therapist in sessions each week in an individualised therapy tailored to your issues
This CBT works on the ABC model which stands for what?
Activating events, Beliefs and Consequences
What are the 3 usual steps seen in CBT?
Identify the cognitive distortions. Challenge them e.g. using evidence. Change them to more functional
What is belief modification?
Where delusional thinking is challenged directly and tested against reality, the aim is to make them seem to be only one possible version of events
What is normalisation?
Destigmatising of the psychotic experience and they look at them rationally. The cognitive distortions are discussed alongside any stressful events which may have triggered them- this is to ‘normalise’ them this ‘decatastrophises’ them
What is reattribution?
Focus on the patients beliefs and thoughts about the voices trying to make them see them as self-generated
What is evidential disputing?
Looking for evidence which disputes their thoughts and beliefs
What did Bradshaw find?
Showed that CBT could be effective for those with Schizophrenia with the case study on Carol where her hospitalisations ceased, symptoms reduced and her functioning increased
What did Hoffman find?
looked at 106 meta-analysis (so meta-analysed other meta-analyses.) It was shown to be very effective. However it mainly looked at anxiety, anger control and general stress rather than Schizophrenia (though some studies on that were included)
What did Sensky find?
had some patients undergoing CBT and a control group doing ‘unspecific befriending’. Both interventions resulted in significant reductions in positive and negative symptoms and depression. BUT At the nine-month follow-up evaluation, patients who had received cognitive therapy showed greater improvements on all measures
What did Chadwick and Lowe find?
they found that 10 out of 12 patients showed a decrease in their conviction/belief in their delusions and 5 of the 12 managed to reject their delusions at the end of their therapy as measured via self-report
What did Bentall find?
looked at reattribution of auditory hallucinations and found 3 out of 6 patients did reattribute the voices to themselves while the other 3 reported less hallucinations
Why is it being individualised good?
It can be tailored for that individuals issues which makes the therapy more effective
