Cognitive Behavioural Therapy (psychological) Flashcards
Define Cognitive Behavioural Therapy.
Therapy that focuses on changing negative thought processes or behaviours into positive ones.
What does CBT involve?
- 5-20 therapy sessions (individual or group)
- helps identify irrational thoughts and change them
- helps make sense of delusions/hallucinations and their impacts
- doesn’t get rid of symptoms but helps patient to cope effectively
- allows evaluations of hallucinations
- patient is set homework to improve functioning
What are the 6 stages involving in CBTp?
- assessment
- engagement
- ABC model
- normalisation
- critical collaborative analysis
- develop alternative explanations
Evaluate CBTp.
(+) seems to be the most effective therapy when combined with drugs (combined therapy). Best treatment.
(+) Rathod (2005) found CBT clinicians tend to be highly trained and effective.
(+) less ethical issues - patient feels more in control and has more free will
(+)/(-) works best with patients who refuse drug therapy, but this means they might be unwillingly to cooperate with CBT
(-) expensive treatment - NHS more willingly to give drugs
(-) Haddock (2013) shown CBTp not usually offered, many patients don’t attend meetings - 1/10 patients have access to CBTp in the UK
What did the National Institute for healthCare Excellence’s (NICE) 2008 research involve?
- investigated patients who received CBT vs drugs as therapy
- identified effectiveness of CBT in 39 randomised trials
- 2118 patients studied
What were the results from NICE’s (2008) study?
- 910 patients who received CBT showed 24% reduction in hospitalisation rate
- CBT were less likely to leave the study early
- no difference in suicide or relapse rates
- conclusion = CBT should be added to standard care - reduces total symptoms for sz and depression
Evaluate NICE’s (2008) study.
(+) reduces relapse rates so it’s more cost-effective for the NHS
(+) supported by Interactionist Approach (combination treatment is best) - backs conclusion
(-) sample is fairly small - results are objective/scientific enough
(-) CBT isn’t always available - NHS-dependent (on funds/resources)
