drug therapy

Question 1

strength: ETS THORNLEY ET AL// MELTZER

Answer 1

TEA- meta analysis 13 studies, 1121 ppts, chlorpromazine against placebo, typical associated with better overall functioning and reduced symptom severity. MELTZER- clozapine, more affective than typical, 30-50% treatment resistant cases, inc validity

Question 2

strength: little motivation

Answer 2

takes a tablet to reduce symptoms, CBT requires motivation to attend and engage with sessions, identify and challenge, SZ patients no accurate perception of reality// avolition, more appropriate as more accessible across symptoms

Question 3

weakness: negative side effects

Answer 3

chlorpromazine can cause parkinsonism, clozapine carry risk of life threatening illness ageanulocytosis (reduced WBC count), CBT doesn’t involve use of drugs, no side effects, not appropriate as patients may stop taking them

Question 4

weakness: ethical issues

Answer 4

antipsychotics used to calm patients in hospitals, make easier for staff to work, benefits staff rather than patient, human rights abuse, can’t give full informed consent, not ethical as used for ward management rather than treatment