Family therapy Flashcards
What is the rationale of family therapy?
Aims to reduce expressed emotion, to reduce stress of patient and chance of relapse
What does family therapy develop?
A therapeutic alliance via open productive discussion to talk about problems to get family working together
What does family therapy educate?
Symptoms and severity, causes and their role
What skills are developed in family therapy?
Identifying, anticipating and dealing with problems appropriately, control anger and hostility and resist temptation to become emotionally over-involved
What are ways of controlling anger and hostility?
Counting to 10
What are ways of resisting getting emotionally over-involved?
Giving the patient space
What is research evidence for effectiveness of family therapy?
Pharaoh and Anderson
What was Pharoah’s study’s?
A cochrane meta analysis of clinical trials comparing drugs vs drugs and family therapy
What were Pharoah’s findings?
Relapse rates were nearly half for those in family therapy as well, compliance with medication was 60% higher and levels of EE were lower
What was Anderson’s study?
A clinical trial comparing family therapy anti-psychotics
What were Anderson’s findings?
Relapse rates of family therapy were 20% whereas relapse rates of drugs was 40%
What are issues with Pharoah’s meta-analysis?
Half of the studies were in China and were weakly conducted so effectiveness of family therapy may be overestimated
What is research evidence comparing CBT and family therapy?
Jones
What was Jones’ study?
A cochrane meta-analysis that compared CBT, family therapy and other psychological treatments
What were Jones’ findings?
No difference in effectiveness between CBT and FT, but CBT had lower drop-out rate
