Methods Of Modifying Behaviour- CBT Flashcards
What does CBT need to be used with to treat Schizophrenia?
Antipsychotic drugs
What is the overall aim of CBT in cases of schizophrenia?
It is mainly used to help scz patients to gain control of their disorganised thoughts in rational ways (e.g question irrational beliefs)
What were the 5 key components for CBT in cases of Schizophrenia?
Engagement strategies
Psycho-education
Cognitive strategies
Behavioural skills training
Relapse prevention strategies
Explain engagement strategies (1st step of CBT for Scz)
The therapist aims to build a relationship with the client, the client is seen as the expert of their own symptoms
Explain Psycho-education (2nd step of CBT for Scz)
This stage is used to educate the client on their illness and normalises it to the client so they can gain an understanding of it
Explain cognitive strategies (3rd step of CBT for Scz)
The client is encouraged to challenge their irrational thoughts with rational answers, usually by keeping a diary. This helps them gain control of their thoughts
Explain behavioural skills training (4th step of CBT for Scz)
Techniques such as relaxation or problem solving are taught to help clients through the negative symptoms of Schizophrenia
Explain relapse prevention strategies (final step of CBT for Scz)
The therapist and client identify early warning signs of relapse and create plans on what to do if it they are taking place
Why is the long-term effectiveness of CBT debated ? (Evaluation for Scz)
Research followed a group of Scz people who had CBT and one who didnt - after 18 months the relapse rate was the same
However , CBT group were less affected by their symptoms
Why is the effectiveness of CBT in treating all cases debated? (Evaluation for Scz)
Research is conflicting, one cases study found small decreases in symptoms
But a study a month later found huge improvements for symptoms
Suggests it does not work in all cases
What research supports the idea that CBT is effective at treating Schizophrenia? (Evaluation)
Kulper et al 1997 - followed 60 scz patients , in the group who had CBT alongside standard care, 50% improved, 1 got worse , compared to 31% and 1 commiting suicide
Suggests its signficantly more effective than standard care alone
What are two Ethical implications of CBT for Scz?
It can be a potentially negative experience for Scz - But research shows that they are generally happy with it
Some psychatrists may limit CBT acess - it may be ignored if client responds well to drugs alone
What are two social implications of CBT for scz?
CBT not offered to everyone - average of 50% offered it , this goes against NHS guidance , may be a ‘postcode lotterty’ due to trusts
CBT is cost-effective
Explain how CBT can help lower the cost for Schizophrenia treatment (social implications)
CBT is usually paired with drug therapy, however, as CBT aims to reduce positive symptoms, it could result in a decrease in the dosage of Antipsychotics, which in turn lowers the overall cost of treatment
