Psychological therapies Flashcards
Token economy
Managing Sz
based on operant conditioning
tokens (secondary reinforcers) traded for primary reinforcers.
E.g brushing teeth.
Token economy strength
Research evidence
Metaanalysis- 13 studies
11 positive outcomes
No control for other therapies at the same time
Token economy limitation
Ethically wrong- lack of autonomy
Family therapy
Prevents relapse
How does family therapy reduce relapse
-Psychoeducation
-encourages separation
-improves coping skills
-talking openly.
what does family therapy target
reduces Ee
-improves positive communication
-increases tolerance
-decreases guilt
Conditions for family therapy
3-12 months, 10 sessions, families in vivo
Strengths of family therapy
Meta analysis support
-53 studies comparing family to drug therapy
-only randomised controlled trials
-found lower relapse rates
-increased compliance with medication
-Wu pointed out not all studies were randomly allocated
Cost savings of family therapy
Lowered hospital rates
Minimal difference between family therapy and carers
both had lower relapse than control
CBTp
Based on principle irrational thoughts lead to abnormality
coping strategies for positive symptoms
CBTp process
Establish a rapport, psychoeduction to identify personal triggers. challenges delusions- patient as a scientist
Works on accepting hallucinations arent real and coping skills
Homework of applying stratergies.
CBTb meta analysis
positive effect found. when only blind procedures were used effect disappeared which questions the effectiveness.
Reserach shows effectivness of CBTp
Tarrier- compared CBT to drugs- effects still present after a year but wore off after 2 years.
CBTp weakness
Not a cure.
