Psychological Therapies Flashcards
what is CBT
cognitive behaviour therapy
-makes sense of and challenges irrational cognitions and behaviours
-usually takes 5-20 sessions
what is normalisation
acknowledges that an individuals experience is rational or normal
aims to remove any shame from the patient
what is reality testing
patient and therapist both examine the likelihood that their beliefs are true
AO3 CBT limitations
-requires engagement and self awareness
-can take long periods of time, likely to drop out
-serious cases could also invite medication, not a stand alone treatment
AO3 CBT evidence for effectiveness
-Jauhar (2014) reviewed 34 CBT studies and found clear evince for small but significant effects in symptoms
-pontillo (2016) reductions in auditory hallucinations
-NICE (2019) recommends CBT for all patients with schizophrenia
AO3 range of techniques and symptoms
vary widely within different cases
-thomas (2015) different CBT techniques for different combinations of symptoms
-hard to say how effective CBT will be for an individual
what is family therapy
involves families and the identified patient views as the problem
aims to improve quality of communication and interaction with family
Pharaoh et al (2010)
try to improve functioning of a family
-reduced negative emotions- reduces risk of relapse due to stress
-improves family’s ability to help- encourages family to asses beliefs and behaviour towards identified patient
AO3 evidence of effectiveness
Mcfarlane (2016) family therapy was one of the most consistently effective treatments for schizophrenia
-> relapse reduced by 50/60%
NICE recommends family therapy to all schizophrenics
Burbach (2018) model of practice to working with families dealing with schizophrenia
1) sharing information and providing basic support
2) identifying what the family can offer
3) mutual understanding creating a safe space
4) identifying unhelpful patterns of interaction
5) skills training e.g stress management
6) planning for future relapse
7) maintaining new patterns of interaction
AO3 benefits the whole family
lobban and barrowclough (2016) these effects are important because families provide the bulk of care for those with schizophrenia
-strengthened functioning= lessens negative impacts of schizophrenia and strengthens support
