Psychological therapies A03 Flashcards
Explain how Jauhar in 2014 reviewing 34 studies where CBT was used with Sz and concluded there is a clear evidence for small but significant effects on both positive and negative symptoms when using CBT provides supporting evidence
This shows evidence that both research and clinical experience, support the benefits of CBT for Sz
Explain what Portillo in 2016 found to do with CBT
It caused reductions in the frequency and severity of auditory hallucinations
(clinical advice from NICE (National Institute for Health and Care Excellence), recommends CBT for Sz)
This means that both research and clinical experience support the use of CBT for Sz
Explain why Thomas (2015) finding different studies have used different CBT techniques and people with different symptoms (some positive, some negative) is a limitation
This means that it is hard to say how effective CBT will be for treating a particular person with Sz
CBT is known to be palliative not curative - Sz is likely biological in origin, therefore CBT may only help the patient live a normal life and cope with their symptoms
CBT does not cure Sz
Studies report significant reductions in positive and negative symptoms after CBT
This suggests CBT does more than enhance coping
What was Burbach’s proposed model for working with families who are dealing with Sz
7 Stages:
- Basic information sharing and providing emotional and practical support
- Identifying resources, what family can/can’t offer
- Encourage mutual understanding, create safe space for all members to express feelings
- Identify unhelpful patterns of behaviour
- Skills training such as learning stress management techniques
- Relapse prevention training
- Maintenance for the future
What is the supporting evidence from McFarlane (2016)?
concluded family therapy is effective for Sz - relapse rates were reduced by 50-50%
it is particularly promising during the time when mental health initially starts to decline
NICE recommends family therapy
This means family therapy is good for people with both early and ‘full blown’ Sz
Family therapy supports the whole family and lessens the negative impact of Sz in the family and strengthens ability of the family to give support - Barrowclough (2016)
This is a strength because it means the family therapy has wider benefits beyond the obvious positive impact on the identified patient
What are the economic benefits?
Family therapy reduces relapse rates and make families better able to provide the bulk of care so it has economic benefits. This reduces the amount of time patients need to spend in hospital and thus costs less to the economy.
