Psychological Therapies For Schizophrenia Flashcards
What are 3 psychological therapies for schizophrenia
- cognitive behavioural therapy for psychosis (CBTp)
- Family therapy
- Token economies
What is CBT
A combination of cognitive therapy (way of changing maladaptive thoughts and beliefs) and behavioural therapy (way of changing behaviour in response to these thoughts and beliefs)
What is the main aim of CBTp
Helps patients to identity irrational thoughts and challenge them by reality testing
What framework does CBTp make use of
Ellis’ ABCDE model
How does the ABCDE model work
Identifying activating event (A) which trigger irrational beliefs (B) and cause emotional and behavioural consequences (C). The beliefs can be disputed (D) and changed leading to an effect (E) which is the restructured belief
What is normalisation
Therapist shares with patient that many people have unusual experiences making them feel isolated and stigmatised
What behavioural assignments can be set during CBTp
Tasks to improve general level of functioning- shower every day, go out and socialise with friends
What is family therapy
A range of interventions carried out with members of a family of someone with a mental disorder- improves their communication and reduces stress of living as a family
What is the main aim of family therapy
To reduce relapse rates
What are token economies
A form of therapy where desirable behaviours are encouraged by selective reinforcement. Rewards (tokens) are given as secondary reinforcers, which can then be exchanged for primary reinforcers- food or privileges
What are the 5 strategies developed by Pharoah used during family therapy
- Psychoeducation- helping carers understand and be better able to deal with illness
- Alliance with family members
- Improving ability of family to anticipate and solve problems
- Reduction of expressions of anger and guilt by family members
- Helping family members achieve a balance between caring for individual and maintaining their own lives
How do token economy systems work
Rewards (tokens) are given as secondary reinforcers when socially desirable behaviours are carries out. The tokens can be exchanged for primary reinforcers- food or privileges
Which principle are token economies based on
Operant conditioning
Are tokens a primary or secondary reinforcer
Secondary reinforcer
Which type of symptoms do token economies aim to alleviate
Negative symptoms
