Psychological Therapies For Schizophrenia Flashcards
Cognitive Behavioral Therapy (CBT)
Helps patients challenge delusions and hallucinations.
Kingdon and Turkington (2005): Found that CBT improves symptoms and quality of life in schizophrenia
How Does CBT Work for Schizophrenia
Patients work with a therapist to identify irrational beliefs and test their reality.
Patients develop coping strategies for dealing with symptoms and improve daily functioning
Evidence for the Effectiveness of CBT
Kingdon and Turkington (2005): Found that CBT was effective in reducing both positive and negative symptoms.
Improves coping strategies and helps patients function better socially and occupationally
Family Therapy
Aims to reduce Expressed Emotion (EE) and educate families.
Pharoah et al. (2010): Found that family therapy reduces relapse rates by improving family understanding
How Does Family Therapy Help?
Aims to reduce emotional overreaction and negative behaviors within the family.
Teaches families how to support the patient, recognize early signs of relapse, and reduce stress
Evidence for the Effectiveness of Family Therapy
Pharoah et al. (2010): Found that family therapy reduced relapse rates and improved overall patient outcomes.
Patients with supportive families showed a better response to treatment
Token Economies
A behavioral treatment that reinforces desired behaviors through a system of rewards (tokens) that can be exchanged for privileges.
Commonly used in institutional settings
How Does Token Economy Work?
Patients earn tokens for behaviors such as personal hygiene, engaging in activities, or socializing.
Tokens are then exchanged for rewards, such as extra recreation time or privileges.
Evidence for Token Economy Effectiveness
Research shows token economies can improve behaviors in institutionalized settings.
Improves personal care and social behaviors in patients with schizophrenia
strengths - CBT
✅ Reduces symptom severity
→ Example: Jauhar et al. (2014) found CBT has a significant, though small, effect on positive and negative symptoms.
✅ Empowers patients
→ Example: Helps individuals challenge delusions and develop coping strategies
Limitations - CBT
❌ Limited effectiveness for severe cases
→ Example: Patients with extreme symptoms may struggle to engage in CBT.
❌ Doesn’t cure
→ Example: Manages symptoms, but doesn’t eliminate the disorder.