Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PSYA4 > Psychological Therapies for SZ > Flashcards

Psychological Therapies for SZ Flashcards

1
Q

What is CBT?

A

Main psychological treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Assumption behind CBT

A

Disordered beliefs influence behaviour in maladaptive ways, leading to SZ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Aim of CBT

A

Help patient identify these faulty/disordered beliefs and correct them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are patients encouraged to do in CBT?

A
  • Trace origins of symptoms & when first arose
  • Evaluate content of delusions/internal voices
  • Behavioural assignments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What might patients evaluating the content of delusions/voices lead to?

A

Consider ways they could test the validity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What might behavioural assignments lead to?

A

Improved levels of functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a final stage of CBT?

A

Therapist lets patient develop own alternatives to maladaptive belief
Looks for alternative explanations/coping strategies already present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do outcome studies do?

A

Measure effectiveness of treatments in comparison to accepted, standard form of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What have outcome studies suggested about CBT

A

Patients recover to far greater extent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What did Dury find regarding outcome studies of CBT

A

20-25% reduction in recovery time when combined with APs

Reduction in positive symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What did Kuipers find in a subsequent study regarding CBT outcome studies?

A

Same advantages with lower patient drop out rate and increased satisfaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the AO1 points?

A

CBT
Outcome Studies
Psychodynamic Therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

AO2 Research for CBT?

A

Generally shows CBT has significant effect on improving symptoms
Gould - meta analysis of 8 - statistically significant decrease in positive symptoms post CBT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

AO2 Why might CBT benefits not be due to CBT alone?

A

Majority of students have been conducted whilst patients are undergoing APs treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Many CBT studies have taken place while patients are on Aps also. What does this mean?

A

Difficult to assess CBT as independent treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Although it is difficult to assess CBT as an independent treatment, what does it support?

A
  • Success when used with APs

- Supports a bio-psycho interaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Rather than eliminating them entirely, how does CBT work?

A

Reducing distressing symptoms of psychotic experiences

18
Q

Why might negative symptoms be useful?

A

Safety behaviours - rapid treatment/hospitalisation

19
Q

What does encouraging reduction of distressing symptoms mean for patients?

A

Forced to mask rather than experience with any less vigour

20
Q

What concerns are there for CBT regarding its appropriateness?

A

Ethical - suffering in silence?

21
Q

What is an issue with the appropriateness of CBT regarding its approach?

A

Reductionist as oversimplifies to simply cognitive explanation when there are bio roles

22
Q

CBT in conjunction with…

A

APs has widely seen benefits

23
Q

Does everybody with SZ benefit from CBT?

A

No

24
Q

Who benefits from CBT? Study -

A

142 SZ patients - found CBT may not be suitable as may not fully engage with therapy

25
Q

Why might some not fully engage with CBT therapy?

A
  • Some may lack intelligence

- May only work with milder forms

26
Q

Why might CBT only work with milder sZ forms?

A

Symptoms are too severe, mind too chaotic

27
Q

What is psychoanalysis based on?

A

Assumption that individuals are often unaware of the influence of unconscious conflicts on their psychological state

28
Q

What is the aim of psychoanalysis?

A

Bring conflicts into the conscious mind so they can be attended to

29
Q

What does psychoanalysis assume about symptoms?

A

All are meaningful and product of individuals life history

30
Q

What happens in psychoanalysis?

A
  • Alliance created by help offered to perceived problems
  • Trust of patient won and relationship built by therapist replacing the harsh, punishing conscience with more supportive conscience
31
Q

Why did Freud oppose techniques such as PA?

A

SZ patients could not be analysed as could not form a transference (shift of emotions onto analyst)

32
Q

What resulted from Freud’s pessimism towards PA?

A

Only a handful practice this technique or variations

33
Q

Effectiveness of PDA - What did Malmberg/Fenton find?

A

We cannot draw definite conclusions about effectiveness (subjective)
- Some may argue PDA is harmful

34
Q

Effectiveness of PDA - What did Meta analysis find?

A
  • MA of 37 studies

- Effective treatment in psychotherapies, amplified when used in conjunction with APs

35
Q

Contradictory effectiveness of PDA: What was found regarding APs?

A
  • better outcome when PDA/Aps combined
  • APS superior compared to PSD alone
  • Just AP, not PSD?
36
Q

Contradictory effectiveness of PDA: What did Karen and VandenBos find?

A
  • Opposite findings

- Patients treated with PDA improved more than APs alone

37
Q

Why might PDA be appropriate for patients?

A
  • APA recommend supportive interventions alongside APs

- PDA is undoubtedly supportive

38
Q

What is an argument opposing PDA regarding the cost?

A
  • Expensive

- Treatment required to be undergone long term

39
Q

What is an argument opposing PDA regarding the cost in relation to APs?

A

Not worth extra expense, as APs are cheaper and more effective

40
Q

What is an argument in SUPPORT of PDA over APs regarding cost?

A
  • Overall cost may decrease as less likely to seek inpatient treatment if they get better over time
  • Employment?
41
Q

Overall, what do suggestions into cost and benefits of PDA show?

A

May be reliant upon individual and their level of functioning

PSYA4 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions