Psychological therapy Flashcards
How can CBT help SZPN
takes place over 5-20 sessions
- help makes sense of how irrational cognitions (delusions/hallucinations) impact feelings/behaviour
- does not necessarily eliminate symptoms but can make easier to cope with
= reduce distress, improve ability to function adequately
= tackle anxiety/depression resulting from SZPN
How can family therapy help SZPN
Aim to improve quality of communication/interaction between family members
Pharoah et al (2010) identified strategies used;
1. reduce levels of EE, + stress from this
2. psychoeducation of SZPN
= improve ability to understand, support and balance care with own life
Burbach (2018) model of practice (P1-4)
P1 = share basic info, provide emotional/practical support
P2 = identify resources (what family can and can’t offer)
P3 = encourage mutual understanding
P4 = identify unhelpful patterns of interaction
Burbach (2018) model of practice (P5-7)
P5 = skills training, e.g., stress management
P6 = relapse prevention planning
P7 = maintenance
Strength of CBT for treating SZPN
Evidence for effectiveness
Nice = Compared to APs, CBT effective in reducing rehospitalisation rate up to 18months following end of treatment
- evidence for improved social functioning when receiving CBT compared to APs
= supports use of CBT, shows ability to relieve symptoms and has benefits over APs
Weakness of CBT for treating SZPN
Not effective for all
- certain symptoms, e.g., hallucinations/delusions may not allow for self-reflections as individual may not have insight into conditions
- speech poverty/disorganised speech = limited verbal communication = further difficulty
- Thomas = diff studies find diff results for diff effectiveness due to diff CBT techniques and combos of SZPN symptoms
= combining with APs, that help stabilise symptoms, can allow to evaluate and challenge beliefs = not as effective on own
Strength of family therapy for treating SZPN
Evidence for effectiveness
Pharoah et al = reviewed 53 studies investigating effectiveness
- in comparison to standard care, family therapy increase compliance with medication, reduced risk relapse, reduced hospital admission during treatment + 24 months after
= shows effectiveness in improving certain elements of SZPN
(also benefical for family = improved coping, relationship quality, reduce likelihood of developing)
WIDER BENEFITS
Weakness of family therapy for treating SZPN
Require commitment
= from no. of individuals
- logistical difficulty to find regular time that works for all
- requires motivation
- family may see disorder as individual’s responsibility = may not fully engage or attend
= means individual therapy, CBT or art therapy, may be more appropriate
