Psychological Therapy

Question 1

What psychological therapy do they use for SZ?

Answer 1

Cognitive Behavioural Therapy (CBT)

Question 2

What is CBT?

Answer 2

A method for treating mental disorders based on both cognitive and behavioural techniques. From the cognitive viewpoint the therapy aims to deal with thinking including behavioural techniques.

Question 3

How does CBT help?

Answer 3

Can help a client make sense of how their irrational cognitions such as, delusions and hallucinations impact on their feelings and behaviour. Just understanding where they come from can be hugely helpful. Making the voices less frightening as they explain how they come from a malfunctioning speech centre. Normalisation can occur- where clients are ensured they are just thinking aloud.

Question 4

What is challenged in CBT, who used CBT to challenge this?

Answer 4

• The clients delusions by reality testing to tackle anxiety and depression. Examine the likelihood their beliefs are true
• Turkington

Question 5

What is family therapy?

Answer 5

A psychological therapy carried out doubt with all or some members of the family with the aim. Of improving the communications within the family and reducing the stress of living as a family.

Question 6

How does family therapy help?

Answer 6

Pharoah et al identified a range of strategies:

• Reduces negative symptoms: like EE reduced, this then reducing chance of relapse
• Improves family to help: creating an alliance, improving beliefs and behaviour towards SZ

Question 7

What is a model of practice?

Answer 7

Burbach- a model for working families dealing with SZ, sharing basic information and providing emotional and practical support. Phase 2 offering different resources and phase 3 aims for mutual understanding whilst phase 4 identifies unhelpful patterns of interaction, phase 5 is about skills training, phase 6 looks at relapse prevention planning and phase 7 maintenance for the future

Question 8

What is AO3 for CBT?

Answer 8

• Evidence for its effectiveness, Jauhar et al (2014) reviewed 34 studies using CBT with SZ and found small but clear evidence on both positive and negative symptoms
• Quality of evidence- wide range of techniques and symptoms. Thomas points out different studies have involved different CBT techniques and symptoms its hard to pinpoint how effect CBT will be for a particular person

Question 9

What is AO3 for family therapy?

Answer 9

• Evidence of its effectiveness, Mcfarlane conducted that family therapy was one of the most consistent effective treatments with relapse rates reducing by 50-60%. He also concluded using family therapy as mental health initially starts to decline is promising, benefits those with early and full blown SZ
• Benefits for all family members not just individual with SZ. Lobban and Barrowclough concluded that these effects are important as families provide bulk of care for person. Strengthening function of the whole family lessens impact of SZ on family. Wider benefits beyond identified patient