Psychological therapy for SZ Flashcards
How does CBT treat schizophrenia?
-CBT can help a client understand how their irrational cognitions impact their feelings and behaviour
- For example a patient can be told where their auditory hallucinations originate which would usually make them afraid
-This will help people deal with symptoms of SZ but does not treat them
-The therapist can also challenge delusions that the person has and tell them this is not true and offer alternatives
What is normalisation in CBT?
-This is a process whereby hearing voices is depicted as an extension of the ordinary experience of thinking and therefore is not normal or weird
What is the evaluation for CBT as a psychological therapy for SZ?
s:Evidence of effectiveness: Jauhar (2014) reviewed 34 studies using CBT to treat SZ, concluding there is evidence for significant effects on positive and negative symptoms. Maria Pontillo (2016) found reduction sin frequency and severity of auditory hallucinations and NICE recommends CBT for SZ. Therefore, research supports CBT as a SZ
L: Quality of evidence: Wide range of techniques and symptoms included in the studies. CBT techniques and SZ symptoms vary widely from differnt cases pointed out by Neil Thomas. This means the modest benefits of CBT probably conceal a wide variety of effects of different CBT techniques on different symptoms. Therefore CBT’s effectiveness may vary
L: Not suitable: CBT requires willingness to participate and self-awareness which may be prevented due to a person with SZ having avolition and therefore dyfunctional lack of motivation to attend sessions and participate.
How does Family therapy treat schizophrenia?
-Family therapy helps the identified patient (person with SZ) and the family
-Aims to improve the quality of communication and interaction between family members
What strategies used by family therapists to improve the functioning of a family did Fiona Pharoah (2010) identify? (2)
1) Reduces negative emotions: reduces levels of expressed emotion (EE)- e.g. reduce emotions such as anger and guilt which create stress.
-Reducing stress is important to reduce the likelihood of relapse
2) Improves family’s ability to help: Therapists encourage families to form a therapeutic alliance whereby they all agree on the aims of therapy.
-Therapists try to improve families’ beliefs and behaviour towards SZ
-Therapists ensure family’s achieve a balance between caring for the individual and their own lives
What is Frank Burbach’s (2018) model of practice?
-Begins with sharing basic info, and providing emotional and practical support. Then progresses to deeper levels 1-7.
-Phase 2= resources that family members can and cannot offer
-Phase 3 = Aims to encourage mutual understanding and safe space for expression
-Phase 6 = relapse prevention planning
-Phase 7 = maintenance for the future
What is the AO3 for family therapy as a psychological therapy?
-Evidence of effectiveness: A review of studies by William McFarlane (2016) concluded that family therapy was one of the most consistently effective treatments for SZ - relapse rates were found to be reduced by 50-60%. NICE also recommends family therapy for everyone diagnosed with SZ. Therefore benefit for people with both “early” and “full-blown” SZ.
-Benefits the whole family: The therapy is not only beneficial for the identified patient but also for the families. A review by Lobban and Barrowclough (2016) concluded that these effects are important because families provide the bulk of care for people with SZ. By strengthening the functioning of the whole family, family therapy lessens the impact of SZ on family members and allows them to support more. This means it benefits not only the identified patient
