Psychological treatment: CBT

Question 1

Chadwick et al

Answer 1

• reported a case of an individual who believed he could make things happen by thinking them
• he was shown 50 clips and asked to say what would happen next
• he didn’t predict a single thing wrong so was able to understand he didn’t have the power to influence events after all

Question 2

Tarrier et al

Answer 2

• cognitive strategies including distractive thoughts and positive self-talk
• behavioural strategies including relaxation techniques and ways of drowning out hallucinations
• 73% of their sample reported they were successful at managing their symptoms

Question 3

Startup et al

Answer 3

• 90 patients admitted for an acute schizophrenic episode
• 43 given standard treatment (antipsychotics and nursing)
• 47 given standard treatment and up to 25 90 minute sessions of CBT
• 60% of CBT group showed improvement (compared to 40%)
• all the benefits were present at both the 6 and 12 month check ups (compared to 17%)

Question 4

Garrett

Answer 4

• CBT is an appropriate mechanism to encourage schizophrenic patients to take their antipsychotic medication
• CBT can help them change their mind about taking the drugs

Question 5

Kingdon and Kirschen

Answer 5

• clinicians significantly judged older schizophrenic patients as being far less suitable/appropriate than younger patients to benefit from CBT

Question 6

Zimmerman et al

Answer 6

• CBT can help with auditory and visual hallucinations that sufferers experience
• it can be particularly helpful in reducing the distress and negative emotions experienced by those who suffer hallucinations