Psychological Treatment - Family Therapy

Question 1

Pharoahs views on family therapy

Answer 1

• contributes to overall treatment package used within medication and outpatient care

Question 2

Why does phaorah believe reduction in stress is important

Answer 2

Helps increase compliance with medication, reduced relapse and hospital admission

Question 3

Duration of family therapy

Answer 3

3-12 months, minimum of 12 sessions

Question 4

6 strategies used by family therapists to reduce negative emotion that creates stresss

Answer 4

1 reduce stress of caring for relative wirh sz
2 reduce expressions of anger and guilt by family members
3 dorm an alliance with family and caregivers
4 enhance ability to anticipate and solve problems
5 help family get a balance between caring and maintaining their own lives
6 improving beliefs about sz - psychoeducation

Question 5

Frank Burbank’s model for family therapy 7

Answer 5

• share information and provide emotional and practical support
• identify resources and ability of dif family members to help
• create safe place
• identify unhealthy patterns of interaction
• skills training
• plan to prevent relapse
• maintainance for future

Question 6

Def family therapy

Answer 6

Name given to a range of interventions aimed at the family of a person wirh sz

Question 7

NICE stands for

Answer 7

National institute for health and care excellence

Question 8

When does NICE think family therapy should be offered

Answer 8

To the families/ people’s in close contact of people diagnosed with sz

Question 9

4 evaluation points

Answer 9

Weakness - unsupportive evidence
Strength - application
Strength - supportive evidence
Weakness - methodological problems

Question 10

Elaboration weakness - unsupportive evidence

Answer 10

• Garety found that relapse rates were lower for patients receiving family therapy and those receiving care but have no therapy
• the carers in groups showed lower levels of expressed emotion
• good care is important for family therapy therefore isn’t effective so reduced appropriateness

Question 11

Elaboration strength - application

Answer 11

• NICE review of family intervention studies showed use of therapies is associated with significant cost savings when offered to people in addition to standard care
• meaning appropriate
• positive economic implications by reducing costs

Question 12

Elaboration strength - supportive evidence

Answer 12

Pharaoh meta analysis of 53 studies of family theraot

• countries involved; euroise asia, North America
• reduction in relapse and hospital admissions
• found family intervention increased compliance when compared to standard therapies
• shows effective

Question 13

Elaboration weakness - methodological problems

Answer 13

• pharaoh meta analysis methodological problems
• lack of random allocation in China
• possible observer bias - in some studies researchers knew which condition ps were in eg family theraot or standard care influencing outcomes
• makes it difficult to assess effectiveness of family therapy