psychological treatment for sz Flashcards
how often is someone seen when undergoing cbt for sz
once a week for 8-20 sessions
what did cbt aim to do for sz
control their own behaviour rather than getting rid of symptoms -> usually works alongside drugs
what is the first stage of cbt for sz
work to identify irrational thoughts they might record this as part of their homework
what is the second stage of cbt for sz
they challenge look for evidence for and against their delusion and beliefs to see that they don’t match reality - which helps changing them and reduce their stress
what is the third stage of cbt for sz
change of behaviour - the therapist encourages the patient to come up with their own coping strategies for when they experience stress or the symptoms
what else may clients be asked to so when undergoing cbt for sz
they may be asked to change their behaviour and record their experiences such as going out with friends if social withdrawal is a symptom
what is belief modification
challenging those ideas around their delusions and how they come from irrational thinking and theres no evidence for them - this also means they don’t need to act upon them
what is focusing and reattribution
working with the client to realise their auditory hallucinations are internal voices
what is normalising
therapists will discuss events that happened before the sz and cognitive distortions from illness in order to make the sz seem more normal
what is the acronym for cbt
a- activating event
b- belief
c- consequence
hoffman and cbt for sz
hoffman did a meta analysis of a meta analysis and found cbt is an effective treatment for sz
OTOH meta analysis may have researcher/publisher bias
bradshaw and cbt for sz
assessed cbt in a case study with a female sz carol and found considerable improvements -> supports that cbt is effective for sz
OTOH case study may not be effective for everyone
chadwick and lowe and cbt for sz
found that 10/12 patients showed a decrease in their belief in their delusions and 5/10 managed to reject their delusions at the end of therapy measured via self report -> support that cbt is effective for sz
OTOH 5/12 is low suggesting it doesn’t work for everyone
:( self report may not be valid as patient may lie
sensky and cbt for sz
had patients undergoing cbt compared to some undergoing unspecific befriending both interventions resulted in significant reductions in positive and negative symptoms of sz -> supports that cbt reduces symptoms
OTOH unspecific befriending is just as effective and would be cheaper and easier
strengths of cbt for sz
- no side effects so more desirable for patient so more likely to engage
- tailored to individuals because ps come up with own coping strategies to tackle own symptoms -> effective
- long lasting once learn skill of challenging thoughts can do this independently in day to day life
weakness of cbt for sz
- someone with sz may find therapy hard to engage in as may not be able to communicate or may not trust therapist -> not effective for everyone
- not empirical as cant measure a thought
