Psychological Treatments - CBT Flashcards
CBT is based on
Theories of beck and Ellis who suggest that psychopathological conditions are a result of faulty thinking and irrational beliefs
What is the aim of CBT
To identify and challenge irrational thoughts
Overview of what happens during CBT
Client helps patient consider realistic alternatives through questioning techniques to challenge and explore thoughts
How many sessions of CBT does patient have
5-20 individual or group
The 6 stages of CBT in order
Assessment Engagement The ABC model Normalisation Critical collaborative analysis Developing alternate explanations
What does patient do during assessment
Express his or her own thought about their experiences while a therapist listen actively
What does therapist do during assessment
Asks patient about when their symptoms first started and develop goals
Patient during engagement
Questioning is emphasised involving drawing our persons own understanding of their situation and ways of coping through process of guided therapy
What do therapists do during engagement
Empathise showing flexibility
Description of ABC model
- based on scale of 1-10 where patients rate intensity of distress
COGNITIVE RECONSTRUCTION happens - patient identifies activation event, exploring their beliefs and recognising the consequences
Description of normalisation
Patient taught to understand the nature of schizophrenia symptoms by placing psychotic experiences on a continuum making patients feel less alienated
What does therapist to during critical collaborative analysis
Therapist uses genuine questioning to help patient understand delusions and conclusions
What does client do during critical collaborative analysis
Patient sometimes given homework of applying copring strategies whenever hallucinations or delusions are experienced
What is the last stage of CBT
Developing alternative explanations
What happens during developing alternate explanations
Patient develops own explanation for unhealthy thinking because their healthy explanations are weakened by dysfunctional thinking
3 pieces of key research
Turkington
Jauhar
Nice
What did turnkington research
CBT has good effect on positive and negative symptoms of schizophrenia some aspects can be delivered by nurses in brief intervention programmes
What did juahar research
Meta analysis of 34 studies. CBT has small but significant effect on positive and negative symptoms
What did nice research
CBT was more effective than just medication. CBT helped improve social functioning compared to people receiving standard care. CBT reduces re hospitalisation for up to 18 months after ending treatment
4 evaluation points
Weakness - effect on symptoms
Strength - use with drug treatment
Strength - improving quality of life but doesn’t cure
Weakness - ethics
Elaboration weakness - effect on symptoms
- supportive studies showing food effects of CBT
- turkington, juahar and nice
- reduction in positive and negative symptoms - effective and appropriate for reliability
Elaboration strength - use with drug treatment
- research by Nice shows CBT more effective than just medication
- because helps improve social functioning which drugs can’t do
- reduction in hospitalisation
Elaboration strength - improving quality of life but doesn’t cure
- CBT increases understanding and ability to cope with symptoms but doesn’t cure them
- CBT isn’t perfect solution
- people can say therapy manages symptoms rather than treats them
- poor effectiveness
Elaboration weakness - ethics
- issues if control in relation to persons freedom of thought
- eg challenging someone’s paranoia and beliefs, this may involve therapists subjective view of what acceptable beliefs are
