Psychological Treatments - CBT

Question 1

CBT is based on

Answer 1

Theories of beck and Ellis who suggest that psychopathological conditions are a result of faulty thinking and irrational beliefs

Question 2

What is the aim of CBT

Answer 2

To identify and challenge irrational thoughts

Question 3

Overview of what happens during CBT

Answer 3

Client helps patient consider realistic alternatives through questioning techniques to challenge and explore thoughts

Question 4

How many sessions of CBT does patient have

Answer 4

5-20 individual or group

Question 5

The 6 stages of CBT in order

Answer 5

Assessment 
Engagement 
The ABC model 
Normalisation 
Critical collaborative analysis 
Developing alternate explanations

Question 6

What does patient do during assessment

Answer 6

Express his or her own thought about their experiences while a therapist listen actively

Question 7

What does therapist do during assessment

Answer 7

Asks patient about when their symptoms first started and develop goals

Question 8

Patient during engagement

Answer 8

Questioning is emphasised involving drawing our persons own understanding of their situation and ways of coping through process of guided therapy

Question 9

What do therapists do during engagement

Answer 9

Empathise showing flexibility

Question 10

Description of ABC model

Answer 10

• 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

Question 11

Description of normalisation

Answer 11

Patient taught to understand the nature of schizophrenia symptoms by placing psychotic experiences on a continuum making patients feel less alienated

Question 12

What does therapist to during critical collaborative analysis

Answer 12

Therapist uses genuine questioning to help patient understand delusions and conclusions

Question 13

What does client do during critical collaborative analysis

Answer 13

Patient sometimes given homework of applying copring strategies whenever hallucinations or delusions are experienced

Question 14

What is the last stage of CBT

Answer 14

Developing alternative explanations

Question 15

What happens during developing alternate explanations

Answer 15

Patient develops own explanation for unhealthy thinking because their healthy explanations are weakened by dysfunctional thinking

Question 16

3 pieces of key research

Answer 16

Turkington
Jauhar
Nice

Question 17

What did turnkington research

Answer 17

CBT has good effect on positive and negative symptoms of schizophrenia some aspects can be delivered by nurses in brief intervention programmes

Question 18

What did juahar research

Answer 18

Meta analysis of 34 studies. CBT has small but significant effect on positive and negative symptoms

Question 19

What did nice research

Answer 19

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

Question 20

4 evaluation points

Answer 20

Weakness - effect on symptoms
Strength - use with drug treatment
Strength - improving quality of life but doesn’t cure
Weakness - ethics

Question 21

Elaboration weakness - effect on symptoms

Answer 21

• supportive studies showing food effects of CBT
• turkington, juahar and nice
• reduction in positive and negative symptoms - effective and appropriate for reliability

Question 22

Elaboration strength - use with drug treatment

Answer 22

• research by Nice shows CBT more effective than just medication
• because helps improve social functioning which drugs can’t do
• reduction in hospitalisation

Question 23

Elaboration strength - improving quality of life but doesn’t cure

Answer 23

• 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

Question 24

Elaboration weakness - ethics

Answer 24

• 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