psychological treatments for sz Flashcards
ways to treat SZ:
- Cognitive Behavioural Therapy
- Family therapies
ways to manage sz:
- token economies
how CBT treats sz
- assumes SZ is dysfunctional thought process
- faulty cognitions e.g. delusions
- challenge irrational beliefs and provides alternatives
aims of ABC (DE) model by Ellis
- understand source of faulty cognition
- provide process to cognitively restructure irrational beliefs
ABC (DE) model by Ellis: example
A- activating event= drug treatment causes side effects
B- beliefs= hospital staff are trying to kill them
C- consequences= refusing treatment
D- disrupting irrational beliefs= staff have no reason to kill them
E- effect (reconstructed belief)= the drugs are necessary and help
what is reality testing in CBT?
- patient can demonstrate for themselves that their irrational beliefs aren’t real
-e.g. they say they can predict the future so they’re asked to predict cards drawn from a deck
Evaluation CBT : research evidence that CBT is effective senksy et al. (2000)
- pp who resisted drug treatments had a reduction in pos and neg symptoms when treated by 19 sessions of CBT
- continued to improve 9 months after treatment had ended
- CBT can be effective when drugs are not
- drugs only reduce symptoms for a short term
Evaluation CBT: length of treatment of CBT too long
- ending treatment early is common because treatment takes long
- symptoms can become severe at that time
- CBT requires engagement
- neg symptoms can lead to decreased willingness to take part
- pos symptoms can lead to distrust of the process
Evaluation CBT : may not be able to cope with vigorous confrontation of beliefs
- due to severity of symptoms or beliefs may not be able to cope with vigorous confrontation of beliefs CBT needs
- anti-psychotic medication can be used to reduce the severity of the symptoms
Evaluation CBT: doesn’t produce side effects like drugs do
- preferred treatment plan for many patients as no side effects like drugs
- BUT significant cost of a trained therapist is a lot compared to drugs
what is family therapies?
- family dysfunction can increase the risk of relapse into sz
- family therapies attempt to improve the home situation of the person with sz
- intended to change behaviour of the whole family not just those with sz= family centered
what is family centered?
- intended to change behaviour of the whole family not just those with sz
what is psychoeducation?
- family is educated on the symptoms of sz
- for them to be more understanding of their family members behaviours
aims of family therapy:
- reduce conflict
- reduce stress
- reduce self sacrifice
- improve communication
- improve problem solving skills
Evaluations of family therapy: research by Leff (1985)
- those provided with standard outpatient care, 50% relapsed in 9 months
- 8% relapsed with family therapy
- after two years family therapy had risen to 50% and 75% with standard care
- use full at stopping remission in the short term
