Psychological Treatments To Schizophrenia Flashcards
What does Cognitive Behavioural Therapy (CBT) aim to address in patients?
Distorted beliefs that negatively influence feelings and behaviour.
CBT focuses on the relationship between thoughts, feelings, and behaviours.
What are delusions a result of?
Faulty interpretations of events.
Delusions can lead to significant distress and impairment.
How many sessions does CBT typically involve?
Between 5-20 sessions total, one-to-one or group.
The duration may vary based on individual needs.
What is one method patients use in CBT regarding their delusions?
Evaluate content of their delusions/voices to test validity of beliefs.
This process helps in altering maladaptive beliefs.
What is the ABC model in CBT?
Activating events, Beliefs, and emotional Consequences.
This model helps in understanding the relationship between thoughts and feelings.
What is the purpose of normalisation in CBT?
To reassure patients that many people experience hallucinations and delusions when stressed.
This can reduce anxiety and promote recovery.
What does Critical Collaborative Analysis involve?
Gentle questioning to challenge the patient’s beliefs in a non-judgemental atmosphere.
This fosters trust between the therapist and patient.
What is the goal of developing alternative explanations in CBT?
To help patients create their own explanations for unhealthy assumptions.
The therapist supports this development through guidance.
Who conducted a case study involving a paranoid client and what was the client’s belief?
Turkington et al (2004), who treated a client believing the Mafia were plotting to kill him.
This case illustrates the application of CBT techniques.
True or False: In CBT, therapists dispute irrational beliefs through challenging questions.
True.
This is a key component of the therapeutic process.
Fill in the blank: Patients are helped to make sense of how their ________ impact their feelings and behaviour.
delusions/hallucinations.
Understanding this impact is crucial for recovery.
What is the effectiveness of CBT for schizophrenia?
There is evidence for the effectiveness of CBT, with a significant but small effect on positive and negative symptoms.
Jauhar et al (2014) reviewed 34 studies and found these results.
What did Pontillo et al (2016) find regarding CBT?
Pontillo et al (2016) found reductions in auditory hallucinations.
What does NICE (2019) recommend for people with schizophrenia?
NICE (2019) recommends CBT for people with schizophrenia, indicating support from research evidence and clinical experience.
What is a weakness of the evidence for CBT?
The quality of the evidence is a concern, as different studies have focused on different CBT techniques and symptoms.
Thomas (2015) highlighted these variations.
What are some methodological issues in CBT studies?
Some studies fail to randomly allocate patients to conditions or mask conditions for assessors, weakening the validity of meta-analyses.