schizophrenia - 1.5 Flashcards
Cognitive behaviour therapy and family therapy as used in the treatment of schizophrenia. Token economies as used in the management of schizophrenia.
CBT for treating schizophrenia A01
main aim of CBT is to challenge patients’ irrational beliefs and thought processes
doctors attempt to challenge and dispute delusional beliefs
- explanation - patient explains their symptoms
- normalisation - doctor explains patients’ feelings are normal
- challenging - doctor challenges beliefs and experiences
- alternative explanations- patient is asked to develop alternative explanations for beliefs and experiences
CBT aims to treat the dysfunctional thought processes that the patient is having
CBT challenges and corrects the biases in reasoning that cause the symptoms of schizophrenia
CBT for treating schizophrenia A03
study support comes from NICE - conducted a review, patients in studies either given CBT + antipsychotics or just antipsychotics, lab experiments + independent groups design, found that treatments involving CBT were more effective, given CBT less likely to relapse
availability and cost - requires lots of expensive sessions which are usually 1:1 and require multiple sessions, limited availability of the treatment
study limitations - not all studies in the review used random allocation to assign participants e.g. just did first 20 participants to experimental group, studies couldn’t control participant variables that might have influenced the patients behaviour e.g. patients given CBT might have already had less severe symptoms than the control group, confounding variables make it seem more effective than it is
researchers knew which experimental group the patients had been assigned to, not blind, may have displayed personal bias when assessing symptoms, effectiveness may have been exaggerated, lacked objectively
