Schizophrenia AO3 Flashcards
Family therapy
+Supporting evidence - McFarlane did meta analysis found therapy reduces relapse & improves symptoms
+Helps patients who can’t speak coherently - family have insight into their behaviour that patient may not
-Nature of therapy = problem - make reluctant to share reducing effectiveness
Psychological therapy
-Quality of evidence - Thomas = different studies different techniques focused
+Works when other treatments don’t
+Less side effects - economic implication as cheaper long-term
-Doesn’t benefit everyone - Kingdon found only some of 142 patients suitable for CBT
Family dysfunction
+Supporting evidence - 69% women 59% men with Sz (experienced physical/sexual abuse) family dysfunction= increased vulnerability to Sz
-Creates ethical issue - socially sensitive situation creates additional stress for parent with child experiencing Sz
+Supporting evidnece EE - 48% relapse rate - recovering Sz return to high EE home, 21% in low EE home
Token economy
-Only short term - reinforcement removed increase chance of relapse
+Support evidence - Glowack - 7 token studies show less negative symptoms
-Pleasant alternatives - art therapy high gain low risk - don’t suppress liberties
Cognitive impairement
+Supporting evidence for dysfunctional processing - people with Sz twice as long to name font colours in stroop test
+Supporting evidence - O’carroll - cognitive impairment in 75% of Sz
-Cause and effect? - don’t know cognition origin so don’t know dysfunction causes Sz
Antipsychotics
+Supporting evidence - Thornley - chlorozapine linked with better functioning compared placebo. Meltzer - clozapine 30-50% effective in treatment resistant cases
CP - short term solution - research focus on less than a year impacts
-Side effects - dizziness, tardive dyskensia discourage patients
-Drug therapy validity - antipsychotics linked dopamine hypothesis which has been challenged. Other factors could help not just antipsychotics
