SCHIZOPHRENIA: MOM - Cognitive Behavioural Therapy Flashcards
Schizophrenia: CBT A01 - Definition
Developed by Beck and Ellis
- Successfully used to treat psychological issues such as depression
- Psychologists questioned CBTs usefulness in treating schizophrenia
Schizophrenia: CBT A01 - 3 Main Points
Irrational Thinking
Key Components of CBT for schiz
- Smith et al.
Cognitive Strategies
- Ellis
Schizophrenia: CBT A01 - Irrational Thinking
Major symptom of schizophrenia = disordered thinking
Aim of CBT = to help individuals organise their disordered thoughts in a rational way
- CBT helps make the client aware of the connections between their disordered thinking and their illness
- Positive symptoms
- CBT challenges their interpretation of events by asking them to discuss the evidence for their beliefs
- Delusions
TECHNIQUES PRIMARILY HELP POSITIVE SYMPTOMS - Also effective in making the client more self-reliant when dealing with their illness - challenging their own perceptions
Schizophrenia: CBT A01 4 Key Components of CBT for schiz
Engagement Strategies
Psycho-education
Behavioural Skill Training
Relapse Prevention Strategies
Schizophrenia: CBT A01 Key Components - Smith et al.
Identified the key treatment components when using CBT for schizophrenia
Schizophrenia: CBT A01 Key Components - Engagement Strategies
- Therapist attempts to build rapport
- Patient may have had negative experiences with previous therapists / psychiatric services
- Therapist discusses potential concerns with the client
Schizophrenia: CBT A01 Key Components - Psycho-education
3 Main Functions
- Decatastrophises & normalises the experience of psychotic symptoms; offering alternative explanations of the client’s experience of their symptoms
- Increased understanding of the client’s symptoms in context
- Therapist can further assess client’s understanding of their understanding of their own symptoms
Schizophrenia: CBT A01 Key Components - Behavioural Skill Training
A range of effective behavioural skills can be taught to cope with residual symptoms of schizophrenia
- Relaxation
- Activity scheduling
- Problem solving
Schizophrenia: CBT A01 Key Components - Relapse Prevention Strategies
Therapist and client identify early warning indicators of relapse
- Client identifying thoughts / behaviours / beliefs before they become unwell
Client and therapist then discuss what techniques could be employed when these symptoms are observed - various social support options / what they can do to help themselves
Schizophrenia: CBT A01 Cognitive Strategies - What is it?
Ellis - Used the ABC model to explain irrational thinking
- Activating event → Belief (rational / irrational) → Consequence (healthy / unhealthy emotions)
May also involve homework activities for clients (diary entries)
Schizophrenia: CBT A01 Cognitive Strategies - Application to schiz
Schizophrenics gain the ability to challenge their disordered thoughts and challenge thoughts which confirm their positive symptoms
- May also help negative symptoms such as anhedonia
- Schizophrenic is able to rationalise what an appropriate response is to various situations - including positive ones
Schizophrenia: CBT A03 - Evaluative Names & Points
Barch - Stroop Test
Frith & Howes & Murray - Reductionist
Not a comprehensive theory
Schizophrenia: CBT A03 - Barch
:) Stroop test: schizophrenic ppts. were slower and made more mistakes; schizophrenics cannot filter information as quickly
Schizophrenia: CBT A03 Frith
Reduces a complex explanation to the functioning of brain circuits - INCOMPLETE EXPLANATION: Howes & Murray - schiz needs to be considered in a more holistic way
Schizophrenia: CBT A03 Not a Comprehensive Theory
Cognitive approach can only explain cognitive symptoms of schizophrenia; symptoms such as movement are not explained well by cognitive explanations - DO NOT EXPLAIN ORIGIN OF DEFICITS
