SCHIZOPHRENIA- psychological therapies

Question 1

what are the type of psychological therapies?

Answer 1

family intervention/ therapy
social skills training
cbt

Question 2

what are the 2 main ones?

Answer 2

family intervention/ therapy

cbt

Question 3

family therapy bullet points (2)?

Answer 3

1. aim to reduce levels of negative ee in family
2. educational element is involved where family members are given info about disorder and ways of managing e.g improving communi styles,lowering ee etc

Question 4

what happened for support in effectiveness for family therapies?

Answer 4

pharaoh et al- meta analysis in which family interventions were found to be effective in reducing rates of relapse

Question 5

opposition for pharaoh et al?

Answer 5

meta analysis revealed a wide range of outcomes so the results are not conclusive

Question 6

what happened for appropriateness for family therapies?

Answer 6

it can improve compliance for taking medication

Question 7

opposition for appropriateness?

Answer 7

the therapy can only be used for those who are in close contact with their families, which many schizophrenic patients aren’t

Question 8

what happened in pilling et al for support of family intervention?

Answer 8

family int had preventive effects on psychotic relapse and medication compliance

Question 9

what about social skills?

Answer 9

individuals with schizophrenia tend to have probs with social skills such as interaction,self care,coping with stressful situations and appraising social situations.social skills training involves the teaching of such interperonal skills

Question 10

what did hogarty say in support for social skills?

Answer 10

works appropriately with other therapies. patients on med that received social skills training relapse less than those on each treatment seperately

Question 11

opposition of hogarty?

Answer 11

gains are not maintained after treatment ended

Question 12

what about cbt?(4)

Answer 12

1. The goal of cbt is to adjust thinking patterns and alter the irrational beliefs of schizophrenia patients
2. belief modification is a particular type of cog intervention: it teaches stratergies to counter delusional beliefs and hallucinations. it involves cognitive challenge
3. clients are taught to consider their negative response to situations as hypotheses (ideas rather than reality)
4. they then learn to challenge their negative symptoms

Question 13

support/opposition studies for effectiveness of cbt?

Answer 13

drury et al
jones et al 
turkington et al 
pilling et al
drury et al

Question 14

what happened in effectiveness of cbt in drury et al?

Answer 14

immediate short -term gains were found with the use of belief modification

Question 15

opposition for drury et al?

Answer 15

the benefits of treatment were not maintained in the long term as discovered in the follow up 5 years later

Question 16

what happened in effectiveness of cbt in jones et al?

Answer 16

meta-analysis of trials of belief modification: it reduced the frequency and intensity of hallucinations

Question 17

what happened in effectiveness of cbt in turkington et al?

Answer 17

cbt has a significant effect on positive and negative symp of schiz. cbt can also be delivered effectively by psychiatric nurses in brief intervention programmes

Question 18

what happened in effectiveness of cbt in pilling et al?

Answer 18

meta-analysis which found that cbt produced positive effects and had low dropout rates

Question 19

what happened in support for appropriateness for cbt?

Answer 19

cbt is collaborative therapy and involves active cooperation. this is more ethical than drug therapy where the patient becomes passive

Question 20

opposition of appropriateness for cbt?

Answer 20

cbt can be seen as only normalising symptoms rather than curing them