The Psychological Therapies For Schizophrenia Flashcards
What are the 3 types of psychological therapies for schizophrenia?
- CBT
- Family Therapy
- Token Economy Therapy
What is CBT?
Is the aim to help patients identify irrational thoughts and trying to change them
What is the process of CBT?
- Identify irrational beliefs
- Have a discussion of how likely that belief would be true
- Consider other less threatening possibilities
- Dispute the threatening thoughts with more logical ones
What was the case study by Tulkington et al 2004?
Used CBT on a paranoid patient
What was Beck and Ellis’ version of CBT?
Identify, challenge and change the faulty cognitions and replace them with alternative more adaptive and reasonable ones
What are other way CBT is used to alleviate schizophrenia?
Homework such as writing in a diary - the therapist can use this as evidence to dispute any future negative thoughts
What is family therapy?
Therapy that takes place with families rather than individual patients, aiming to improve the quality of communication and interaction between family members
He does CBT help schizophrenic patients?
Helps patients make sense of their delusions and hallucinations - they can learn that it’s not based off reality
What is the process of family therapy?
To reduce the stress of the patients and the family members
How does family therapy help?
It forms a therapeutic alliance with all family members - ability to live a balanced life
What are the evaluations points for CBT and FT?
+ Supporting evidence - Jauhar et al (2014) & Paroah et al
+ Helps improve quality of life
- The evidence for the effectiveness is limited
What is token economy therapy?
A form of reward system used only in institutions that is based on the principles of operant conditioning to manage the behaviour patterns of patients with schizophrenia, particularly those who have developed maladaptive behaviours
What is a maladaptive behaviour?
A behaviour that interferes with an individual’s activities of daily living or ability to adjust to an participate in particular settings
What is the 1st step of token therapy?
No tokens means no access to desirable items or activities
What is the 2nd step to token therapy?
The patient engages in the desirable behaviour
What is the 3rd step to token therapy?
The patient is given a token for engaging in the desired/positive behaviours
What is the 4th to token therapy?
Patients trade the token for access to a desired item or activity
What are the evaluation points for token therapy?
+ Supporting evidence - Glowacki et al (2016)
- Ethically questionable
