psychological theory for schizophrenia Flashcards
how does cognitive behaviour therapy help
help client make sense of how irrational cognitions impact on their feelings and behaviour
understanding where symptoms come from can be helpful- cope better
reduces distress and improves ability to function adequately
delusions can be challenged
what is family therapy
takes place with families as well as identified patient
aims to improve quality of communication and interaction between family member
how does the family therapy help
pharoah- identified range of strategies family therapists use to try improve functioning of family that has member with schizophrenia
reduces negative emotions- aims to reduce levels of expressed emotion, reducing stress to reduce likelihood of relapse
improves familys ability to help- encourages family members to form therapeutic alliance all agree on aims of therapy, tries to improve families beliefs about and behaviour of schizophrenia, ensure family members achieve balance between caring for individual and maintaining their own lives
what is a model of practice
burbach- model for working with families dealing with schizophrenia
begins with sharing basic info and providing emotioanl and pratical support
develops through progressively deeper levels
phase 2- identifying resources including what different family members can and cant offer
phase 3- encourage mutual understanding creating safe space for all family members to express feelings
phase 4- identifying unhelpful patterns of interactions
phase 5- skills training
phase 6- relapse prevention planning
phase 7- maintenance for future
what is evidence for effectiveness (cbt evaluation)
evidence for effectiveness
jauher- reviwed 34 studies of using cbt with schizophrenia concluding there is clear evidence for small signficant effects on both positive and negative symptoms
pontillo- found reductions in frequency and severity of auditory hallucinations
national institute for health and care excellence recommends cbt
both research and clinical experience support benefits of cbt for schizophrenia
what is quality of evidence (cbt evaluation)
wide range of techniques and symptoms included in studies
cbt techniques and schizophrenia vary widely from one case to another
thomas- points out different studies involved use of different cbt techniques and people with different combinations of positive and negative symptoms
overall modest benefits of cbt conceal wide variety of effects of different cbt techniques on different symptoms
makes it hard to say how effective cbt will be for particular person with schizophrenia
what is evidence of effectiveness (family therapy evaluation)
evidence for effectiveness
mcfarlane- concluded family therapy was one of most consistenyly effective treatments available, relapse rates reduced by 50-60%, using family therapy as mental health initially starts to decline is promising
clinical advice for NICE recommends family therapy
family therapy likely to benefit to people with both early and full blown schizophrenia
what is benefits to whole family (family therapy evaluation)
benefits for all family members
lobban and barrowclough- concluded these effects are important becvause families provide bulk care for poeple with schizophrenia, strengthening functioning of whole family
lessens negative impact of schizophrenia on other family members and strengthens ablity of family to support person with schizophrenia
family therapy wider benefits beyond obvious positive impact on identified patient
