psychological treatments for sz Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

ways to treat SZ:

A
  • Cognitive Behavioural Therapy
  • Family therapies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ways to manage sz:

A
  • token economies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how CBT treats sz

A
  • assumes SZ is dysfunctional thought process
  • faulty cognitions e.g. delusions
  • challenge irrational beliefs and provides alternatives
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

aims of ABC (DE) model by Ellis

A
  • understand source of faulty cognition
  • provide process to cognitively restructure irrational beliefs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ABC (DE) model by Ellis: example

A

A- activating event= drug treatment causes side effects
B- beliefs= hospital staff are trying to kill them
C- consequences= refusing treatment
D- disrupting irrational beliefs= staff have no reason to kill them
E- effect (reconstructed belief)= the drugs are necessary and help

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is reality testing in CBT?

A
  • patient can demonstrate for themselves that their irrational beliefs aren’t real
    -e.g. they say they can predict the future so they’re asked to predict cards drawn from a deck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Evaluation CBT : research evidence that CBT is effective senksy et al. (2000)

A
  • pp who resisted drug treatments had a reduction in pos and neg symptoms when treated by 19 sessions of CBT
  • continued to improve 9 months after treatment had ended
  • CBT can be effective when drugs are not
  • drugs only reduce symptoms for a short term
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Evaluation CBT: length of treatment of CBT too long

A
  • ending treatment early is common because treatment takes long
  • symptoms can become severe at that time
  • CBT requires engagement
  • neg symptoms can lead to decreased willingness to take part
  • pos symptoms can lead to distrust of the process
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Evaluation CBT : may not be able to cope with vigorous confrontation of beliefs

A
  • due to severity of symptoms or beliefs may not be able to cope with vigorous confrontation of beliefs CBT needs
  • anti-psychotic medication can be used to reduce the severity of the symptoms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Evaluation CBT: doesn’t produce side effects like drugs do

A
  • preferred treatment plan for many patients as no side effects like drugs
  • BUT significant cost of a trained therapist is a lot compared to drugs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is family therapies?

A
  • family dysfunction can increase the risk of relapse into sz
  • family therapies attempt to improve the home situation of the person with sz
  • intended to change behaviour of the whole family not just those with sz= family centered
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is family centered?

A
  • intended to change behaviour of the whole family not just those with sz
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is psychoeducation?

A
  • family is educated on the symptoms of sz
  • for them to be more understanding of their family members behaviours
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

aims of family therapy:

A
  • reduce conflict
  • reduce stress
  • reduce self sacrifice
  • improve communication
  • improve problem solving skills
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Evaluations of family therapy: research by Leff (1985)

A
  • those provided with standard outpatient care, 50% relapsed in 9 months
  • 8% relapsed with family therapy
  • after two years family therapy had risen to 50% and 75% with standard care
  • use full at stopping remission in the short term
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Evaluations of family therapy: the time it takes for treatment

A
  • practical issue is the length of therapy
  • can take up to a year
  • this can lead to dropping out
  • due to worsening of symptoms or a family incident
17
Q

Evaluations of family therapy: doesnt treat sz just manages

A
  • improves symptoms, aiding the home life of the family, avoiding admission into a mental health facility
  • doesn’t cure it just makes it more manageable
18
Q

What is a token economy?

A
  • behavioral therapy technique based on operant conditioning
  • reinforcing desired behaviours
  • only to be used with patients with mild neg symptoms
19
Q

How tokens are used as reinforcement?

A
  • used as positive reinforcement
  • immediate reward for when patient showed pre-defined target behaviour
  • tokens are then exchanged for something they want
20
Q

how do tokens shape behaviour?

A
  • behaviors are progressively changed
  • tokens first given for small changes in behaviour towards the desired
  • to them then being given for bigger changes in behaviour
21
Q

how are token economies used in psychiatric institutions?

A
  • treatment designed to produce easier to manage behaviour within a hospital
  • prepare long stay patient for transfer back into the gen pop
22
Q

Evaluation of token economies: Dickerson analysed 13 studies supporting token economies

A
  • found when reviewing the finding of 13 studies
  • they can be effective in improving the adaptive behaviour of people with sz
23
Q

Evaluation of token economies: limited value as a treatment

A
  • only attempt to manage negative symptoms
  • poor motivation
  • poor attention
  • social withdrawal
24
Q

Evaluation of token economies: not effective for those with severe symptoms

A
  • not effective with severely unresponsive symptoms e.g. very strong negative symptoms
  • could consider this a punishment for illness
25
Q

Evaluation of token economies: using skinnerian principles may be offensive

A
  • using principles of operant conditioning can be considered degrading
  • comparing them to lab rats
  • ethically problematic