Psychological Therapies CBT

Question 1

Cognitive therapy

Answer 1

Patients are encouraged to trace back to origins of their symptoms
Set behavioural assignments
And develope alternatives to previous maladaptive beliefs

Question 2

Out come studies measure

Answer 2

How well a patient is after a particular treatment compared with the accepted treatment (antipsychotics)

Question 3

Cognitive Theory is when

Answer 3

They think irrationally or faulty

Question 4

CBT outcome studies suggest…

Answer 4

Patients who receive CBT experience fewer hallucinations and delusions and recover to a greater extent than antipsychotics

Question 5

Dury et al

Answer 5

Reduction of pos symptoms and recovery time when they had a combination

Question 6

Kuipers et al

Answer 6

Confined advantages but also noted that there were lower patient drop out rates and greater patient satisfactory when using CBT

Question 7

Ethical issues of CBT

Answer 7

Protection from harm

Side effects of therapy - could trigger episode? If stressful

Question 8

Farrier interviews

Answer 8

Found they develope methods of dealing with stress (e.g. Hallucinations cause stress- coping by distraction and self talk

Question 9

Coping is called

Answer 9

CSE - coping strategy enhancement - things that alleviate stress reducing frequency and intensity of psychological symptoms

Question 10

Effectiveness - Tarrier ET al

Answer 10

Trial - found significant alleviation of positive symptoms

The study was well-controlled but out of 49 people 45% dropped out causing a loss of valuable data

Question 11

Effectiveness Gould et al

Answer 11

Found that in all seven studies in a meta analysis reported a decrease in positive symptoms after treatment

However all studies were done on the people taking medication so they don’t know how much is due to CBT

Question 12

Appropriateness 1

Answer 12

It’s not a cure but if it improves the quality of life it is appropriate

Question 13

Negative symptoms appropriateness

Answer 13

They are safer than the positive symptoms ‘safety behaviours’
it alleviates positive symptoms but not negative symptoms making it appropriate because negative symptoms are safer
This might be helpful but it could make positive symptoms worse

Question 14

Appropriateness benefit

Answer 14

People benefit the most when it is combined with antipsychotics

Question 15

Kingdom and Kirschen

Answer 15

Their study found many people were not deemed suitable for the therapy as they thought they would not be able to engage with the therapist

Question 16

Another type of cognitive therapy

Answer 16

Based on the work of Ellis and Beck

Aim – to challenge the irrational beliefs about self and significant events and put them to test

Question 17

Chadwicks study

Answer 17

Studied a man who thought he could predict things that were going to happen
They showed him the video and made him predict things he didn’t get one out of 50 right
however this was only done on one person so is not representative

Question 18

Another cognitive therapy – belief modification

Answer 18

Teach strategies to counter act inappropriate beliefs and thinking

Question 19

Jones Et al – meta analysis on belief modification

Answer 19

Reduced intensity and frequency of hallucinations

Question 20

Effectiveness of other cognitive therapys

Answer 20

Not very well researched
Research has shown it can bring about significant reduction in the severity of delusional symptoms
Other therapy is also put forward integrated psychological therapy - improves attention

Question 21

Overall effectiveness

Answer 21

Pilling – meta analysis comparing family intervention with cognitive behavioural therapy found higher rates of important improvement with CBT