6.5: Cognitive behavioural therapy, family therapy and token economies

Question 1

Below are four evaluative statements about token economies as used in the treatment of schizophrenia. Which statement is TRUE?
A: Token economies can be used effectively in any environment.
B: Token economies have a positive effect on thinking.
C: Token economies help to promote acceptable behaviours.
D: Token economies address the cause of the problem
(1 mark)

Answer 1

C

Question 2

Two years ago Jenny was diagnosed with schizophrenia. She has been taking a typical antipsychotic drug and there have been improvements in her positive symptoms. However she still suffers negative symptoms and side effects. Her psychiatrist wants to change her medication from typical antipsychotics to one of the atypical antipsychotics and has also suggested cognitive behavioural therapy.

Briefly explain one advantage of cognitive behavioural therapy in the treatment of schizophrenia (2 marks)

Answer 2

Possible content:
•   Allows patient to take some responsibility for own treatment
•   Enhances effectiveness in other areas of life
•   Research supports its effectiveness alongside drug therapy
•   Effectiveness can be long term/ongoing
Credit other relevant advantages.

Question 3

Briefly outline family dysfunction as an explanation for schizophrenia (2 marks)

Answer 3

Characteristics of dysfunction eg difficulties in communication, high levels of interpersonal conflict
• Critical and controlling parents, expressed emotion
• The role of double bind in the development of negative symptoms
• The role of hostility and disapproval in positive symptoms and relapse
• The role of expressed emotion in relapse