Cognitive Behavioural Theory

Question 1

How does CBT work with schizophrenics?

Answer 1

Aims to alter the way they think to manage and organise their disordered thinking,

Question 2

What can be done with delusions?

Answer 2

They can be challenged and tested in a controlled environment so they can see the false beliefs

Question 3

What does CBTp do?

Answer 3

raises awarness between the connections of disordered thoughts and schizophrenic behaviours

Question 4

What is CBTp mainly used to do?

Answer 4

Reduce positive symptoms

Question 5

What is the assessment step?

Answer 5

Expresses thoughts about experience to therapist, realistic goals discussed, use distress as motivation for change

Question 6

What is the engagement step?

Answer 6

Therapist emphasises with distress and feelings form patients perspective, explanations can for distress can be developed

Question 7

What is behavioural experiments as a cognitive strategy?

Answer 7

used to test and challenge maladaptive beliefs promoting adaptive ones

Question 8

What is relapse prevention strategies as a cognitive strategy?

Answer 8

Using skills learnt in everyday life to prevent a relapse in symptoms

Question 9

What did kuiper et al find?

Answer 9

60 with SZ allocated to CBT plus standard care and standard care only, CBT 50% improved, Standard care 31% improved

Question 10

What did Juahar et al find?

Answer 10

meta analysis of 50 CBT studies over 20 years- only small therapeutic effect on positive symptoms.

Question 11

Short term or long term?

Answer 11

Lack of evidence looking at long term effectiveness, research available question long term benefits, Tarrier- 18m CBT had same relapse rates

Question 12

What are positive ethical implications?

Answer 12

Client has more control over therapy, no side effects

Question 13

What are the negative ethical implications?

Answer 13

Tells patient the way they are thinking is wrong and they should think differently, taking away free will?
Psychiatric prejudice- may judge person isnt suitable for CBT without given a chance

Question 14

What is a positive social implication?

Answer 14

Giving coping strategies allowing them to live a normal life, Attending CBT could be more intrusive though so may not be suitable for daily routine

Question 15

What are negative social implications?

Answer 15

CBT often used in conjunction with antipsychotics but costs more on the whole
Not all NHS trusts offer it 67-14% across the country.