Cognitive behavioural therapy

Question 1

what is the aim of CBT to help schizophrenics

Answer 1

it aims to help schizophrenics by changing maladaptive thinking and distorted perceptions seen as underpinning the disorder in order to modify hallucinations + delusional beliefs.

Question 2

what does CBT allow to be replaced

Answer 2

CBT, disordered and delusional thinking can be replaced with thought processes that are more constructive and in line with reality

Question 3

what is the goal of CBT

Answer 3

Cognitive restructuring

Question 4

how does cognitive restructuring take place in CBT

Answer 4

1. identifying activating event - p.t encouraged to trace to origins of their symptoms to get insight into how they developed
2. exploring beliefs - what are they thinking about stimuli
3. recognising consequences - encouraged to evaluate the content of their delusions or of any internal voices they hear
4. disputing irrational beliefs - they’re encouraged to test the validity of their faulty beliefs – logical, empirical and pragmatic disputing
5. restructured belief - how does the alternative via disputing make you feel

Question 5

who researched the impacts of different psychological impacts of psychological treatments on schizophrenia

Answer 5

TARRIER ET AL

Question 6

what was tarrier et al procedure for his study into the impact of different psychological treatments on sz

Answer 6

255 sz were randomly allocated to either of the following conditions: CBT and drug treatment, CBT on its own or drug treatment on its own. They were assessed whilst recieving 20 sessions of treatment over 10 weeks

Question 7

what was tarrier et als findings of his experiment into the impact of different psychological treatments of SZ

Answer 7

CBT and drugs group: 50% reduction in psychotic experiences and 15% free of all positive symptoms
CBT ALONE: 15% reduction psychotic experiences, 7% free of all pos symptoms
DRUG ALONE: no patient were symptom free

Question 9

what was the conclusion of tarrier et als research into the impact of psychological treatments of schizophrenia

Answer 9

CBT has a significant impact on reducing schizophrenic symptoms when compared to drugs however, has improved impact with drugs

Question 10

a strength of CBT as a treatment for SZ

Answer 10

P: (CBT) as a treatment for schizophrenia is that it is widely available on the NHS, making it more accessible to patients.
E: Since CBT is offered through the NHS, it is free at the point of use, meaning patients do not have to worry about the financial burden of private therapy.
E: While the medication helps reduce biological symptoms like hallucinations, CBT can help patients challenge and manage their distorted thinking, leading to better overall outcomes
L:Therefore,This increases the practicality and appropriateness of CBT as a treatment option, especially when used alongside antipsychotic medication.

Question 11

what is a limitation of CBt as a treatment for CBT

Answer 11

P:A limitation of CBT as a treatment for schizophrenia is that not all patients are able to benefit from it.
E: CBT requires active engagement, communication, and insight into one’s thoughts, which can be difficult for individuals experiencing severe symptoms like disorganised thinking or lack of motivation.
E; This means that while CBT may be effective for some, it is not suitable for all patients, particularly those in acute phases of the illness
L: As a result, its overall usefulness as a treatment may be limited.