Psychological Therapy For SZ Flashcards
(26 cards)
What is cognitive behavioural therapy (CBT) commonly used to treat people with?
Schizophrenia.
How long does CBT usually last?
A period of 5-20 sessions in groups or on an individual basis.
What does CBT aim to deal with?
Thoughts (cognitions) and behaviour.
What an CBT help a client make sense of?
How their irrational cognitions impact on their feelings and behaviour.
What can be helpful for those dealing with symptoms like auditory halluinations?
Understanding where symptoms come from.
How can a therapist help someone hearing voices to understand where the symptom is coming from? How would this help a client?
By explaining the voices are happening because of their malfunctioning speech centre.
This would help as the client would feel less distress and improve their ability to function adequately.
What is another way people hearing voices can be helped?
Normalisation.
What is nomalisation?
Clients being taught the voice-hearing is an extension of the ordinary of thinking in words.
How can delusions also be challenged?
By a process of reality testing in which the person with SZ and their therapist joint examine the likelihood that beliefs are true.
When some delusions are resistant to reality testing what can be used?
CBT to tackle anxiety and depression.
Evaluation of CBT
Evidence for effecivness
Jauhar et al reviewed 34 studies using of using CBT with SZ and concluded that there is clear evidence for small but significant effects on both positive and negative symptoms.
This means that research supports the benefits for CBT for SZ.
Evaluation of CBT
CBT for SZ is a wide range of techniques and symptoms included in studies
CBT techniques and SZ symptoms vary widely between people.
Thomas points out that different studies have involved the use of different CBT techniques and people with different combinations of positive and negative symptoms.
The overall modest benefits of CBT for SZ probably conceal a wide variety of effects of different CBT techniques on different symptoms.
This makes it hard to say how effective CBT will be for particular person with SZ.
Who is involved in family therapy?
Families and the identified patient
What is the aim of family therapy?
Improve the quality of communication and interaction between family members.
What did Pharoah et al identify?
A range of strategies that family therapists use to try to improve the functioning of a family that has a member with SZ.
What were the strategies Pharoah et al identified?
Reduces negative emotions - family therapy aims to reduce levels of expressed emotion.
Improves the familys ability to help - Therapist encourages family members to form a therapeutic alliance
What did Burbach propose?
A model for working with families dealing with SZ.
How does Burbach’s model begin?
Sharing basic information and providing emotional and practical support.
What does phase 2 of Burbach’s model involve?
Identifying resources including what different family members can and cannot offer.
Phase 3 of Burbach’s model?
Encourages mutual understanding, creating a safe space for all family members to express their feelings.
Phase 4 Burbach’s model
Identifying unhelpful patterns of interaction.
Phase 5 Burbach’s model
Skills training e.g. learning stress management techniques.
Phase 6 Burbach’s model
Relapse prevention planning.
Phase 7 Burbach’s model
Maintenance for the future.
