Schizo Psychological therapy Flashcards
(12 cards)
How does CBT treat schizophrenia?
CBT targets dysfunctional thoughts. Using Ellis’ ABC(DE) model, therapists dispute irrational beliefs (e.g. delusions) and restructure them. Reality testing helps patients challenge hallucinations by testing their validity.
What is the aim of family therapy in schizophrenia?
Family therapy improves the home environment to reduce relapse risk. Involves psychoeducation, conflict resolution , and teaching communication/problem-solving. Focuses on changing family dynamics, not just the patient.
How are token economies used in managing schizophrenia?
Token economies use operant conditioning to reinforce desirable behaviour. Patients earn tokens for actions like self-care, which can be exchanged for rewards. Promotes behaviour shaping and social functioning in hospitals.
Why might CBT be preferred over drug therapy?
CBT does not produce unpleasant side effects that drug therapies can cause.
What is a practical limitation of CBT compared to drug therapy?
CBT is more costly due to needing multiple sessions with trained therapists, while drug therapy is cheaper.
Why do some patients drop out of CBT?
Dropouts are common because CBT requires active engagement; negative symptoms reduce motivation, and positive symptoms can cause distrust.
What did Leff (1985) find about relapse rates in family therapy versus standard care?
After 9 months, relapse was 8% in family therapy vs. 50% in standard care; however after 2 years, relapse rose to 50% in family therapy and 75% in standard care.
Does family therapy cure schizophrenia?
No, it helps manage symptoms and improves family life but does not cure the disorder and symptoms remain
What are practical problems with family therapy?
It often lasts up to a year, and patients may drop out due to length or family conflicts, especially if symptoms are severe.
What did Dickerson (2005) conclude about token economies?
Reviewed 13 studies and found Token economies effectively improve adaptive behaviour in schizophrenia patients.
Do token economies treat schizophrenia symptoms?
No, they manage negative symptoms like poor motivation but do not treat the disorder itself.
What ethical issues are raised by token economies?
They may be degrading, manipulating patients like lab rats through Skinnerian conditioning.
