schizophrenia - modifying: cbt: ethical Flashcards
(3 cards)
no side effects
P: A major strength of CBT is that it avoids the physical side effects associated with pharmacological treatments.
E: Antipsychotic medications, such as those evaluated in the CATIE trial (Lieberman et al., 2005), were found to cause significant side effects, including metabolic issues and neurological symptoms. In contrast, CBT uses non-invasive psychological techniques to manage symptoms.
T: therefore this is a strength because it reduces the ethical concern of exposing clients to physical harm, aligning with the principle of non-maleficence.
COUNTER: However, CBT may still cause psychological distress if clients are asked to confront challenging thoughts or past traumas, which could indirectly harm their well-being.
negative experience
P: CBT can be emotionally challenging, as it requires clients to confront distressing symptoms or thought patterns.
E: Morrison et al. (2004) noted that while CBT significantly reduced symptoms in clients with schizophrenia, some participants reported initial discomfort when discussing their delusions or hallucinations.
T: This is a weakness because it could unintentionally emotionally harm the client, raising concerns that this form of treatment might worsen symptoms and leave clients worse off
Counter Argument: Elizabeth Kuipers et al. (1997) found that clients were generally satisfied with their experience of CBT, suggesting that the perceived benefits may outweigh the emotional challenges in most cases.
informed consent
P: Clients undergoing CBT have the autonomy to give informed consent and retain the right to withdraw at any time.
E: Research by Tarrier et al. (2000) demonstrates that clients involved in CBT showed a greater sense of involvement in their treatment compared to those receiving routine care, indicating that CBT encourages collaboration and informed decision-making.
T: This is a strength as it respects ethical principles of autonomy, and it also empowers the individual to manage with relapse in the future.
COUNTER: On the other hand, individuals with severe schizophrenia may struggle to provide fully informed consent due to cognitive impairments or delusions, raising concerns about whether their autonomy can truly be upheld.
