SCHIZOPHRENIA- psychological therapies Flashcards Preview

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Flashcards in SCHIZOPHRENIA- psychological therapies Deck (20):
1

what are the type of psychological therapies?

family intervention/ therapy
social skills training
cbt

2

what are the 2 main ones?

family intervention/ therapy
cbt

3

family therapy bullet points (2)?

1. aim to reduce levels of negative ee in family
2. educational element is involved where family members are given info about disorder and ways of managing e.g improving communi styles,lowering ee etc

4

what happened for support in effectiveness for family therapies?

pharaoh et al- meta analysis in which family interventions were found to be effective in reducing rates of relapse

5

opposition for pharaoh et al?

meta analysis revealed a wide range of outcomes so the results are not conclusive

6

what happened for appropriateness for family therapies?

it can improve compliance for taking medication

7

opposition for appropriateness?

the therapy can only be used for those who are in close contact with their families, which many schizophrenic patients aren't

8

what happened in pilling et al for support of family intervention?

family int had preventive effects on psychotic relapse and medication compliance

9

what about social skills?

individuals with schizophrenia tend to have probs with social skills such as interaction,self care,coping with stressful situations and appraising social situations.social skills training involves the teaching of such interperonal skills

10

what did hogarty say in support for social skills?

works appropriately with other therapies. patients on med that received social skills training relapse less than those on each treatment seperately

11

opposition of hogarty?

gains are not maintained after treatment ended

12

what about cbt?(4)

1. The goal of cbt is to adjust thinking patterns and alter the irrational beliefs of schizophrenia patients
2. belief modification is a particular type of cog intervention: it teaches stratergies to counter delusional beliefs and hallucinations. it involves cognitive challenge
3.clients are taught to consider their negative response to situations as hypotheses (ideas rather than reality)
4. they then learn to challenge their negative symptoms

13

support/opposition studies for effectiveness of cbt?

drury et al
jones et al
turkington et al
pilling et al
drury et al

14

what happened in effectiveness of cbt in drury et al?

immediate short -term gains were found with the use of belief modification

15

opposition for drury et al?

the benefits of treatment were not maintained in the long term as discovered in the follow up 5 years later

16

what happened in effectiveness of cbt in jones et al?

meta-analysis of trials of belief modification: it reduced the frequency and intensity of hallucinations

17

what happened in effectiveness of cbt in turkington et al?

cbt has a significant effect on positive and negative symp of schiz. cbt can also be delivered effectively by psychiatric nurses in brief intervention programmes

18

what happened in effectiveness of cbt in pilling et al?

meta-analysis which found that cbt produced positive effects and had low dropout rates

19

what happened in support for appropriateness for cbt?

cbt is collaborative therapy and involves active cooperation. this is more ethical than drug therapy where the patient becomes passive

20

opposition of appropriateness for cbt?

cbt can be seen as only normalising symptoms rather than curing them