Evaluation Of Psychological Therapies for Treating SZ
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- Created on: 14-01-16 18:16
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- Evaluation of Psychological Therapies for Treating SZ
- Family Therapy
- Appropriate?
- Dependent on whether the family are willing to engage with it & be supported
- Most appropraite for those with high EE levels which are likely to be problematic
- Most appropriate when used as part of a holistic package with other therapies such as medication, as previous research suggests that biological factors such as genes are linked to SZ
- Effective?
- Falloon et Al
- 36 SZic's who were at risk of relapsing & lived with High EE relatives. Found that those who were given 3 months of intense family therapy with 6 months follow up were less likely to relapse than those who had been given brief family counselling.
- Suggesting that Family Therapy is effective
- 36 SZic's who were at risk of relapsing & lived with High EE relatives. Found that those who were given 3 months of intense family therapy with 6 months follow up were less likely to relapse than those who had been given brief family counselling.
- Leff et Al
- 24 SZic's with high EE relatives & treated them with family therapy at home, and compared them to a control group who had regular hospital follow up & had little contact with their family. Leff found significantly fewer relapses for the family therapy group after nine months
- Suggesting that treating SZic's with family therapy at home was more effective than regular hospital follow ups
- 24 SZic's with high EE relatives & treated them with family therapy at home, and compared them to a control group who had regular hospital follow up & had little contact with their family. Leff found significantly fewer relapses for the family therapy group after nine months
- Yes, when done regularly with long term follow ups, most effective when used in conjunction with other therapies as part of a holistic package, it is unlikely to be successful on its own as family dynamics are unlikely to be the root cause of SZ
- Falloon et Al
- Appropriate?
- Cognitive Behavioural Therapy
- Effective?
- Morrison et Al
- 74 SZic's , CBT reduced symptoms & improved personal and social function. CBT had a similar effect to anti psychotic medication, but CBT was most effective when used with drugs, however it was better than nothing
- Suggesting that for CBT is effective, but for the best result is should be used as part of a holistic package with drugs
- 74 SZic's , CBT reduced symptoms & improved personal and social function. CBT had a similar effect to anti psychotic medication, but CBT was most effective when used with drugs, however it was better than nothing
- Turkington et Al
- Nurses were trained in CBT, and found that CBT was effective in helping clients understand their symptoms & reduce overall symptoms
- Suggesting that CBT is effective
- Nurses were trained in CBT, and found that CBT was effective in helping clients understand their symptoms & reduce overall symptoms
- Contradictory Evidence
- Some data may be contradictory and may lack scientific credibility, as there was no blind conditions the experimenter might be bias
- Sensky & Lewis found no significant advantage
- When results are pooled, effect size is close to zero, meaning that CBT may not be effective for everyone & individual differences might have an affect on effectiveness
- Tarries found a non-significant difference when treating delusions and hallucinations & no difference for negative symptoms
- When results are pooled, effect size is close to zero, meaning that CBT may not be effective for everyone & individual differences might have an affect on effectiveness
- Sensky & Lewis found no significant advantage
- Some data may be contradictory and may lack scientific credibility, as there was no blind conditions the experimenter might be bias
- Yes, to an extent because there is nothing to lose if the CBT does not have an effect
- Morrison et Al
- Appropriate?
- Turkington et Al
- CBT was acceptable to patients, average rate of 12-15% drop outs, suggesting that it was accepted by patients
- Offers hope to non-compliant or unresponsive to medication patients
- Gives clients some control over symptoms resulting in them not becoming passive recipients of care, ore holistic when combined with drugs
- CBT is not appropriate hen used as an alternative to medicines, used most effectively in addition to medication
- Reduces the likelihood of being admitted or readmitted to hopsital
- Yes, when used holistically with drugs, if just CBT is used the biological factors of SZ are under estimated
- Turkington et Al
- Effective?
- Family Therapy
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