Psychological therapies for schizophrenia

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  • Created by: Natalie
  • Created on: 17-10-13 14:48
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  • Psychological Therapies
    • CBT
      • Patients 1) trace origins of symptoms to understand how they might have developed and 2) evaluate content of delusions / hallucinations.
      • Patients allowed to develop own alternatives to maladaptive beliefs.
      • Outcome studies show that patients receiving CBT experience fewer hallucinations and delusions than those receiving anti-psychotic medication alone.
      • lower patient drop-out rates and greater patient satisfaction with CBT than anti-psychotic medication.
      • Effectiveness - meta-analysis found significant decreases in positive symptoms after CBT treatment.
      • Most CBT studies also involve anti-psychotic medication, therefore difficult to assess effects of CBT alone.
      • CBT works by generating less distressing explanations for psychotic experiences rather than trying to eliminate them.
      • Psychiatrists believe that older patients are less likely to benefit from CBT.
    • Psychodynamic therapies
      • Pschoanalysis based on assumption that individuals unaware of influence of unconscious conflicts on their current psychological state.
      • Therapist creates an alliance with patient by offering help with what patient perceives as the problem.
      • All psychodynamic therapies build trust with patient by replacing harsh parental conscience with one that is more supportive.
      • As patient gets healthier they take a more active role.
      • Meta-analysis (Gottdiener, 2000) - 66% of those receiving pschotherapy improves after treatment, while 35% didn't.
      • Some forms of psychodynamic therapy can even be harmful in treatment of schizophrenia.
      • Research on effectiveness of psychodynamic therapy shows contradictory findings.
      • 'Supportive' psychotherapies appropriate when combined with anti-psychotic medication.
      • Psychodynamic therapy long and expensive, but may have benefits in that it might make patients more able to seek employment.

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