Explain Psychological Therapies of Schizophrenia

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  • Created by: Lisgoe
  • Created on: 06-11-14 10:50
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  • Psychological Therapies
    • Cognitive Therapy
      • Aims to help sufferer identify and correct faulty and maladjusted thinking
      • Sz's inability to think clearly
        • Makes symptoms worse
    • CBT
      • Idea that unwanted thinking patterns, emotional and behavioural reactions
        • Learnt over period of time
      • Disordered and delusional thinking can be replaced
        • More constructive processes
          • In line with reality
      • Event: Overhearing someone say "I know what's on your mind"
        • Interpretation: Everyone can read my thoughts
          • Feeling: Paranoia
            • Behaviour: Evasive action (avoid situations with social contact)
      • Patients trace back symptom origins
        • Understand why they started
        • Taught to recognise own examples of delusional thinking
        • Challenges patient's interpretation of events
          • Change their habit of thinking
            • Rather than in a pathological way
      • Therapist encourages patient to form coping strategies
        • E.g auditory hallucinations: turn up music or TV
        • 8-20 sessions
      • Outcome studies
        • Suggests CBT shows more effective results compared to drugs only
        • Receive fewer delusions and hallucinations, and recover functioning
          • Compared to AP's alone
        • Drury et al (1996)
          • Found reduction of positive symptoms
          • 25-50% reduction in recovery time
            • AP and CBT combination therapy
        • Kuipers et al (1997)
          • Confirms CBT in reduction of delusional symptoms of Sz
    • Social/ Family intervention
      • Evidence suggests Sz affected by social factors and family experiences
        • Programmes aim to improve self-esteem, personal control, independence, and coping skills for families
    • Social Intervention
      • Hospitals encouraged to have a stimulation environment
        • Make patients part of decision process in wards
      • Encouraged to engage in positive behaviours
        • Token system
          • Rewards such as leaving the hospital and visits
    • Social Skills and Training
      • Families trained to spot signs of relapse
        • Become more adept at appropriate interation and communication

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