Explain Psychological Therapies of Schizophrenia
- 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
- More constructive processes
- 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)
- Feeling: Paranoia
- Interpretation: Everyone can read my thoughts
- 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
- Change their habit of thinking
- 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
- Idea that unwanted thinking patterns, emotional and behavioural reactions
- 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
- Evidence suggests Sz affected by social factors and family experiences
- 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
- Token system
- Hospitals encouraged to have a stimulation environment
- Social Skills and Training
- Families trained to spot signs of relapse
- Become more adept at appropriate interation and communication
- Families trained to spot signs of relapse
- Cognitive Therapy
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