Psychological Therapies for Schizophrenia
- Created by: The Shrew
- Created on: 27-04-15 16:17
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- Psychological Therapies
- Behavioural Therapy
- Mental illness develops through maladaptive learning
- Token Economy
- Institutionalized patients given tokens for good behaviour
- Ayllon and Azrin
- Patients screaming/ mute/ face in food etc
- 10% got to leave hospital!
- Reduction in drugs from 90% to 10%
- Patients screaming/ mute/ face in food etc
- Skinner
- Went beyond this- verbal clarification
- Dickerson et al
- 13 studies
- 11 cases- effective treatment alongside psychosocial intervention or drug regime
- 13 studies
- Improvements diminish once rewards are removed
- Limited to specific symptoms
- Doesn't help hallucinations or delusion
- Not appropriate for treatment in community
- Mere imitation of behaviour on surface level
- Ethics
- Desirable behaviour decided by someone other than the patient
- Free will
- Desirable behaviour decided by someone other than the patient
- Family Therapy
- Reduce EE
- Establish trusting, cooperative relationships
- Better communication
- Falloon et al
- Taught to be undemanding constructive and empathetic
- Family psycho-eduction- provided with clinical equipment
- Relapse without FT
- 50%
- Relapse with FT
- 11%
- Birchwood and Jackson
- Relapse without FT
- 60%
- 65% patients return to live with parents
- Relapse with FT
- 25-33%
- Relapse without FT
- Behavioural Therapy
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