Psychological Therapies for Schizophrenia

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  • 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%
        • Skinner
          • Went beyond this- verbal clarification
        • Dickerson et al
          • 13 studies
            • 11 cases- effective treatment alongside psychosocial intervention or drug regime
      • 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
    • 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%

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