Psychological therapies of Schizophrenia

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  • Created by: Robyn
  • Created on: 05-02-14 11:37
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  • Psychological therapies of Schizophrenia
    • often combined with bio treatment
    • supplement for between biological therapies
      • avoid relapse
    • psychodynamic therapy
      • impossible to develop therpautic relationship
        • with psychotic patients
      • some symptoms= less susceptible to psychoanalytic technique
        • disordered lang
        • disordered communication
    • Social interventions
      • use behavioural techniques
      • social causes= social therapy
      • Wing and Brown 1970
        • compared female in-patients
          • range of positive and negative symptoms
          • range of behavioural ratings
        • marked differences in negative symptoms
          • women in stimulating wards
        • social changes at less stimulating hospitals
          • improvements in 1/3 of patients
        • findings replicated (so supported) by a number of studies
          • policy= institution= promote self-esteem and personal control
      • Milieu therapy
        • used in institution
        • include patients on decision making and ward management
        • social learning programmes
          • improving self-care routines
          • conversational skills
          • job-role skills
        • can include token economy
          • patients earn privileges
          • conform to social norms
          • rewards
            • visit days
            • have visitors
            • tv rights
          • criticised
            • too controlling
          • effective
            • achieve independence
      • social skills training
        • modify or improve social behaviour
        • behavioural techniques
          • modelling
          • reinforcement
          • role-play
        • helps acquire appropriate verbal and non-verbal skills
        • Halford and Hays (1992)
          • training programmes
          • modules
            • conversation skills
            • asertion
            • conflict management
            • self-management
            • time use
            • survival skills
            • employment skills
      • commentary
        • not genralisable to real life
        • Birchwood and Spencer
          • 1999
          • genrally beneficial (SST)
          • increased competence and assertiveness in social situations
            • genrally beneficial (SST)
        • intervention needs to be maintained
    • Family intervention
      • Expressed emotion= main problem in families
      • inclusion and shared information
      • develop a cooperative and trusting relationship in family
      • provided info about...
        • cause
        • symptom
        • course
      • talk about experience of disorder
      • provides with coping mechanisms
      • constructive interaction taught
        • concentrate on good not bad
      • recognise relapse symptoms
      • commentary
        • compare high EE families
        • random assignment to
          • family intervention
          • routine treatment
          • control treatment
        • support for family
          • reduce relapse
          • improve medication compliance

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