Main therapies for Schizophrenia for the PSYA4 exam 

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    • Biological therapies
        • Block DOPAMINE RECEPTORS to reduce levels and effectively block POITIVE symptoms.
          • APPROPRIATENESS: produce distressing side-effects. TARDIVE DYSKINESIS. Adverse effects can cause patients to stop taking medication
          • EFFECTIVENESS: not effective against negative symptoms. Reduces symptoms but THEY RETURN IF MEDICATIONIS STOPPED. 30% don't respond to anti-psychotic drugs.
    • Psychological therapies
      • Psychodynamic therapy
          • Modified psychoanalytic therapy. as scattered thoughts of schizo patients makes therapeutic relationship hard
            • DRAKE & SEDERER: Patients exposed to this may need LONGER HOSPITALIZATION.
      • MILIEU therapy
        • A form of SOCIAL SKILLS training
          • Group of  30 people gather for 9-18 months and encouraged to take responsibility of their group. taught SELF-MANAGEMENT skills
            • BIRCHWOOD & SPENCER. Social skills training programes do not generalize to real life situations
      • Social Interventions
        • Having hospital and Daycare environments
          • WING & BROWN.
            • compared female in patients with Nedative & Positive symptoms in Stimulating and Un-stimulating wards. significant improvements when social change introduced
    • Cognitive-Behavioural therapies
      • BECK & ELLIS
        • Challenging IRRATIONAL BELIEFS and putting them to a REALITY TEST
        • CHADWICK et al. Patient who believed he could make things happen by thought alone. Beliefs were challenged and tested.
  • I D A's
    • Drug treatments = Chemical Straight Jackets. Take away personal responsibility
    • Informed consent: often hard to get from a sick person
    • CBT allows patients to be involved with therapy so overcomes informed consent criticism


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