Cognitive Behavioral Therapy - schizophrenia

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  • Created by: Maya98
  • Created on: 02-06-17 13:49

Cognitive Behavioral Therapy - schizophrenia

Advantages

  • Kuipers et al - randomly allocated 60 schizophrenics to wither CBT with standard care or just a standard care condition. 50% of those with CBT had improved, with only one individual becoming worse. 31% of standard care improved, three got worse and one individual committed suicide.
  • Tarrier - individuals in CBT condition seemed to be less negatively affected by their symptoms than those who did not have CBT
  • Kuipers 1997 - found that clients were satisfied with their experiences of CBT and believed it to be appropriate for their illnesses. Clients approved
  • Kuipers 1998 - may cost more initially - it will be beneficial in the long run as schizophrenics with CBT are less likely to need emergency help in the future.

Disadvantages

  • had contradictory evidence - Jauhar reported only a small effect from CBT whereas Morrison found significant reduced symptoms in schizophrenics.
  • Short term effectiveness - when comparing CBT to standard care after 18 months the individuals all had the same relapse rates - effects are short lived
  • Limited access to CBT - psychiatrists may not offer CBT to those who do not believe they that their diagnosis is accurate. May not offer it to those that wont react well to the treatment. Only 49% of 142 individuals had been  offered CBT
  • Budget in health care only looks at immediate requirements.

Evaluation

To conclude, I believe CBT works well at providing the individual with the necessary support and information so that they can control their own illness and feel included in the treatment program. It teaches the client about their illness so that both the therapist and client can work together to produce a tailor fitted treatment. However, in many cases schizophrenics are unaware of their illness and refuse to believe or work with their therapists because of paranoia. Therefore, it can be difficult to use on everyone, and it has already been found that it works best and most effectively with those who want to improve. Therefore, it would work best being means-tested.  

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