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Psychology unit 4 schizophrenia
Psychological therapies- psychodynamic therapy
This started off as psychoanalysis which involved making unconscious conflicts,
conscious through transferring negative emotions onto a therapist. However, this
isn't used anymore as it was ineffective and so it was replaced with the
psychodynamic therapy. This works by creating an alliance with a patient by
offering real help to what they think is the problem. The therapy tries to build
trust with the patient. The harsh critical conscience is replaced with a positive
Gottdiener looked at 37 studies in a meta analysis of 2642 patients over
50 years. Found that the group using the psychodynamic therapy were 66%
more likely to recover than those who didn't, where 37% recovered. Also
found that psychodynamic therapy was just as effective as CBT. Also drugs
were found not to make psychodynamic therapy more effective and
outpatients were more likely to recover than those in hospital. This shows
that the psychodynamic therapy is effective.
Schizophrenics can't used psychoanalysis as they can't transfer
unconscious conflicts onto a therapist so the old treatment won't work.
May found that schizophrenics treated with this therapy and
antipsychotics have better outcomes than those treated with the therapy
alone. Also found that medication was more effective than the therapy.
Inappropriate it is not as effective as other therapies, so a time
consuming therapy is not worth the expense. However, some argue that as
the therapy advances the cost decreases as the patient is likely to seek
medication and more likely to get a job.