Psychological therapies for schizophrenia

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  • Created by: KCharlish
  • Created on: 03-04-16 11:33

AO1 1 CBT

  • Challenge a schizphrenics disorted beliefs, such as believing their thoughts are being controlled by somebody or something else. 
  • Help the patient identify and correct their disorted or maladaptive beliefs
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AO1 2 CBT

  • Therapist traces the origins of the patients symptoms to see how they might have developed.
  • The therapist evaluates the content of any delusions or voices and demosnstrates they are not real.
  • Patient and therapist dvelop their own alternatives to previous maladaptive beliefs.
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AO2 1 Gould et al

  • Meta analysis of 7 studies.
    • Cbt decreased the +ve symptoms in ALL studies.
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AO2 2 Combining techniques

  • Kulpers et al - significant reduction in +ve symptoms following having CBT combined with AP medication.
  • Lower rate of patient drop out 
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AO2 3 Appropriateness of CBT

  • helps create less distressing explanations for their psychotic beliefs rather than eliminate distressing beliefs all together. 
  • Patients may want to keep some behaviours as they act as a safety net - especially some -ve symptoms, such as affective flattering.
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AO1 4 Suitability

  • Hampshire et al - not all patients engage in the therapy.
    • Older patients are less suitable
    • Maladaptive thinking will not change if they do not engage.
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AO1 3 Psychoanalysis

  • individuals are often unaware of the influence of unconscious conflicts on their psychological state. 
  • assumes all symptoms are meaningful and reflect unconscious conflicts that must be brought into the conscious mind to be resolved.
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AO1 4 Psychoanalysis

  • therapist replaces harsh and punishing conscience with one that is less destructive and more supportive.
  • As the patient gets healthier they take a more active role in their own recovering.
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AO2 5 Psychodynamic effectiveness

  • Gottdeiner et al - meta analysis
    • PD therapy was effective for SZ
    • However - small number of studies meant it was difficult to asses the impact of variables e.g. therapist training.
    • Half the studies did not randomly allocate to conditions - treatment bias. 
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AO2 6 Combining treatments

  • May - psychodynamic therapy + medication had better outcomes than just therapy alone.
  • AP medication alone was better than therapy alone. 
  • Karon and VandenBos - patients receiving only therapy were improving more than those receiving just medication. 
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AO2 7 Expense

  • Psychodyamic therapy takes a long time. 
  • Expense cannot be justified as research has found that it is no more effective than medication.
  • However, extra expense is worth it as the overall cost of treatment decreases with time as patients are less likely to seek inpatient treatment and are more likely to gain employment. 
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