Psychological Therapies for CBT

Assessing the effectiveness, appropriateness and any ethical issues of psychological therapies.

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  • Created by: Tess
  • Created on: 17-01-11 10:50

CBT - effectiveness

Overview: based around Coping Strategy Enhancement and Reality Testing


  • only really effective on +ve symptoms
  • most effective when used in conjunction with other therapies, e.g. drugs Drury et al
  • treatment time can be lengthy and patients often drop out
  • research has shown that CBT is more effective than drugs Gould et al meta-analysis, however, many studies are where CBT & drugs are being used, therefore diccifcult to assess impact of CBT alone
  • only modest effect on relapse rates
  • patients often have to remain on drugs after therapy has ceased
  • only modest effect on relapse rates
  • doesn't take into account biochemical factors
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CBT- appropriateness


  • builds on strategies that many schizophrenics already have in place
  • many symptoms are thought to be caused by cognitive malfunction, therefore a cognitive approach is appropriate
  • reality testing allows patients to be more rational about their beliefs
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Family Therapy - effectiveness


  • Hogarty et al have shown that family therapy is effective
  • shown to be ineffective unless cobined with other therapies, e.g. drugs
  • doesn't consider genetic and biochemical factors
  • Falloon et al found significantly lower relapse rates where family support was good
  • treating the family as part of the solution rather than part of the problem using Family Psychoeducation has been shown to be effective - McFarlane et al
  • Many studies, e.g. The Optimal Treatment Programme in US are in situations where the patients and admin staff are all highly motivated --> distorted results?
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Family Therapy - appropriateness


  • because it is important for patients to return to secure and stress-free environment, family therapy is highly appropriate
  • HEE is known to increase relapse rates Linzen et al
  • Schiz symptoms often lead to isolation, therefore any treatment that focuses on social functioning is appropriate
  • Many schizophrenics are unmarried and therefore don't have a supportive family to return to
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