Psychological therpaies for schizophernia

• CBT encourages the patient to trace back to the origins of their symptoms
• they are asked to evaluate the content of the delusions to show how valid they are
• the learning of maladaptive repsonses to life peroblems is often the result of faulty thinking or mistakes in assesing cause and effect

• CBT is incredibly effective when used with drugs
• studies have showed that ECT effecitvely reduces positive symptoms by 25-50%  when using drugs too
• lower patient drop out rates

Effectiveness:

• meta-analysis showed that CBT was effective in reducing positive symptoms
• however CBT is usually used iwth drugs so is hard to asses its effectiveness alone

Appropriateness:

• CBT works by giving a less distressing explanation for psychotic experiences rather than trying to eliminate them completley
• negavtive symptoms may seem useful as when being treated for schziophernia an increase in symptoms may cause them to be re-admitted
• studies have shown that CBT isn't for everyone and is actually more useful for younger people

the aim of psychoanalysis is to bring unconcious conflicts to the concious mind to be dealt with

• the therapist becomes a friend with the patient in order to offer help
• the worse the condition the more help is offered
• Freud did believe at one point that schizophernics were unable to form a transference with the analyst
• transference refers to a process as by which emotions that are orignially accosicated with one person can unconciously be transfered to the analsyt
• there are few therapists who can achieve this
• however the main idea is that the therapst builds trust by replacing the harsh and punishing conscience with a friendlier one
• then the patient can take an acitve role in their recovery

Effectiveness:

• reports have shown that some psychodynamic therpaies are actually harmful for patients
• however a meta-analysis showed that it was effective treatment for schizophernia
• researchers have said it is impossible to draw defnitie conclusions for or aganist psychodynamic therapies
• May (1986) found that patients who were treated with psychodynamic and drugs had a better outcome then therapy alone
• it was found that antipsychotic drugs were better than therapy
• the evidence supports both for an aganist

Appropriateness:

• APA has said that therapys such as psychodynamic are effective when used with drugs
• as it is a long term therapy and these are usually expensive, it prevents it being adopted on a large scale
• many people argue that is is expensive it is not worth using