Psychological treatments for schizophrenia

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  • Created by: asusre
  • Created on: 29-04-21 21:20
What are the aims of family therapy?
Family therapy aims to improve the quality of communication and interaction between family members to reduce the chance of relapse.
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How does family therapy reduce levels of expressed emotion?
Family therapy reduces levels of expressed emotion by reducing expressions of anger and guilt by family members, which can create stress.
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How does family therapy improve the family’s ability to help a family member with schizophrenia?
Family therapy provides psychoeducation, maintains reasonable expectations for patient performance, improves relatives’ ability to anticipate and solve problems and ensures that they set limits and boundaries.
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What are the strengths of family therapy?
Family therapy has research support and economic benefits.
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Which research supports family therapy?
Pharoah et al. (2010) reviewed 53 studies and found that patients showed some improvement in social functioning and mental state and were less likely to relapse.
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Which research challenges family therapy?
Wu (2006) argues that many of the studies reviewed in Pharoah et al (2010) did not use random allocation.
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What research identified the economic benefits of family therapy?
The 2014 NICE review of family therapy studies demonstrated that it was associated with significant costs savings when offered to patients alongside the standard care as lower relapse rates reduce hospitalisation costs.
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What are the limitations of family therapy?
There is research to challenge the effectiveness of family therapy, and it may only be a result of increased medication compliance.
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What is medication compliance?
Medication compliance is how frequently the client takes their medication, which increases as families can remind patients to take their medication.
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Which research challenges family therapy?
Garety et al. (2008) failed to show any better outcomes for patients given family therapy compared to those that simply had carers who displayed low rates of expressed emotion. Both groups had low relapse rates compared to the no therapy/carer control gro
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What are the aims of CBTp?
CBTp is used to help patients identify and correct faulty interpretations of events which are responsible for delusions.
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What techniques are used during CBTp?
Clients are encouraged to trace the origins of their symptoms, evaluate the content of their delusions/voices and test the validity of their delusions using reality testing.
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What is reality testing?
Reality testing involves the therapist and client jointly examining the likelihood that delusions are true.
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How does CBTp treat schizophrenic symptoms?
CBTp does not eliminate symptoms, but helps people develop alternative explanations for faulty beliefs and coping strategies for their symptoms, which reduces distress and improves their ability to function adequately.
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What is one strength of CBTp?
One strength of CBTp is that there is research to support its effectiveness.
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What study supports the effectiveness of CBTp?
Jauhar et al. (2014) concluded in a review of 34 studies that CBTp has a significant but fairly small effect on both positive and negative symptoms.
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What review supports the effectiveness of CBTp?
The National Institute for health Care Excellence (NICE) 2014 review found that CBTp was more effective than antipsychotics for reducing symptoms of schizophrenia.
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What are the limitations of CBTp?
Research which supports the effctiveness with CBTp is methodologically flawed, and CBTp does not cure schizophrenia.
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What research challenges the effectiveness of CBTp?
Wykes et al (2008) found that the more rigorous the study, the weaker the effectiveness of CBTp. Meta-analyses can reach unreliable conclusions because they often use research which is methodically flawed, e.g., not using random allocation.
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What therapy may be a more appropriate treatment for schizophrenia than CBTp?
CBTp does not aim to reduce symptoms. Schizophrenia appears to be affected by biological factors, so it may be more appropriate to treat it using biological (drug) therapies.
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How does family therapy reduce levels of expressed emotion?

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Family therapy reduces levels of expressed emotion by reducing expressions of anger and guilt by family members, which can create stress.

Card 3

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How does family therapy improve the family’s ability to help a family member with schizophrenia?

Back

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Card 4

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What are the strengths of family therapy?

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Card 5

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Which research supports family therapy?

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