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7 Cards in this Set
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
* A major symptom of S is disorganised thinking. The purpose of CBT is to help the individual consider and organise their disordered thoughts in a rational way. |
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
+ SELF EFFICACY - CBT requires the client to confront their own problems, rather than being the passive recipient of advice offered by a therapist. |
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
- CONTRADICTORY FINDINGS - Laws (2014) reported only a “small therapeutic effect” from using CBT with patients with S. However a month later, Morrison (2014) reported that CBT significantly reduced psychiatric symptoms in those individuals with S. Perhaps the difference in these findings occurred because Morrison’s cohort had choice in their own treatment plan and thus being able to exercise ‘choice’ was beneficial in reducing the severity of their symptoms of S? |
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
The findings of research from the 1970s such as Vaughn & Leff, clearly showed a link between the family ‘climate’ and the risk of individuals with S relapsing. Family Intervention (FI) strategies were developed to reduce the ‘expressed emotion’ levels in family interactions. |
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
Is FI really appropriate for everyone with S? Weisman (1988) suggested relatives attributed + symptoms to S, but - symptoms to the individual with S. Relatives become more angry/critical of those with -symptoms, which may explain the higher relapse rates of those with - symptoms. This suggests that FI is particularly important for these families. |
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
The Cochrane review concluded FI significantly reduces relapse events at 12 and 24 months. So it would seem FI is effective, but is its effectiveness based on reducing the expressed emotion in the family or is it the fact that FI greatly increases compliance to antipsychotics and hence this increased drug compliance explains the reduced relapse rates? |
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Psychological therapies for S, including evaluation in terms of appropriateness and effectiveness |
By themselves, psychological therapies have little to offer the treatment of S as most require the individual to have insight into their own behaviours, and this is only really an option if the psychologicaol therapy is combined with antipsychotic medication. |