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Psychological therapies

             Psychodynamic
 psychoanalysis, social intervention, Milieu therapy.
               Family Intervention


      Cognitive therapy / CBT
                         Tarrier
                      Beck and Ellis
Psychodynamic


Freud and his famous couch
Psychodynamic Therapy
Methods include:
Dream analysis
Free association
Transference.

What are these? Will
 they work with
 schizophrenia?
Psychodynamic


It is agreed that the traditional psychoanalytic
 therapies are not really that appropriate for treating
 psychotic patients.
Fromm-Reichman (1948) and Rosin (1947) have
 developed a form of modified psychotherapy to treat
 schizophrenics but its effectiveness is also
 questioned.
It has been found that patients who have been
 treated using psychotherapy have needed longer
 hospitalization, their symptoms are worse and
 according to Drake & Sederer (1986) often refuse
 treatment
Psychodynamic / Activity

Family intervention, milieu therapy and social skills
 training are often used instead of psychotherapy.
Now go to the sources below and find out about
 these three treatments
    Eysenck
    Lewis
    Cardwell
    AQA Nelson Thorne


You have 15 minutes.
Cognitive behavioural therapy (CBT)


Constant repetition
 of negative
 thoughts leads to
 abnormality, this
 leads to faulty
 thinking and this
 way of thinking
 need to be changed
Cognitive

                             Even people who like me
 Nobody likes me            occasionally get mad at
                             me
                             I’m smart, even if I do
 I’m a moron                make mistakes now and
                             then
 I’m worthless              I’m a good person
                             It’s not my fault that the
 My jokes are bad           class has no sense of
                             humor
How does this work with
 Schizophrenia?
CBT / Beck and Ellis

One form of CBT is based on the work of Beck and
 Ellis, the aim of which is to change / challenge the
 negative emotions of faulty cognitions
The therapist will ask the client to give him/her
 evidence of the faulty cognitions and then tries to
 help the client generate alternative maybe more
 appropriate explanations.
This is made possible by placing the client in an
 experimental situations that will test the validity of
 the belief.
CBT / Beck and Ellis

This is seen with Chadwick who reported a case of a
 person who believed he could make things happen
 simply by thinking about them.
He was shown paused video recordings and asked to
 say what would happen. In over 50 trials not one
 prediction was correct and he was able to see that he
 did not have the power to influence the events after
 all.
CBT / Beck and Ellis


Kuipers et al (1997) states that this shows that this
 sort of therapy is effective in reducing some of the
 delusional symptoms of schizophrenia.

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Psychological therapies and schizophrenia

  • 1. Psychological therapies Psychodynamic psychoanalysis, social intervention, Milieu therapy. Family Intervention Cognitive therapy / CBT Tarrier Beck and Ellis
  • 3. Psychodynamic Therapy Methods include: Dream analysis Free association Transference. What are these? Will they work with schizophrenia?
  • 4. Psychodynamic It is agreed that the traditional psychoanalytic therapies are not really that appropriate for treating psychotic patients. Fromm-Reichman (1948) and Rosin (1947) have developed a form of modified psychotherapy to treat schizophrenics but its effectiveness is also questioned. It has been found that patients who have been treated using psychotherapy have needed longer hospitalization, their symptoms are worse and according to Drake & Sederer (1986) often refuse treatment
  • 5. Psychodynamic / Activity Family intervention, milieu therapy and social skills training are often used instead of psychotherapy. Now go to the sources below and find out about these three treatments  Eysenck  Lewis  Cardwell  AQA Nelson Thorne You have 15 minutes.
  • 6. Cognitive behavioural therapy (CBT) Constant repetition of negative thoughts leads to abnormality, this leads to faulty thinking and this way of thinking need to be changed
  • 7. Cognitive Even people who like me  Nobody likes me occasionally get mad at me I’m smart, even if I do  I’m a moron make mistakes now and then  I’m worthless I’m a good person It’s not my fault that the  My jokes are bad class has no sense of humor How does this work with Schizophrenia?
  • 8. CBT / Beck and Ellis One form of CBT is based on the work of Beck and Ellis, the aim of which is to change / challenge the negative emotions of faulty cognitions The therapist will ask the client to give him/her evidence of the faulty cognitions and then tries to help the client generate alternative maybe more appropriate explanations. This is made possible by placing the client in an experimental situations that will test the validity of the belief.
  • 9. CBT / Beck and Ellis This is seen with Chadwick who reported a case of a person who believed he could make things happen simply by thinking about them. He was shown paused video recordings and asked to say what would happen. In over 50 trials not one prediction was correct and he was able to see that he did not have the power to influence the events after all.
  • 10. CBT / Beck and Ellis Kuipers et al (1997) states that this shows that this sort of therapy is effective in reducing some of the delusional symptoms of schizophrenia.