Psychological therapies and schizophrenia


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Psychological therapies and schizophrenia

  1. 1. Psychological therapies Psychodynamic psychoanalysis, social intervention, Milieu therapy. Family Intervention Cognitive therapy / CBT Tarrier Beck and Ellis
  2. 2. PsychodynamicFreud and his famous couch
  3. 3. Psychodynamic TherapyMethods include:Dream analysisFree associationTransference.What are these? Will they work with schizophrenia?
  4. 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. 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. 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. 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 humorHow does this work with Schizophrenia?
  8. 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. 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. 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.