psychological therapies and schizophrenia

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Psychodynamic psychoanalysis, social intervention, Milieu therapy. Family Intervention Cognitive therapy / CBT Tarrier Beck and Ellis Psychological therapies

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Page 1: Psychological therapies and schizophrenia

Psychodynamic psychoanalysis, social intervention, Milieu

therapy.

Family Intervention

Cognitive therapy / CBTTarrier

Beck and Ellis

Psychological therapies

Page 2: Psychological therapies and schizophrenia

Psychodynamic

Freud and his famous couch

Page 3: Psychological therapies and schizophrenia

Psychodynamic Therapy

Methods include:Dream analysisFree associationTransference.

What are these? Will they work with schizophrenia?

Page 4: Psychological therapies and 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

Page 5: Psychological therapies and schizophrenia

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.

Page 6: Psychological therapies and schizophrenia

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

Page 7: Psychological therapies and schizophrenia

Cognitive

Nobody likes me

I’m a moron

I’m worthless

My jokes are bad

How does this work with Schizophrenia?

Even people who like me occasionally get mad at me

I’m smart, even if I do make mistakes now and then

I’m a good person

It’s not my fault that the class has no sense of humor

Page 8: Psychological therapies and 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.

Page 9: Psychological therapies and schizophrenia

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.

Page 10: Psychological therapies and schizophrenia

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.