• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Outline and evaluate psychological therapies for schizophrenia

Extracts from this document...


Outline and evaluate psychological therapies for schizophrenia The underlying idea of cognitive behaviour therapy (CBT) is that people with mental disordesr have irrational and distorted ways of thinking. The goal of CBT is to provide an alternative to the often bizarre psychotic thoughts and feelings that the person with schizophrenia experiences. Although there are several forms of CBT, all have the aim of modifying hallucinations and delusional beliefs. CBT attempts to challenge (and to reality test) the client's interpretation of their hallucinations and to propose alternative explanations. One form of CBT is called Coping Strategy Enhacement (CSE). One of the ideas behind this approach is the finding that the majority of people who experience delusions and/or hallucinations report using coping strategies (Tarrier 1987). Such strategies include drowning-out voices by turning up the television set, use of distraction, withdrawal from social contact and self-talk. CSE aims to develop the client's coping strategies in order to reduce the frequency, duration and intensity of the psychotic symptoms. ...read more.


Two reasons that CBT is appropriate for people with schizophrenia include: Many symptoms of schizophrenia are cognitive in nature, for example, delusions, hallucinations and disorganised speech, and CBT directly targets cognitive processes. Many people with schizophrenia use coping strategies to control their delusions and hallucinations, so it makes sense for a therapy to build on these coping strategies. However, people with schizophrenia generally do not realise they have a problem, and thus lack insight into their condition, a further limitation of CBT's appropriateness. CBT does not take into account the biological factors (e.g. biochemistry), thus it is doubtful whether CBT on its own would be effective. CBT involves the active co-operation of the client - thus is avoids the criticism made against drug therapy, that the client is a passive recipient of treatment. Family therapy focuses on the social dynamics within the family. The aim is to reduce the level of negative expressed emotion in the family. ...read more.


Birchwood and Jackson (2001) found that the relapse rate over 12 months was between 25% and 33% for those receiving family therapy, compared to 60% for those receiving routine treatment. It is unlikely that family therapy can provide a cure for schizophrenia. Although there is convincing evidence that family therapy benefits people with schizophrenia, it does not make their social functioning comparable to that of healthy controls. 65% of patients with schizophrenia return from hospital to their families. Thus the role of the family is crucial. Family therapy is an appropriate way of establishing a secure family environment. There is evidence that expressed emotion within the family increases the risk of relapse therefore a therapy that focuses on family dynamics has obvious value. People with schizophrenia are socially isolated - and a therapy that emphasises social functioning addresses this important issue. However, family therapy probably doesn't work on its own, but needs to be used in conjunction with drug therapy. Many patients with schizophrenia do not belong to a functioning family, hence there are limitations to its appropriateness. ?? ?? ?? ?? ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our AS and A Level Developmental Psychology section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related AS and A Level Developmental Psychology essays

  1. Peer reviewed

    Outline and evaluate psychological explanations of schizophrenia

    4 star(s)

    Bateson's double-bind hypothesis (1978) - some children are repeatedly given mutually contradictory pairs of messages, what Bateson termed double-bind communications. For example, the mother might offer the child a piece of chocolate cake that she had made just for him/her, but then comment on the child's weight.

  2. Free essay

    Unmasking Anxiety with Cognitive Behavioral Therapy

    This allows people suffering from anxiety and depression to be relieved of those symptoms. To back up his point he gives an example, ...In a recent landmark study conducted at outpatient clinics at the University of Pennsylvania and Vanderbilt University, 240 patients suffering from episodes of moderate to severe depression

  1. c hallenging a client to change

    As each piece of unfinished business is resolved, a Gestalt is completed and the way is then prepared for the client to move on to the next unfinished business. When a prior need was left unsatisfied, that particular ~Gestalt could not be completed.

  2. Task1 Counselling 1aPhysical signs and symptoms of stress

    If Mrs A's son is surrounded by culture conflict, decay and insufficient social organisations then this will be a major cause of his criminality. Because television is a source of behaviour modelling and that violence is often expressed as an acceptable behaviour, then Mrs A's son may exhibit a relatively

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work