Psychological therapies

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Presentation transcript:

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

Freud and his famous couch 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 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

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 thngs 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 eh 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. What is Integrated Psychological Therapy (IPT) and is it effective? You have 5 minutes

CBT Look up the work of Tarrier (1987) (AQA Nelson Thorne text): Find out about what he did and what approach was developed. Explain the new technique What can you say about the methodology of Tarrier’s work and what claims have been made about it? You have 15 minutes. You may wish to also look at other sources here too.

Psychological therapies Now go to the Cardwell, Cardwell & Flannigan and Lewis textbooks and write about the effectiveness and appropriateness of each of: CBT Psychodynamic therapy