Psychological Intervention and Schizophrenia
There are perhaps two main prongs to the development of Cognitive Behavioural Therapy as an intervention for schizophrenia, the first being based upon the sizable research that centre on family interventions, which have been successful in reducing patient relapse in schizophrenic families (Pilling et al., 2002). Family interventions are important to consider as they became established treatments during a phase where drug treatments were the main focus of attention in this field and so opened the area of non biological treatment for schizophrenia. And as I will touch upon later drug therapies are frequently used to reduce psychotic symptoms and relapse but these treatments rarely provide the answer, with as many as 50% of patients suffering from persistent psychotic symptoms when adhering to pharmacological treatments (Dickerson, 2000).
The other aspect that has seen CBT be considered as a treatment for schizophrenia is that it has been effective in treating a range of non-psychotic disorders both mild and more serious (e.g., Hawton, Salkovskis, Kirk, & Clark, 1989; Clark & Fairburn, 1997). The range of effective CB therapies stem from early studies where depression and anxiety disorders were the subject of interest (Beck et al., 1979; Barlow, 1988) to more serious psychotic disorders, such as bipolar disorder (Basco, Rush, 1995; Perry et al, 1999) and personality disorders (Beck et al, 1990).
While the success of family intervention, a non drug related therapy, and CBT’s success in treating various disorders provide evidence for the potential of CBT in treating schizophrenia they have been developed amid a backdrop in which drug therapy has been extensively explored, but has failed to produce a whole solution to the complexities exhibited by schizophrenia sufferers. It is likely then that as an intervention for schizophrenia CBT will provide a part solution rather than an all-encompassing answer. Detailed study of patients’ experiences has led to a greater understanding of the stress suffered by patients who go on to develop coping mechanisms, which can be treated using CBT, to deal with the symptoms of their illness (Mcnally, Goldberg, 1997). The fact then that there are so many aspects to this disease means that it would be impossible to provide a comprehensive review in this paper but I will discuss...
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5). While Schizophrenia has been most commonly treated with the use of anti-psychotic medications for decades, cognitive therapy provides an alternative and cognitive psychologist would undoubtedly disagree with Elizabeth’s mother’s decision to medicate her. The way a cognitive psychologist would treat Elizabeth is by the use of therapy and encouraging her to talk about her behaviors and problems as they do not believe that Schizophrenia “is a biological illness that one either has or does not have” (Freeman, 2014, para. 7) and instead the symptoms such as hallucinations or delusions simply represent the patient’s thoughts and feelings (Freeman, 2014). For example, “an individual troubled by hearing voices will be helped to understand what’s triggering these voices, and to develop a more confident, empowering relationship with them” (Freeman, 2014, para.
Charles is a 21 year-old Caucasian single male currently residing with his mother and stepfather whom also is Charles’s uncle. Charles graduated high school and due to his illness he receives social security benefits. During a two year period Charles had nine visits to the emergency room resulting in admission to the psychiatric unit. On two admissions Charles left against medical advice, five admissions required a higher level of care resulting in admission to the state psychiatric hospital and two Charles was transferred to the adult crisis unit. Charles also has a misdemeanor history mainly public nuisance due to substance abuse mainly marijuana and cocaine. Charles was evicted after a psychotic episode and destroying his apartment.
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One of the primary reasons I prefer to utilize CBT is due to its compatibility with my personality. I am an organized, logical, and direct individual, all of which CBT encompasses well. CBT is a highly structured therapy. Even though there isn’t a particular order to procedures while utilizing CBT, there does tend to be a natural progression of certain steps. This aspect allows me to feel as though I am leading client’s to their goals in a logical manner. Not only that, CBT has a great deal of research backing that has proven it to be effective in treating several diagnoses such as depression and anxiety (Corey, 2013). Perhaps the best quality of CBT is the fact that it is known for having an openness to incorporating techniques from other approaches. According to Corey (2013), most forms of CBT can be integrated into other mainstream therapies (p.
Miklowitz, D. G. and Otto, M.W. (2006). New Psychosocial Interventions for Bipolar Disorder: A review of literature and introduction of the systematic treatment enhancement program. Journal of Cognitive Psychotherapy. 20, 214-230.
CBT has been known to cure a variety of disorders both in clinical environments and non-clinical environments. This type of therapy technique has been tested for efficacy and has proven to be highly effective. Furthermore, the future for CBT looks very positive as well. Researchers and theorist are now working on making this type of therapy available for suicide prevention, schizophrenia, and other psychopathologies.
Schizophrenia is a major psychiatric disorder, or cluster of disorders, characterised by psychotic symptoms that alter a person’s perception, thoughts, affect and behaviour (NICE, 2009). Tai and Turkington (2009) define Cognitive Behaviour Therapy (CBT) as an evidence-based talking therapy that attempts cognitive and behavioural change based on an individualised formulation of a client’s personal history, problems and world views. CBT as a treatment for schizophrenia can be understood within a wider framework of CBT as applied to a range of mental disorders such as anxiety, post traumatic stress disorder (PTSD), and depression (Tai and Turkington, 2009). CBT was built on behavioural principles that emphasised clear relationships between cognition, physiology and emotion (Beck, 1952). This essay will analyse CBT as a therapy for individual suffering from schizophrenia. It will discuss briefly the historical background and the development of CBT, the aims and principles, the evidence base of the strengths and weaknesses of the therapy. It will discuss as well the implication to mental health nursing practice. The focus of this essay is on intervention and psychosocial in nature which will be brought together in the conclusion.
Addington, J., Piskulic, D., & Marshall, C. (n.d). Psychosocial Treatments for Schizophrenia. Current Directions In Psychological Science, 19(4), 260-263.
There are several people every year that are diagnosed with a mental disorder. In the world’s entire population, more than one percent of people have been diagnosed with schizophrenia (Brain and Behavior Research Foundation). When thinking of the billions of people in the world, it might not seem like that many people but once the number of those diagnosed is calculated it seems much larger. Currently there are more than seventy million people in the world that have been diagnosed with schizophrenia, only diagnosed. There are probably several more people who have this disorder and have not been diagnosed or are unable to obtain the resources to be diagnosed.
Every year about 100 million animals suffer through being poisoned, shocked, and burned for unsuccessful medical research. Some may believe that animal testing is a crucial part to medical research and should be used more frequently. Others believe the pain and suffering inflicted upon the animals is morally wrong and should not be done, no matter what benefits come from it.
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
Throughout history, animal testing has played an important role in leading to new discoveries and human benefit. However, what many people forget are the great numbers of animals that have suffered serious harm during the process of animal testing. Animal testing is the use of animals in biological, medical, and psychological studies. The development and enhancement of medical research has been based on the testing of animals. There are many questions being asked if animal research is good or not or if the benefit for us is way greater the abuse of animals. Doing tests on animals can help find ways to cure diseases, but testing on them is wrong. Although we want to find cures for diseases to help many people, testing on animals not only brutally hurts them but it also denies the animals the rights they have.
BIBLIOGRAPHY Arasse, Daniel. Complete Guide to Mental Health. Allen Lane Press,New York, 1989. Gingerich, Susan. Coping With Schizophrenia. New Harbinger Publications, Inc. Oakland, 1994. Kass, Stephen. Schizophrenia: The Facts. Oxford University Press. New York, 1997. Muesen, Kim. “Schizophrenia”. Microsoft Encarta Encyclopedia. Microsoft Corporation, 1998. Young, Patrick. The Encyclopedia od Health, Psychological Disorders and Their Treatment. Herrington Publications. New York, 1991.
CBT, combination drug therapy showing promise for depersonalization disorder. Brown University Psychopharmacology Update [serial on the Internet]. (2005, May), [cited February 12, 2014]; 16(5): 1. Available from: MasterFILE Premier.