Cognitive Remediation Therapy Essay

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Other than relieving the negative and positive symptoms of schizophrenia, it is imperative to integrate these patients into the society via Cognitive Remediation therapy (CRT). CRT has been defined as a behavioural training-based intervention that aims to improve cognitive processes (attention, memory, executive function, social cognition or metacognition) with the goal of durability and generalisation (Cognitive Remediation Experts Workshop (CREW), Florence, April 2010). Cognitive remediation strategies can be split into two main models: “compensatory” and “restorative” . The “compensatory” treatments try to eradicate or to bypass the specific cognitive deficit, using the patient’s residual cognitive abilities with or without the community …show more content…

Scaffolding is when the patient is encouraged to use previously established areas of competence, whilst help is provided with new aspects of learning by carefully regulating the complexity of material to be learnt. Massed practice is conducted in a set of repeated tasks (at least 2-3 times per week) to encourage the retention and application of the skills developed. Information processing strategies include verbalization, information reduction, task simplification into smaller easy-to-remember steps, providing written prompts, chunking, self-monitoring, mnemonic strategies, categorization, organization, and planning. These strategies are applied differently and to varying degrees in different methods of cognitive remediation for each patient. CRT should be tailored specifically for each patient of differing needs and goals to ameliorate cognitive dysfunction of varying degree. To improving cognitive abilities in a community setting, CRT should be modified by occupational therapists (OTs) within the framework of a psychiatric rehabilitation programme (PRP), with a functional goal in

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