COGNITIVE BEHAVIOURAL THERAPY (CBT)

• CBT 


  the idea that some individuals have irrational thoughts and beliefs about themselves and the world around them. these irrational thoughts are typically -ve and self defeating
• CBT 


  the goal is to eliminate these irrational thoughts and beliefs by challenging them and demonstrating they are wrong
• CBT 


  in combination with drug therapy it has been effective in helping sz patients
• CBT 


  change patients thoughts and beliefs
• CBT 


  change behaviour in a desirable way
• CBT 


  used to discover coping strategies to control their +ve symptoms - delusions and hallucinations = distractions, particular tasks and positive self talk
• (+) CBT 


  can help to reduce symptoms = CHADWICK = case study on a man (NIGEL) who had delusions. during CBT sessions, the therapists used reality testing with with NIGEL and he was asked to prove his ability by predicting what people were about to say in 50 different videotaped scenarios. NIGEL didnt get any correct, this changed his perception/delusion that he could predict what people were about to say = shows that techniques can help manage +ve symptoms of sz
• (-) CBT 


  psychologists think its not effective for all = ADDINGTON = claim that CBT is of little use in the early stages of an acute sz episode, but perhaps more useful when the patient is calmer and beginning to worry about how life will be after they recover = those who are who are thought disorientated / agitated / paranoid to form trusting alliances with practitioners may find it difficult to interact with CBT
• (-) CBT


  help manage but not cure = may help patients make more sense of their symptoms and learn how to cope with them; listening to music to drown out the sounds of the voices in a hallucination but they cant reduce the likelihood of the hallucinations = drug therapies may be better than CBT as the actually reduce symptoms rather than just helping cope