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What are the aims of family therapy?
To increase tolerance, decrease criticism and guilt for sufferers and improve communication between families of schizophrenic patients
How does family therapy attempt to reduce EE?
- Convincing family members to be more tolerant and less critical
- Helping family members to feel less guilty and less responsible for causing the illness
- Improving positive communication and decreasing negative communication between family members
How are support groups used in family therapy?
- Family members can talk to people in the same situation as theirs for support and guidance
- This helps to reduce feelings of isolation for families who feel they have to change their behaviours and thinking in order to improve relapse rates for family members with schizophrenia
What was the aim of Hogarty's 1989 study?
To investigate the effectiveness of family therapy in comparison to 3 other types of therapy
What was the methodology of Hogarty's 1989 study?
- 4 groups of patients were studied
- 1 group received medication only
- 1 revived medication and social skills training
- 1 group received medication and family therapy
- 1 group received medication, social skills training and family therapy
What were the results of Hogarty's 1986 study?
- Group 1 relapse rate: 40%
- Group 2 relapse rate: 20%
- Group 3 relapse rate: 20%
- Group 4 relapse rate: 0%
What can be concluded from Hogarty's 1989 study?
An interactionist or eclectic method seems to be the most effective in treating Schizophrenia
What did Hogarty et al find after their study?
- Patients were followed up for a second year after family therapy and social training had ceased
- Higher levels of relapse were observed
- This suggests that therapy should continue, even when the patient is in the recovery phase
What did Doane et al find in 1985?
Treatments focussed on reducing EE in families reduced relapse rates
How can the holism of psychotherapy be seen as a positive?
- Each type addresses a different aspect of the disorder
- Family therapy addresses stress in families which is known to trigger symptoms of schizophrenia and increase relapse rates
- CBT focusses on faulty cognitions
What did Goldstein and Falloon find?
Family therapy is very effective when combined with drugs
How can family therapy be criticised based on its treatment style?
- It fails to deal with the underlying cause of the disorder, only focussing on stress within the family which acts as a trigger
- Most patients also require drug therapy in order for symptomatic improvement to be noticed
- This suggests that family therapy is not an effective treatment when used in isolation
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