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Y2: Psychology: Clinical Schizophrenia: Key Question Part 2

Psychology10 CardsCreated about 2 months ago

This deck covers key concepts and evaluations of treatments for schizophrenia, including Assertive Community Therapy and chemotherapy, using the acronym 'EACH' for analysis.

Briefly describe Assertive Community Therapy as a treatment for schizophrenia.

• It is based on the Social Causation Hypothesis which states that stress from the environment in things like lower social class and being an immigrant triggers symptoms • It targets the social factors that may worsen the disorder through providing support by integrating them into a community of health clinicians and other patients with mental disorders • The 10:1 staff ratio helps to assist patients in their daily life by helping with activities such as shopping, banking, and maintaining a job
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Key Terms

Term
Definition
Briefly describe Assertive Community Therapy as a treatment for schizophrenia.
• It is based on the Social Causation Hypothesis which states that stress from the environment in things like lower social class and being an immigran...
What is a major problem with ACT?
It doesn’t actually target symptoms of the disorder only factors that may worsen SZ.
Give evidence to support that ACT does reduce the effects of schizophrenia.
P - Bond et al (2000) supports the effectiveness of ACT E - He found that ACT was highly effective in 25 studies that looked at effectiveness due to e...
Using the acronym ‘EACH’, evaluate a supporting and rejecting ‘evidence’ points for chemotherapy.
P - Schooler et al (2005) supports the effectiveness of drug therapy to treat SZ E - He found that second generation drugs work better to prevent rela...
Using the acronym ‘EACH’, evaluate a ‘how’ point for chemotherapy.
P - Meltzer (2014) has high validity E - He used a placebo on an unsuspecting control group E - Therefore lack of DCs can establish cause and effect b...
Using the acronym ‘EACH’, evaluate 2 ‘credibility’ points of chemotherapy.
P - It masks symptoms E - Drug therapy only masks the symptoms of SZ and doesn’t try to fix the cause of the disorder due to lack of a cure E - Theref...

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TermDefinition
Briefly describe Assertive Community Therapy as a treatment for schizophrenia.
• It is based on the Social Causation Hypothesis which states that stress from the environment in things like lower social class and being an immigrant triggers symptoms • It targets the social factors that may worsen the disorder through providing support by integrating them into a community of health clinicians and other patients with mental disorders • The 10:1 staff ratio helps to assist patients in their daily life by helping with activities such as shopping, banking, and maintaining a job
What is a major problem with ACT?
It doesn’t actually target symptoms of the disorder only factors that may worsen SZ.
Give evidence to support that ACT does reduce the effects of schizophrenia.
P - Bond et al (2000) supports the effectiveness of ACT E - He found that ACT was highly effective in 25 studies that looked at effectiveness due to engaging clients and preventing rehospitaisation E - Therefore demonstrating that even if it doesn’t target symptoms, it reduces the effects of the disorder
Using the acronym ‘EACH’, evaluate a supporting and rejecting ‘evidence’ points for chemotherapy.
P - Schooler et al (2005) supports the effectiveness of drug therapy to treat SZ E - He found that second generation drugs work better to prevent relapse with 49% compared to 51% of first generation E - Therefore showing that medication is constantly improving P - Harlow et al (2012) rejects the effectiveness of antipsychotics E - He carried out a 20 year long longitudinal study and found that those who didn’t take their medication had fewer psychotic episodes than those who did E - This suggests that drug therapy may not be the best treatment for everyone
Using the acronym ‘EACH’, evaluate a ‘how’ point for chemotherapy.
P - Meltzer (2014) has high validity E - He used a placebo on an unsuspecting control group E - Therefore lack of DCs can establish cause and effect between the antipsychotic improving symptoms of patients
Using the acronym ‘EACH’, evaluate 2 ‘credibility’ points of chemotherapy.
P - It masks symptoms E - Drug therapy only masks the symptoms of SZ and doesn’t try to fix the cause of the disorder due to lack of a cure E - Therefore this is not an effective treatment if it does not offer a long-term solution by providing a cure P - High social control E - Some patients call chemotherapy a ‘chemical straitjacket’ due to not having control over the effects of the drugs and some may also not be able to take the pills on their own so gets someone else to do it for them E - Therefore this is not an effective treatment if there is an imbalance of power in regards to intrusion on the patients free will
Using the acronym ‘EACH’, evaluate a supporting and rejecting ‘evidence’ points for chemotherapy.
P - Vugt et al (2011) supports ACT as an effective treatment for SZ E - Carried out a study in the Netherlands of 530 patients and found that provided the model was adhered to, ACT was successful at reducing symptoms of SZ E - Therefore shows that ACT is an effective treatment worldwide P - Harvey et al (2012) rejected the effectiveness of ACT as a treatment E - He found that the effectiveness of ACT depends on how the treatment is implemented E - Therefore this raises questions on its design if variables such as staff training can reduce its effectiveness
Using the acronym ‘EACH’, evaluate a ‘how’ point for ACT.
P - Vugt et al (2011) has high generalisability E - Used a large sample of 530 patients in the Netherlands E - This shows that ACT works globally and is also a large sample to represent the wider population in terms of how effective it was
Using the acronym ‘EACH’, evaluate 2 ‘credibility’ points of ACT.
P - Availability E - ACT is only available in urban areas where SZ rates are highest and communities largest due to being based on the social causation hypothesis E - Therefore suggesting that ACT is not very effective due to not being able to help people who live in rural areas P - Cannot be used on its own E - Due to not targeting positive symptoms such as hallucinations, antipsychotics need to be taken alongside the programme E - Therefore showing that ACT is not an effective treatment on its own
Are there any applications?
P - Further research has to be done E - Carlsson (1999) concluded from his literature review of the dopamine hypothesis as an explanation for SZ that further research must be done into the impact of other neurotransmitters E - And so future medication and other treatments must also be developed and improved alongside this