psyc

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What’s going on inside the ‘black box’?

People are laughing on the bus

There’s something wrong with

me

psyc

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uk

What’s going on inside the ‘black box’?

My papers are not where I left them

People are trying to

sabotage my career

psyc

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What’s going on inside the ‘black box’?

I can’t hear what people are saying

My family is plotting

against me

psyc

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Cognitive approach

Schizophrenia symptoms are the result of faulty information processing Misattributed speech & behaviour Faulty self-monitoring Deficits in STM & semantic memory

psyc

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Cognitive Approach

Events in the world

Perception Inference Belief

Search fornew info

Source: Bentall (1990)

psyc

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Cognitive approach

Treatment involves getting the patient to modify their beliefs about their experiences

psyc

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Cognitive therapies

CBT strategies to challenge & help modify delusory beliefs Identify delusions Challenge evidence on which delusions are

based Design ‘experiments’ to test reality of this

evidence Chadwick & Lowe (1993) – significant

reductions in delusions in 10 out of 12 patients

psyc

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Cognitive therapies

Normalising strategies where patient is taught to understand the nature of schiz. symptoms Challenge ‘catastrophising’ beliefs about

schizophrenia Help patient feel that symptoms are

understandable and ‘normal’ Helps 70% of patients although other

30% may deteriorate (Kingdon & Turkington, 1996)