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People are laughing on the bus. There’s something wrong with me. What’s going on inside the ‘black box’?. My papers are not where I left them. People are trying to sabotage my career. What’s going on inside the ‘black box’?. I can’t hear what people are saying.

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What s going on inside the black box l.jpg

People are laughing on the bus

There’s something wrong with me

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


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My papers are not where I left them

People are trying to sabotage my career

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


What s going on inside the black box3 l.jpg

I can’t hear what people are saying

My family is plotting against me

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


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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


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Cognitive Approach

Events in

the world

Perception

Inference

Belief

Search for

new info

Source: Bentall (1990)


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Cognitive approach

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


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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


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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)


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