Saturday, March 9, 2013

Family Therapy for Schizophrenia

■ A description of Schizophrenia 
o Symptoms of schizophrenia are:
● Delusions= false, culturally inappropriate beliefs
● Hallucinations= especially hearing voices
● Associated abnormal behavior.
o At it’s worst it may become:
● Chronic
● Include relapses and remissions
● Client will experience a general decline in self-care
● The ability to lead an independent life is thwarted

■ Family risk and protection factors for Schizophrenia
 o Studies have focused on the link between expressed emotion to schizophrenia and unexpressed symptoms.
o Expressed emotion in families of schizophrenics has been shown to be bi-directional in nature and its impact on the client and on family exchanges is likely mediated by the patient’s level of symptoms and social skills.

■ Family based interventions for Schizophrenia
 o There is evidence to support the use of family interventions as one component of the treatment of schizophrenics.
o Certain family patterns, most notably high criticism and rejection, complicate the recovery process for schizophrenics.

o Family treatment reduces relapse and re-hospitalization
● On average, six families need to be treated to prevent one such event.
o Family treatment helps with client compliance with medication.
o Family treatment does not, however, alter the emotional climate or perceived burden in the family, but how the family handles it.

■ Clinical Implications
 o Family treatment helps prevent relapse, but it is expensive in the amounts required for effect.
o It is unknown whether the benefits of the treatment are from the family therapy techniques or a result of the improved compliance with medication