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

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’?

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  1. People are laughing on the bus There’s something wrong with me What’s going on inside the ‘black box’?

  2. My papers are not where I left them People are trying to sabotage my career What’s going on inside the ‘black box’?

  3. I can’t hear what people are saying My family is plotting against me What’s going on inside the ‘black box’?

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

  5. Cognitive Approach Events in the world Perception Inference Belief Search for new info Source: Bentall (1990)

  6. Cognitive approach • Treatment involves getting the patient to modify their beliefs about their experiences

  7. 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

  8. 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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