IS CBT EFFECTIVE IN MANAGING SCHIZOPHRENIA Essay

IS CBT EFFECTIVE IN MANAGING SCHIZOPHRENIA - Essay Example According to the http://www.schizophrenia.com/szfacts.htm, there is no cure for schizophrenia so all talk of "treatment" or "therapy" may pertain to â€Å"management† and not actual â€Å"treatment† of the condition. In this work, we review three articles that I consider important in how cognitive behaviour therapy can be useful in the management and treatment of schizophrenia. We review three studies: Barrowclough et al. (2006), Turkington et al. (2006a) and Turkington et al. (2006b). Barrowclough et al. (2006) sought to evaluate the effectiveness of group cognitive behavioural therapy for schizophrenia. To do so, 113 people with chronic schizophrenia, the Barrowclough et al. study assigned each of the 113 people to receive either the group cognitive-behavioural therapy or the usual treatment. The primary measure employed to assess the efficacy of treatment were the positive symptom improvement on the positive and negative syndrome scales while the secondary measures w ere â€Å"secondary outcome measures† like symptoms, functioning, relapses, hopelessness and self-esteem (Barrowclough et al. 2006, p. 527). The finding of Barrowclough et al. (2006) is that there was no significant difference between the two methods of treatment. However, the individuals subjected to group cognitive-behavioural therapy have a reduction in â€Å"feelings of hopelessness and in low self-esteem.† Thus, the conclusion of the Barrowclough et al. (2006) study is that â€Å"although the group cognitive-behavioural therapy may not be the optimum treatment for reducing hallucinations and delusions, it may have important benefits, including feeling less negative about oneself and less hopeless† (p. 527). The Barrowclough et al. (2006) study exhibited adequate adherence to professional and research ethics. Perhaps, an important indication of this is that the study sought an ethical agreement with the local research ethics committee. The inclusion criteria for the study are very clear in Barrowclough et al. (2006, p. 527). One of the inclusion criteria is that informed consent from the patient was required although the study does not discuss whether the informed consent is merely verbal or written or whether the relatives or the guardians of the patients were made co-signatories in the informed consent mechanism. I believe that concurrence of relatives or guardians may be necessary because schizophrenic patients may be considered legally incompetent to respond to requests for consent (even if symptoms have not exacerbated six months prior to the study). In building cognitive behavioural therapy groups, the study built groups from the 113 individuals who were the subject of research. Those who administered the group cognitive-behavioural therapy composed another group who operated a program independent of the Barrowclough et al. research team. In the opinion of this researcher, the Barrowclough made due consideration for the welfare o f patients by putting in their inclusion criteria the requirement that the patient had one month of stabilisation if they had experienced a symptom exacerbation in the last six months (Barrowclough et al. 2006, p. 527). At the same time, however, the inclusion criterion implies that the results of the study should be qualified or that the positive benefits of the group cognitive behavioural therapy for schizophrenia, if any, apply only to that population