Transcript Year 12 DO NOW: - Stmaryspsyweb's Weblog

Year 12 DO NOW:
• January 2012: Identify two symptoms of
obsessive-compulsive disorder. (2 marks)
• Mark scheme:
• Up to 2 marks for description of both obsessions –
recurrent/persistent
thoughts/ideas/images/impulses and
compulsions – repetitive behaviours/ritual
acts/behaviour that reduces anxiety.
• Accept physiological symptoms of anxiety.
Learning Objective: to explore and evaluate
cognitive treatments for OCD
• ALL will be able to describe key features
of cognitive treatment for OCD
• MOST will be able to analyse and apply
cognitive treatments for OCD
• SOME will evaluate and compare
cognitive treatments for OCD
Today’s progress measure: January
2010
• Describe and evaluate two therapies for
obsessive-compulsive disorder. (10 marks)
• What do you know ALREADY which you could
use to help you to plan this question?
• Write down the question and bullet point what
you COULD already write down for this
question
Mark Scheme for this question:
creating our recipe for success
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AO1 Up to 5 marks for description of two of the following possible therapies.
Drug therapy – treatment of anxiety by use of drugs that increase serotonin levels, eg SSRIs,
MAOIs, mode of action
Cognitive therapy – procedures: describing misinterpretation of thoughts, counterproductive
thoughts, counterstatments
Combined behaviour and cognitive therapy described O’Kearney (1993).
Credit description of evidence up to 1 mark.
AO2 Up to 5 marks for discussion and evaluation of the therapies. Likely discussion points
include:
Drug therapy: reduction of symptoms not elimination, relapse when drugs not taken, dual
approach with other therapy
Cognitive therapy: how cognitive strategies work, effectiveness Rufer et al (2005)
Credit use of evidence.
Maximum 6 marks if only one therapy
Maximum 6 marks if no explicit link to OCD
How does it work?
• It aims to replace fearful thoughts (obsessions)
with more realistic ones
• Patients are taught to challenge
counterproductive thoughts with
counterstatements
• Counterproductive thought: a thought that is not
productive / helpful
• Counterstatement: a statement that goes against
a thought and challenges it
Example counterproductive thoughts and
counterstatements:
• ‘If I do not wash my hands after touching a door handle I
will die of contamination’ (counterproductive thought)
• ‘No one I know has died from touching a door handle, it is
very unlikely to happen’ (counterstatement)
• YOUR TURN: think of one counter-productive thought and
one counterstatement that a therapist could use with an
obsessive checker of locked windows / doors
• EXTENSION: go back to the case studies we looked at
together when we learnt about ‘obsessions’ and
‘compulsions’ to consider what types of thoughts these
people might be having
Other aspects of cognitive
therapies: Habituation Training
• Habituation training (Franklin et al 2000) this
is when the client is asked to think repeatedly
about their obsessive thoughts
• By thinking about their obsessions
deliberately they will become less anxiety
raising
• Because there is less anxiety compulsive
behaviour will not be required to reduce
anxiety
Supporting Evidence: Rufer et al
2005
• Research has shown that cognitive therapy is
successful in reducing the frequency with
which people have obsessive thoughts
• It has also been found to be effective in
reducing both the frequency and duration of
compulsive behaviours
Evaluative Comments:
• (+) this is a very effective treatment of OCD
• (+) works well alongside other therapies e.g.
behavioural and drug treatment
• (-) it is not clear exactly which part of the cognitive
therapy is effective in changing cognitions and it could
be that any cognitive change is a consequence of
another factor, e.g. Medication or lifestyle change, and
not the intervention by the therapist
• WHAT COMPARISONS can you think of with the other
treatment of OCD that we have covered? Sketch a
table to summarise these now!
Today’s progress measure: January
2010
• Describe and evaluate two therapies for
obsessive-compulsive disorder. (10 marks)
• What do you know NOW which would help you to
answer this question?
• Complete your recipe for success, you have until
the end of the lesson to get as far as you can
answering this question, we will mark what you
have done in class at the end
Mark Scheme for this question:
creating our recipe for success
•
•
•
•
•
•
•
•
•
•
•
AO1 Up to 5 marks for description of two of the following possible therapies.
Drug therapy – treatment of anxiety by use of drugs that increase serotonin levels, eg SSRIs,
MAOIs, mode of action
Cognitive therapy – procedures: describing misinterpretation of thoughts, counterproductive
thoughts, counterstatments
Combined behaviour and cognitive therapy described O’Kearney (1993).
Credit description of evidence up to 1 mark.
AO2 Up to 5 marks for discussion and evaluation of the therapies. Likely discussion points
include:
Drug therapy: reduction of symptoms not elimination, relapse when drugs not taken, dual
approach with other therapy
Cognitive therapy: how cognitive strategies work, effectiveness Rufer et al (2005)
Credit use of evidence.
Maximum 6 marks if only one therapy
Maximum 6 marks if no explicit link to OCD
Learning Objective: to explore and evaluate
cognitive treatments for OCD
• ALL will be able to describe key features
of cognitive treatment for OCD
• MOST will be able to analyse and apply
cognitive treatments for OCD
• SOME will evaluate and compare
cognitive treatments for OCD
What do you know now that you didn’t
know when you walked in the room?