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Case study of a female client on a regional secure unit
1North West Thames Forensic Psychiatry Service, Three Bridges Regional Secure Unit, Southall, Middlesex, England.
Journal of Advanced Nursing
|April 1, 1996
Summary
This study explored cognitive-behavioural treatment for a schizophrenic patient with maladaptive behaviors. Targeting cognitions and learned behaviors significantly decreased symptom frequency, improving patient management.
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Science
Background:
- Investigated a single case of a 32-year-old female inpatient with schizophrenia presenting with maladaptive behaviors in a medium secure setting.
- A baseline assessment of observed behavior was established to differentiate between psychosis and behavioral manipulation effects.
- Aimed to inform immediate and future management and treatment planning for the patient.
Observation:
- Situational factors influencing maladaptive behaviors were challenging to modify due to the patient's environment.
- Cognitions and learned behaviors were identified as key targets for intervention.
- Recent research suggests cognitive-behavioral treatment (CBT) can reduce hallucination and delusion frequency in some schizophrenia patients.
Findings:
- The frequency of maladaptive behaviors was systematically recorded.
- A cognitive-behavioral approach focusing on symptom reduction was implemented.
- A marked decrease in the patient's maladaptive behaviors was observed following the intervention.
Implications:
- Cognitive-behavioral strategies show promise in managing complex behavioral symptoms in schizophrenia.
- This case highlights the potential of targeting cognitions and learned behaviors when environmental manipulation is limited.
- Findings support the integration of CBT for symptom management in secure psychiatric settings.