Case study: Combine two concepts between Rogers’s and Skinner’s psychotherapy for increase self-care and Medication adherence in schizophrenia patientName : Dr. Rizki Widyahastuti
Affliation : Psychology
University : University of Muhammadiyah Malang
Country : Indonesia
Background: Patients with schizophrenia who experience the lack of daily life skill activities such as self-care. In addition, many cases of schizophrenic patients are refusing to take medications. The patient in this case, a 27-year-old man who suffered from schizophrenia since adolescence had low self-care levels such as defecation in anywhere and did not want to brush his teeth. The patient is also very difficult to take the medicine and it must be rough to take medicine. The patient's behaviour will get worse when relapse.
Aims: This study aims to improve self-care and medication adherence.
Methods: single-case designs methods, data collection using observation and clinical interviews. The combination of 2 theories for the therapy of Rogers’s concept of Unconditional Positive Regards and Skinner’s concept of Positive Reinforcement for 7 weeks at Dhian Atmajaya Foundation (Rehabilitation Foundation for Psychotic Patient).
Result and Conclusion: Those methods able to give a positive impact. Such as, the patient was brushing his teeth even though not every day, and do not defecate anywhere. Other results showed the patient was able to tell part of the story of his life without a relapse. Combining 2 approaches in this therapy have a positive result in patients. But, more research is needed to investigate effective this therapy model.
Keywords: Rogers, Skinner, medication adherence, self-care, schizophrenia
Rizki Widyahastuti is a final semester student of Master of Psychology Profession University of Muhammadiyah Malang. She completed her bachelor’s degree in Psychology from University of Muhammadiyah Malang, Indonesia. Her 2 years job experience in Guidance and Counseling University Muhammadiyah Malang. She also had internships at the Dhian Atma Jaya Foundation which is a rehabilitation center for psychotic patients and internship at a government hospital in Malang, Indonesia.