Smailes, David, Alderson-Day, Ben, Fernyhough, Charles, McCarthy-Jones, Simon and Dodgson, Guy (2015) Tailoring Cognitive Behavioral Therapy to Subtypes of Voice-Hearing. Frontiers in Psychology, 6. p. 1933. ISSN 1664-1078
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Abstract
Cognitive behavioral therapy (CBT) for voice-hearing (i.e., auditory verbal hallucinations; AVH) has, at best, small to moderate effects. One possible reason for this limited efficacy is that current CBT approaches tend to conceptualize voice-hearing as a homogenous experience in terms of the cognitive processes involved in AVH. However, the highly heterogeneous nature of voice-hearing suggests that many different cognitive processes may be involved in the etiology of AVH. These heterogeneous voice-hearing experiences do, however, appear to cluster into a set of subtypes, opening up the possibility of tailoring treatment to the subtype of AVH that a voice-hearer reports. In this paper, we (a) outline our rationale for tailoring CBT to subtypes of voice-hearing, (b) describe CBT for three putative subtypes of AVH (inner speech-based AVH, memory-based AVH, and hypervigilance AVH), and (c) discuss potential limitations and problems with such an approach. We conclude by arguing that tailoring CBT to subtypes of voice-hearing could prove to be a valuable therapeutic development, which may be especially effective when used in early intervention in psychosis services.
Item Type: | Article |
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Uncontrolled Keywords: | hallucinations, voice-hearing, psychosis, schizophrenia, cognitive behavioral therapy |
Subjects: | C800 Psychology |
Department: | Faculties > Health and Life Sciences > Psychology |
Depositing User: | Becky Skoyles |
Date Deposited: | 27 Jun 2018 14:32 |
Last Modified: | 01 Aug 2021 08:07 |
URI: | http://nrl.northumbria.ac.uk/id/eprint/34733 |
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