tailoring cognitive behavioural therapy to subtypes of voice-hearing
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ID: 220908
2015
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Abstract
Cognitive behavioural 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 conceptualise 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.
| Reference Key |
esmailes2015frontierstailoring
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|---|---|
| Authors | ;David eSmailes;David eSmailes;Ben eAlderson-Day;Charles eFernyhough;Simon eMcCarthy-Jones;Guy eDodgson |
| Journal | accounts of chemical research |
| Year | 2015 |
| DOI |
10.3389/fpsyg.2015.01933
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| URL | |
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