Tailoring Cognitive Behavioral Therapy to Subtypes of Voice-Hearing.
Item Type:Journal Article
Citation:Smailes D, Alderson-Day B, Fernyhough C, McCarthy-Jones S, Dodgson G, Tailoring Cognitive Behavioral Therapy to Subtypes of Voice-Hearing., Frontiers in psychology, 6, 2015, 1933
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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.
Author: MCCARTHY-JONES, SIMON
Type of material:Journal Article
Series/Report no:Frontiers in psychology
Availability:Full text available