By Sarah Byrne, Max Birchwood, Peter E. Trower, Alan Meaden
Command hallucinations are a very distressing and occasionally risky kind of hallucination approximately which particularly little is understood and for which no evidenced dependent therapy presently exists. In A Casebook of Cognitive Behaviour treatment for Command Hallucinations the improvement of a brand new and leading edge proof established cognitive treatment is gifted in a pragmatic structure excellent for the busy practitioner. This new technique is predicated on over a decade's learn at the function of voice hearers' ideals concerning the strength and omnipotence in their voices and the way this drives misery and 'acting on' voices. The remedy protocol is gifted in transparent steps from formula to intervention. The physique of the ebook describes its program in 8 situations illustrating the breadth of its software, together with 'complex' circumstances. The authors additionally current their interpretation of what their findings let us know approximately what works and does not paintings, and recommendations for destiny advancements. topics coated additionally comprise: figuring out command hallucinations a cognitive as opposed to a quasi-neuroleptic method of CBT in psychosis does CBT for CH paintings? findings from a randomised managed trial. This e-book presents a desirable and intensely useful precis of the 1st intervention to have an important effect on misery and on compliance with command hallucinations. it is going to be of significant curiosity to all psychological healthiness practitioners operating with individuals with psychosis in neighborhood and forensic settings.
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Extra info for A Casebook of Cognitive Behaviour Therapy for Command Hallucinations: A Social Rank Theory Approach
40 Joan Beliefs about compliance/resistance In addition to being critical of her and abusive, Joan reported that the voices frequently commanded her to harm herself. There was little evidence that she had acted on these commands but she feared that she might act because of the persistent and convincing nature of the voices. However, on three occasions Joan had found herself walking down the middle of the road in the early hours of the morning. She said that she had been unaware of having heard a command to do this but she had heard the voices saying ‘we’ve won, we’ve won’, which she took as evidence of the voices’ power to make her comply.
He would try to resist the voice’s command in the knowledge that no harm would befall him. ’ Then be began resisting leaving his ﬂat, by saying ﬁrmly ‘No, I’m not going in that road’ and listening to relaxing music. Finally, he was able to ignore the voice by continuing with an activity despite the voice’s command. Subsequently, Tom reported not hearing the voice at all. Exploring beliefs about the power of the voice By trying the various coping strategies described earlier, Tom began to believe that he had more control over the voice.
The voices also told Joan to ‘jump oﬀ a motorway bridge’ and although she did not act on this command, on a few occasions she reported that she had prepared to leave the house, but then had decided not to comply by remaining at home. Furthermore, Joan reported that the voices commanded her to ‘get rid of other people’ sometimes, which she always resisted. At the time of the assessment, Joan was 60 per cent convinced that she would not act on the voices. She said that she did not want to act because she knew that what the voices asked was wrong, although she feared that she might act.