文章基本信息

标题：Tailoring Cognitive Behavioral Therapy to Subtypes of Voice-Hearing
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作者：Smailes, David ; Alderson-Day, Ben ; Fernyhough, Charles 等
期刊名称：Frontiers in Psychology
电子版ISSN：1664-1078
出版年度：2015
卷号：6
页码：1933-1942
DOI：10.3389/fpsyg.2015.01933
出版社：Frontiers Media
摘要：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.
关键词：Hallucinations; voice; hearing; cognitive behavioural therapy; psychosis; Schizophrenia