Download A Casebook of Cognitive Behaviour Therapy for Command by Sarah Byrne, Max Birchwood, Peter E. Trower, Alan Meaden PDF

By Sarah Byrne, Max Birchwood, Peter E. Trower, Alan Meaden

Command hallucinations are a very distressing and occasionally risky kind of hallucination approximately which rather little is understood and for which no evidenced dependent therapy at present exists. In A Casebook of Cognitive Behaviour treatment for Command Hallucinations the advance of a brand new and cutting edge facts established cognitive remedy is gifted in a pragmatic layout excellent for the busy practitioner. This new process relies on over a decade's study at the position of voice hearers' ideals concerning the energy 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 program, 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. matters coated additionally comprise: realizing 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 offers a desirable and extremely functional precis of the 1st intervention to have an immense effect on misery and on compliance with command hallucinations. it is going to be of significant curiosity to all psychological overall healthiness practitioners operating with individuals with psychosis in group and forensic settings.

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Extra info for A Casebook of Cognitive Behaviour Therapy for Command Hallucinations: A Social Rank Theory Approach

Sample text

A technique recommended by Nelson (1997) was used, which involved the therapist issuing a direct challenge to the voices to harm her. First the therapist summarised why she did not think that the voices could do as they threatened. Then the therapist challenged the voices directly to cut off her little finger during the session, rather than telling Joan to harm her. The therapist made it clear to Joan that she was taking full responsibility for the challenge and for any harm that might come as a result.

Where catastrophic beliefs are identified, for example, the therapist can explore the idea that obeying the command is a kind of safety behaviour preventing disconfirmation and these beliefs can be challenged and tested by the techniques described above. Switching voices on and off Once the person is able to take a more detached view of her subjective experience she can achieve a greater sense of control over the voices by learning to initiate and stop voice activity. This can be achieved using the following steps.

He had not felt compelled to act on serious commands to harm himself or others, and he no longer believed that he was being persecuted. In addition, the findings indicate that Ralph was somewhat less distressed by the voices post-therapy, although he was still upset by the fact that he continued to hear malevolent voices. With regard to the voices’ identity, some doubt had been cast on Ralph’s belief that one of the voices was that of his abuser, although he remained partially convinced. Ralph felt that he had benefited from having the opportunity to talk about the voices, in terms of learning how to cope with them and learning that he was able to question what they said and stand up to them.

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