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

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

Command hallucinations are a very distressing and occasionally harmful form of hallucination approximately which rather little is understood and for which no evidenced dependent therapy presently exists. In A Casebook of Cognitive Behaviour remedy for Command Hallucinations the advance of a brand new and leading edge proof established cognitive remedy is gifted in a realistic layout excellent for the busy practitioner. This new technique is predicated on over a decade's examine at the position of voice hearers' ideals in regards to the strength and omnipotence in their voices and the way this drives misery and 'acting on' voices. The treatment protocol is gifted in transparent steps from formula to intervention. The physique of the e-book describes its software in 8 instances illustrating the breadth of its program, together with 'complex' situations. 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 lined additionally comprise: knowing 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 booklet presents a desirable and extremely functional precis of the 1st intervention to have a huge impression 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 neighborhood and forensic settings.

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To support Tom in taking gradual steps in returning to work, perhaps doing part-time work to begin with. Furthermore, he may need assistance in finding a suitable job where he is not put under undue pressure. Tom has considered moving to a group home where he will have the company of other people. He may choose to pursue this in the future. To use the summary handout provided by the therapist to regularly review their work together, with particular emphasis on Tom’s ability to cope with stress and depressive symptoms.

Such fears are not uncommon, particularly in staff with a traditional ‘medical model’ training. Evidence supporting the efficacy of CBT for voice hearers was cited; in particular, it was emphasised that there was no evidence of CBT making voice hearers worse and increasing evidence of the benefits to voice hearers of talking about their experiences and feeling listened to and understood. The therapist agreed to proceed carefully with Joan and to ‘back off’ if therapy appeared to be causing any deterioration in her mental health.

This was used as evidence to support an emerging belief that he had as much power as the voice. Subsequently, challenging the belief that the voice could make Tom harm himself gave further support for the view that the voice is far from powerful. By mid-therapy, Tom reported that the voice had stopped (and it didn’t return for the remainder of therapy). He explained that he had refused to obey the voice, saying firmly ‘If you’re so powerful, do it yourself! ’ He felt able to say this because he no longer believed that the voice could physically harm him or make him act.

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