The omnipotence of voices. A cognitive approach to auditory hallucinations.
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Citations
From the margins to the NICE guidelines: British clinical psychology and the development of cognitive behaviour therapy for psychosis, 1982–2002:
Psychopathology of verbal auditory hallucinations
Trauma okresu rozwojowego jako czynnik ryzyka rozwoju zaburzeń psychotycznych. Część II. Wyniki badań, mechanizmy przyczynowo-skutkowe, implikacje kliniczne
The cognitive and behavioural consequences of psychotic experiences
References
Thought and language
Cognitive Therapy of Depression
Thought and language
The theory and practice of group psychotherapy
Related Papers (5)
Frequently Asked Questions (17)
Q2. What are the three main behavioural dispositions of S Il?
Therefore engagement, resistance and indifference are probably best thought of as predominant behavioural dispositions that describe the person's response to voices most of the time.
Q3. What is the effect of the weakening or loss of beliefs?
The weakening or loss of these beliefs is predicted to ease distress and facilitate a wider range of more adaptive coping strategies.
Q4. What is the position of the authors in relation to voices?
In relation to voices, their position is that beliefs are vital to the maintenance of affective and behavioural responses and render them understandable.
Q5. What is the general disposition to consider when a person is uncertain about their voices?
there is the general disposition to consider; malevolent voices are to be resisted and benevolent voices are to be courted.
Q6. What was the important determinant of compliance?
In their group theseverity of the command, and not beliefs, was the single most important determinant of compliance —¿ there was no compliance with life-threatening commands, and compliance with mild commands was commonplace.
Q7. What is the common assumption of previous approaches to voice management?
An assumption of previous approaches to voice management has beenOMNIPOTENCE OF VOICES: COGNITIVE APPROACH 201that alleviating distress is contingent upon eliminating the experience, and this has led to therapies such as monaural occlusion and distraction (Birchwood, 1986) or indeed pharmacotherapy.
Q8. What is the role of the CT with voices?
A critical part of CT with voices is to refute the belief in omnipotence and to test the possibility that the patient may learn to regulate the activity of the voices.
Q9. What was the main evidence that the voice was a prophet?
The main evidence that the voice was a prophet was that it spoke in Arabic, directed her to pages of the Koran, and knew her thoughts.
Q10. What was the evidence of verbal regulation of behaviour?
There was also evidence of verbal regulation of behaviour, a normal process whereby strongly held beliefs can drive the way in which the authors behave, feel, and interpret events (Vygotsky, 1962).
Q11. What was M's belief about the voice?
Belief 2, that the voice helped her through personal difficulties, rested on two points: that it gave good advice and that it predicted the future.
Q12. What was the attribution of the therapists?
For many patients this attribution was supported by an experience of control, by fantastic visual hallucinations, and by the patient having no influence over the voice.
Q13. What is the implication of the cognitive model of voices?
A second impli cation is that a lot of effort needs to go into establishing rapport, trust, and confidence, because the voices have a strong emotional and cognitive hold over the patients.
Q14. Why are the authors interviewing people who have acted on serious commands?
At present the authors are interviewing people who have acted on serious commands, to investigate whether such compliance is associated with factors specific to the hallucinatory experience (e.g. total certainty in the beliefs) or more general predictors of violence (e.g. previous history).
Q15. What is the evidence for the †stress-vulnerability'model?
There is now considerable empirical backing for the ‘¿ stress-vulnerability'model, which asserts that acute or chronic stress can precipi tate or exacerbate episodes of disorder (Clements & Turpin, 1992).
Q16. What is the cognitive treatment approach to hallucinations?
The cognitive treatment approach to hallucinations involves the elucidation and challenging of the coreformer usually outweigh the latter, this discussion may be used as an inducement to engage in therapy.
Q17. What was discussed about the eye rolling?
It was discussed how the eye rolling might be a spasm provoked jointly by tension and her coping strategy of fixed staring when hallucinating.