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A Pilot Study of Exposure Control of Chronic Auditory Hallucinations in Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Rajendra Persaud  and
Isaac Marks
Rajendra Persaud*
Affiliation:
Institute of Psychiatry, London
Isaac Marks
Affiliation:
Institute of Psychiatry, London
*
Dr Penaud, Institute of Psychiatry, De Crespigny Park, London SE5 8AF. Fax: 0181 665 0794
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Extract

Background

Many patients complain less of their auditory hallucinations per se than of lack of control of the experiences. There is reason to believe that a non-distraction (exposure) approach could help patients gain more control over persistent auditory hallucinations and teach them that their experience is a form of thinking and has no external source. This study is a pilot test of that idea.

Method

Five DSM–III–R schizophrenic outpatients with medication-resistant auditory hallucinations improved with a mean of 31 hour-long sessions over 3 months of therapist-guided exposure to their hallucinations and situations likely to evoke them.

Results

Improvement was greatest in patients' anxiety and sense of control over their hallucinations, less in social use of leisure and hallucinating time.

Conclusions

These mildly encouraging pilot results warrant a controlled study of exposure for drug-resistant chronic auditory hallucinations and other psychotic experiences which are associated with anxious avoidance.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 1 , July 1995 , pp. 45 - 50
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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References

Assad, G. & Shapiro, B. (1986) Hallucinations: Theoretical and clinical overview. American Journal of Psychiatry, 143, 1088–1097.Google Scholar
Bentall, R. P. (1990) The illusion of reality, a review and integration of psychological research on hallucinations. Psychological Bulletin, 167, 82–95.Google Scholar
Bick, P. A. & Kinsbourne, M. (1967) Auditory hallucinations and subvocal speech in schizophrenic patients. American Journal of Psychiatry, 144, 222–225.Google Scholar
Cutting, J. (1989) Hearing voices. British Medical Journal, 296, 769–770.Google Scholar
Duogan, C., Marks, I. & Richards, D. (1993) Clinical audit of behaviour therapy training of nurses. Health Trends, 25, 25–30.Google Scholar
Fowler, D. & Morley, S. (1989) The cognitive behavioural treatment of hallucinations and delusions: a preliminary study. Behavioural Psychotherapy, 17, 267–282.CrossRefGoogle Scholar
Haddock, G., Bentall, R. P. & Slade, P. D. (1993) Psychological treatment of chronic auditory hallucinations: two case studies. Behavioural and Cognitive Psychotherapy, 21, 335–346.Google Scholar
Heilbrum, A. B., Diller, R., Fleming, R., et al (1986) Strategies of disattention and auditory hallucinations in schizophrenics. Journal of Nervous and Mental Disease, 174, 265–273.CrossRefGoogle Scholar
Jacobsen, E. (1929) Progressive Relaxation. Chicago: University of Chicago Press.Google Scholar
Junginger, J. & Frame, C. L. (1985) Self-report of the frequency and phenomenology of verbal hallucinations. Journal of Nervous and Mental Disease, 173, 149–155.Google Scholar
McGuire, P. M., Shah, G. M. & Murray, R. M. (1993) Increased blood flow in Broca's area during auditory hallucinations in schizophrenia. Lancet, 342, 703–706.Google Scholar
McInnis, I. & Marks, I. (1990) Audio-tape therapy for persistent auditory hallucinations. British Journal of Psychiatry, 157, 913–914.Google Scholar
Margo, A., Hemsley, D. R. & Slade, P. D. (1981) The effects of varying auditory input on schizophrenic hallucinations. British Journal of Psychiatry, 139, 122–127.CrossRefGoogle ScholarPubMed
Marks, I. (1978) Living with Fear. McGraw Hill.Google Scholar
Romme, M. A. J. & Escher, A. D. M. A. C. (1989) Hearing voices, Schizophrenia Bulletin, 15, 209–217.Google Scholar
Slade, P. D. (1976) An investigation of psychological factors involved in the predisposition to auditory hallucinations. Psychological Medicine, 6, 123–132.Google Scholar
Tarrier, N., Beckett, R., Harwood, S., et al (1993) A trial of two cognitive-behavioural methods of treating drug-resistant residual psychotic symptoms in schizophrenic patients: 1. Outcome. British Journal of Psychiatry, 162, 524–532.Google Scholar
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