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

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

Command hallucinations are a very distressing and occasionally harmful form of hallucination approximately which fairly little is understood and for which no evidenced established remedy at present exists. In A Casebook of Cognitive Behaviour treatment for Command Hallucinations the advance of a brand new and cutting edge proof established cognitive treatment is gifted in a pragmatic structure perfect for the busy practitioner. This new method is predicated on over a decade's study at the function of voice hearers' ideals concerning the energy 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 program in 8 situations illustrating the breadth of its software, 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 proposals for destiny advancements. topics coated 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 ebook presents a desirable and extremely functional precis of the 1st intervention to have a massive influence on misery and on compliance with command hallucinations. it is going to be of serious curiosity to all psychological well-being practitioners operating with individuals with psychosis in neighborhood 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

An alternative explanation was proposed, namely the notion that stressful events in childhood and adolescence had triggered the development of Ralph’s mental health problems. Links were made between Ralph’s relationship with the voices and his relationship with his abuser. As a child, Ralph had felt powerless to act against the abuser; similarly, Ralph had perceived himself to be subordinate to the voices, in the same way as he had been to the abuser. However, therapy was enabling him to become more assertive with the voices and with significant others; for example, Ralph was learning that he could make choices about his behaviour that might contradict the voices’ commands.

This is an observer rated scale to measure specifically the frequency of CH and level of compliance/resistance with each identified command. This was developed as a research instrument, but for ordinary clinical assessment the clinician can obtain from the patient (or other informant, such as a relative) a description of all the commands and associated behaviours (compliance or resistance) within the previous eight weeks where they felt compelled to respond. e. e. preparatory acts or gestures (3); partial compliance with at least one severe command (4); full compliance with at least one severe command (5).

This model suggests that people may have a greater or lesser predisposition to psychotic experiences or other physical/mental health symptoms, which are triggered by higher or lower numbers of stressful events experienced. In Tom’s case, bereavement seemed to have first triggered the voice on two occasions, 25 years earlier. In recent years, a build-up of events seemed likely to have triggered the voice again: redundancy, followed by excessive alcohol use; the death of his fiancée and the subsequent death of a girlfriend; and finally working in excess of 80 hours a week.

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