Document Detail

A pilot study of exposure control of chronic auditory hallucinations in schizophrenia.
MedLine Citation:
PMID:  7551607     Owner:  NLM     Status:  MEDLINE    
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.
R Persaud; I Marks
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  167     ISSN:  0007-1250     ISO Abbreviation:  Br J Psychiatry     Publication Date:  1995 Jul 
Date Detail:
Created Date:  1995-11-21     Completed Date:  1995-11-21     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  45-50     Citation Subset:  IM    
Institute of Psychiatry, London.
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MeSH Terms
Anxiety / psychology,  therapy
Auditory Perception*
Desensitization, Psychologic / methods*
Hallucinations / psychology,  therapy*
Internal-External Control
Pilot Projects
Reality Testing
Schizophrenia / therapy*
Schizophrenic Psychology*
Speech Perception
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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