View in EDS HTML Full Text PDF Full Text

A treatment protocol to guide the delivery of dialogical engagement with auditory hallucinations: Experience from the Talking With Voices pilot trial.

Saved in:
Bibliographic Details
Title: A treatment protocol to guide the delivery of dialogical engagement with auditory hallucinations: Experience from the Talking With Voices pilot trial.
Authors: Longden, Eleanor, Corstens, Dirk, Morrison, Anthony P., Larkin, Amanda, Murphy, Elizabeth, Holden, Natasha, Steele, Ann, Branitsky, Alison, Bowe, Samantha
Source: Psychology & Psychotherapy: Theory, Research & Practice. Sep2021, Vol. 94 Issue 3, p558-572. 15p. 2 Charts.
Subjects: Hallucinations, Pilot projects, Social support, Psychoses, Human voice, Psychoeducation, Medical care, Word deafness, Medical protocols, Symptoms, Patient compliance, Psychological adaptation, Psychotherapy, Psychological distress
Abstract: Purpose: To present a treatment protocol for delivering Talking With Voices, a novel intervention for people with psychosis that involves dialogical engagement with auditory hallucinations. Method: This paper presents a manualized approach to therapy employed in the Talking With Voices trial, a feasibility and acceptability randomized control trial of 50 adult participants. A rationale for following a treatment manual is provided, followed by the theoretical underpinnings of the intervention and its principles and values, including the main tenet that voices can often be understood as dissociated parts of the self which serve a protective function by indicating social–emotional vulnerabilities. The four therapy phases for improving the relationship between the voice‐hearer and their voices are outlined: (1) engagement and psychoeducation, (2) creating a formulation, (3) dialoguing with voices, and (4) consolidating outcomes, including key milestones at each phase. Implementation issues are discussed, as well as recommendations for best practice and future research. Results: The Talking With Voices treatment protocol indicates that it is feasible to manualize a dissociation‐based approach to support service users who are distressed by hearing voices. Conclusion: For some individuals, it is possible to engage in productive dialogue with even extremely hostile or distressing voices. Developing coping strategies, creating a formulation, and ultimately establishing a dialogue with voices has the potential to improve the relationship between voice(s) and voice‐hearer. Further research is now required to evaluate feasibility, acceptability, and efficacy. Practitioner points: It is feasible to integrate a dissociation model of voice‐hearing within a psychological intervention for people with psychosis.Combining psychosocial education, formulation and direct dialogue can be used to facilitate a more peaceful relationship between clients and their voices.Practitioners trained in other therapeutic modalities can draw on existing transferrable skills to dialogue with their clients' voices.The input of those with lived experience of mental health difficulties has an important role in guiding treatment design and delivery. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 151799304
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A treatment protocol to guide the delivery of dialogical engagement with auditory hallucinations: Experience from the Talking With Voices pilot trial.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Longden%2C+Eleanor%22">Longden, Eleanor</searchLink><br /><searchLink fieldCode="AR" term="%22Corstens%2C+Dirk%22">Corstens, Dirk</searchLink><br /><searchLink fieldCode="AR" term="%22Morrison%2C+Anthony+P%2E%22">Morrison, Anthony P.</searchLink><br /><searchLink fieldCode="AR" term="%22Larkin%2C+Amanda%22">Larkin, Amanda</searchLink><br /><searchLink fieldCode="AR" term="%22Murphy%2C+Elizabeth%22">Murphy, Elizabeth</searchLink><br /><searchLink fieldCode="AR" term="%22Holden%2C+Natasha%22">Holden, Natasha</searchLink><br /><searchLink fieldCode="AR" term="%22Steele%2C+Ann%22">Steele, Ann</searchLink><br /><searchLink fieldCode="AR" term="%22Branitsky%2C+Alison%22">Branitsky, Alison</searchLink><br /><searchLink fieldCode="AR" term="%22Bowe%2C+Samantha%22">Bowe, Samantha</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Psychotherapy%3A+Theory%2C+Research+%26+Practice%22">Psychology & Psychotherapy: Theory, Research & Practice</searchLink>. Sep2021, Vol. 94 Issue 3, p558-572. 15p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Hallucinations%22">Hallucinations</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Human+voice%22">Human voice</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoeducation%22">Psychoeducation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Word+deafness%22">Word deafness</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To present a treatment protocol for delivering Talking With Voices, a novel intervention for people with psychosis that involves dialogical engagement with auditory hallucinations. Method: This paper presents a manualized approach to therapy employed in the Talking With Voices trial, a feasibility and acceptability randomized control trial of 50 adult participants. A rationale for following a treatment manual is provided, followed by the theoretical underpinnings of the intervention and its principles and values, including the main tenet that voices can often be understood as dissociated parts of the self which serve a protective function by indicating social–emotional vulnerabilities. The four therapy phases for improving the relationship between the voice‐hearer and their voices are outlined: (1) engagement and psychoeducation, (2) creating a formulation, (3) dialoguing with voices, and (4) consolidating outcomes, including key milestones at each phase. Implementation issues are discussed, as well as recommendations for best practice and future research. Results: The Talking With Voices treatment protocol indicates that it is feasible to manualize a dissociation‐based approach to support service users who are distressed by hearing voices. Conclusion: For some individuals, it is possible to engage in productive dialogue with even extremely hostile or distressing voices. Developing coping strategies, creating a formulation, and ultimately establishing a dialogue with voices has the potential to improve the relationship between voice(s) and voice‐hearer. Further research is now required to evaluate feasibility, acceptability, and efficacy. Practitioner points: It is feasible to integrate a dissociation model of voice‐hearing within a psychological intervention for people with psychosis.Combining psychosocial education, formulation and direct dialogue can be used to facilitate a more peaceful relationship between clients and their voices.Practitioners trained in other therapeutic modalities can draw on existing transferrable skills to dialogue with their clients' voices.The input of those with lived experience of mental health difficulties has an important role in guiding treatment design and delivery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=151799304
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/papt.12331
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 558
    Subjects:
      – SubjectFull: Hallucinations
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Psychoses
        Type: general
      – SubjectFull: Human voice
        Type: general
      – SubjectFull: Psychoeducation
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Word deafness
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Psychological distress
        Type: general
    Titles:
      – TitleFull: A treatment protocol to guide the delivery of dialogical engagement with auditory hallucinations: Experience from the Talking With Voices pilot trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Longden, Eleanor
      – PersonEntity:
          Name:
            NameFull: Corstens, Dirk
      – PersonEntity:
          Name:
            NameFull: Morrison, Anthony P.
      – PersonEntity:
          Name:
            NameFull: Larkin, Amanda
      – PersonEntity:
          Name:
            NameFull: Murphy, Elizabeth
      – PersonEntity:
          Name:
            NameFull: Holden, Natasha
      – PersonEntity:
          Name:
            NameFull: Steele, Ann
      – PersonEntity:
          Name:
            NameFull: Branitsky, Alison
      – PersonEntity:
          Name:
            NameFull: Bowe, Samantha
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: Sep2021
              Type: published
              Y: 2021
          Identifiers:
            – Type: issn-print
              Value: 14760835
          Numbering:
            – Type: volume
              Value: 94
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Psychology & Psychotherapy: Theory, Research & Practice
              Type: main
ResultId 1