University of Western Australia, Nedlands, Schizophrenia Research Institute, Darlinghurst, and South Eastern Sydney Illawarra Area Health Service, Australia.
Behav Cogn Psychother. 2013 Oct;41(5):626-31. doi: 10.1017/S1352465812001014. Epub 2012 Dec 5.
There has been a recent focus on the interpersonal nature of the voice hearing experience, with studies showing that similar patterns of relating exist between voice hearer and voice as between voice hearer and social others. Two recent therapeutic approaches to voices, Cognitive Therapy for Command Hallucinations and Relating Therapy, have been developed to address patterns of relating and power imbalances between voice hearer and voice.
This paper presents a novel intervention that combines elements of these two therapies, named Cognitive Behavioural Relating Therapy (CBRT).
The application of CBRT is illustrated through a clinical case study.
The clinical case study showed changes in patterns of relating, improved self-esteem and reductions in voice-related distress.
The outcomes provide preliminary support for the utility of CBRT when working with voice hearers.
最近人们关注到幻听体验的人际本质,研究表明,幻听者与幻听之间以及幻听者与社会他人之间存在相似的关系模式。两种最近出现的针对幻听的治疗方法,即认知疗法治疗命令性幻听和关系疗法,旨在解决幻听者与幻听之间的关系模式和权力失衡问题。
本文提出了一种将这两种疗法结合起来的新干预方法,命名为认知行为关系疗法(CBRT)。
通过临床案例研究说明了 CBRT 的应用。
临床案例研究显示,关系模式发生了变化,自尊得到提高,与幻听相关的痛苦减轻。
研究结果初步支持了在与幻听者合作时使用 CBRT 的有效性。