Making Sense of Voices: a case series

Craig Steel*, Joachim Schnackenberg, Hayley Perry, Eleanor Longden, Emily Greenfield, Dirk Corstens

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

16 Citations (Web of Science)

Abstract

The current evidence-base for the psychological treatment of distressing voices indicates the need for further clinical development. The Maastricht approach (also known as Making Sense of Voices) is popular within sections of the Hearing Voices Movement, but its clinical effectiveness has not been systematically evaluated. The aim of the approach is to develop a better understanding of the role of the voice, in part through opening a dialogue between the voice hearer and the voice. The current study was a (N = 15) case series adopting a concurrent multiple baseline design. The Maastricht approach was offered for up to 9-months. The main outcome, weekly voice-related distress ratings, was not statistically significant during intervention or follow-up, although the effect size was in the moderate range. The PSYRATS Hallucination scale was associated with a large effect size both at the end of treatment, and after a 3-month follow-up period, although again the effect did not reach statistical significance. The results suggest further evaluation of the approach is warranted. However, given the large variance in individual participant outcome, it may be that a better understanding of response profiles is required before conducting a definitive randomised controlled trial.

Original languageEnglish
Pages (from-to)3-15
Number of pages13
JournalPsychosis-Psychological Social and Integrative Approaches
Volume11
Issue number1
DOIs
Publication statusPublished - 2 Jan 2019

Keywords

  • Auditory hallucinations
  • Experience Focussed Counselling
  • voice dialogue
  • talking with voices
  • Making Sense of Voices
  • AUDITORY VERBAL HALLUCINATIONS
  • SCHIZOPHRENIA
  • PSYCHOSIS
  • METAANALYSIS
  • ADVERSITIES
  • DELUSIONS
  • DISORDER
  • VALIDITY
  • HEARING
  • LIFE

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