Anna Callahan, Cassie Hazell, Elena Serena Piccardi, Jonathan Souray, David Raune
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The Content and Topography of Auditory Verbal Hallucinations in Adult Psychosis Patients: What Does a Voice Say, and How Does It Say It? An Umbrella Review and Collation
Background
Auditory verbal hallucinations (‘voices’) in clinical psychosis are associated with significant distress and disability, but the efficacy of CBT for voices is modest. Greater phenomenological understanding is crucial for the development of theoretical models and more tailored CBT interventions.
Aim
This work aimed to produce an evidence-based empirical framework of features of voice content and topography in adult psychosis.
Method
Electronic databases, journal pages and book publishers were systematically searched. Identified reviews were screened against inclusion criteria and included reviews critically appraised. Study characteristics and data relating to voice content/topography were extracted and collated.
Results
Forty-two reviews were identified. A framework of 172 features of voice content and topography was produced.
Conclusions
This paper offers the most comprehensive evidence-based dissection of voice content and topography to date. Many features have been overlooked and should be tested for theoretical and clinical significance in order to further develop CBT and related interventions for voices.
期刊介绍:
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.