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Cited by 71Schizophrenia research and treatmentHallucinations in medical conditionsPsychotherapy Techniques and Applications

More than just a place to talk: young people’s experiences of group psychological therapy as an early intervention for auditory hallucinations.

Newton, Elizabeth, Larkin, Michael, Melhuish, Ruth, Wykes, Til·2007·Psychology and Psychotherapy Theory Research and Practice
DOI 10.1348/147608306x110148
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Abstract

OBJECTIVES: Auditory hallucinations are extremely distressing, particularly when occurring during adolescence. They may be most responsive to psychological intervention during a three-year critical period following symptom-onset, but as yet no studies have investigated voices groups for young participants with adolescent-onset psychosis. The aim of the current study is to explore the experience of group-CBT amongst a group of young people experiencing distressing auditory hallucinations. DESIGN: This project was planned and conducted in the tradition of idiographic, qualitative psychology. A small purposive sample was selected, and in-depth, open-ended interviews were conducted, in order to generate and explore rich, experiential accounts which are clearly situated and contextualized. METHODS: Eight participants who had completed a cognitive behavioural group intervention were interviewed using a semi-structured interview schedule. The transcribed data were analysed according to the principles of Interpretative Phenomenological Analysis (IPA; Smith, Osborn, & Jarman, 1999). RESULTS: Two superordinate themes emerged. The first describes experiential features of the respondents' accounts of group therapy. The second theme posits a cyclical relationship between four key factors: the content of the hallucinated voices, the participants' explanations for, and reactions to these voices, and thus, their ability to cope with them. CONCLUSIONS: 'Voices groups' are appreciated by young people with auditory hallucinations, as sources of therapy, information, and support. These results suggest a number of testable hypotheses about the efficacy of group treatment and its future development.

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  • The group-based design permits high therapy frequency and dose, is cost-effective, resource saving and offers opportunities for peer social support and interpersonal skill development.

    “On top of that, the group-based design permits high therapy frequency and dose, is cost-effective, resource saving and offers opportunities for peer social support and interpersonal skill development (147).”

    From Developing a mechanism-based therapy for acute psychiatric inpatients with psychotic symptoms: an Intervention Mapping approach (2023) · cites this paper as [147]

  • Non-clinical individuals are more likely to appraise their hearing voice's experience as benign, positive, and controllable, less hallucination-related distress, and with lower levels of negative beliefs about AVHs than people with psychiatric disorders.

    “Non-clinical individuals are more likely to appraise their hearing voice’s experience as benign, positive, and controllable [15], less hallucination-related distress [16], and with lower levels of negative beliefs about AVHs than people with psychiatric disorders [9, 17, 18].”

    From The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review (2022) · cites this paper as [18]

  • It can be difficult to identify and recruit nonclinical voice-hearers because it may be uneasy to share their own experience, probably fearing encountering stigma or to be isolated by other people.

    “Furthermore, it can be difficult to identify and recruit nonclinical voice-hearers, because it may be uneasy to share their own experience, probably fearing encountering stigma [18, 24] or to be isolated by other people [25–27].”

    From The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review (2022) · cites this paper as [18]

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Authors
Newton, E., Larkin, M., Melhuish, R., & Wykes, T.
Affiliations
  • University College London (GB)
  • University of Birmingham (GB)
  • Camden and Islington NHS Foundation Trust (GB)
Corresponding author
Newton, Elizabeth
ORCID
Venue
Psychology and Psychotherapy Theory Research and Practice
Publisher
Wiley
Published
2007-03
Volume
80
Issue
1
Pages
127-149
ISSN
  • 1476-0835 (ISSN-L)
  • 2044-8341
DOI
10.1348/147608306x110148
OpenAlex
W2058064629
Cited by
70
References
75
Citations by year
2025: 2 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 6 · 2014: 2 · 2013: 5 · 2012: 10
FWCI
0.64
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1394 d)
Locations
  • Psychology and Psychotherapy Theory Research and Practice (publishedVersion)
  • PubMed (publishedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
auditory hallucinations, group cognitive behavioral therapy, adolescent-onset psychosis, early intervention, youth experiences, peer support, psychosis
MeSH terms
Adaptation, Psychological, Adolescent, Psychology, Adolescent, Communication, Female, Hallucinations, Humans, Interview, Psychological, Male, Peer Group, Psychotherapy, Group, Social Support, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction

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