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A tale of two outcomes: Remission and exacerbation in the use of trauma‐focused imaginal exposure for trauma‐related voice‐hearing. Key learnings to guide future practice
Clinical Psychologist ( IF 1.2 ) Pub Date : 2019-11-28 , DOI: 10.1111/cp.12202
Rachel M. Brand 1 , Amy Hardy 2, 3 , Sarah Bendall 4 , Neil Thomas 1
Affiliation  

Many people who hear voices (also termed auditory‐verbal hallucinations) have experienced traumatic or adverse life events. There is growing evidence that, for a number of people, these events are an important contributing factor to voice‐hearing experiences. Psychological mechanisms implicated in the trauma‐voice‐hearing relationship overlap with those involved in posttraumatic stress disorder, giving a strong rationale for the use of exposure‐based trauma‐focused therapies for distressing voices. There is currently limited clinical guidance in this area and, despite preliminary evidence of effectiveness, clinicians report reluctance to deliver these therapies. We believe that two key questions will be important in informing the delivery of exposure‐based trauma‐focused therapies for distressing voices; namely, what influences their acceptability and tolerability, and who is most likely to benefit?

中文翻译:

一个关于两个结果的故事:在以创伤为重点的虚构暴露中进行与创伤有关的声音听觉的缓解和加重。指导未来实践的关键学习

许多听到声音的人(也称为听觉-幻觉)经历过创伤性或不良生活事件。越来越多的证据表明,对于许多人来说,这些事件是语音聆听体验的重要促成因素。涉及创伤-声音-听力关系的心理机制与创伤后应激障碍所涉及的心理机制有重叠,这为使用基于接触的创伤为重点的治疗方法来折磨声音提供了强有力的理由。目前在该领域的临床指导有限,尽管有初步证据表明有效,但临床医生报告不愿提供这些疗法。我们认为,有两个关键问题对于告知以暴露为基础的创伤重点疗法来减轻嗓音至关重要。即
更新日期:2019-11-28
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