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A randomised controlled pilot study of Experience Focused Counselling with voice hearers

Schnackenberg, Joachim; Fleming, Mick; Martin, Colin R.


Joachim Schnackenberg

Mick Fleming

Colin R. Martin


Background: There is a need for improved psychosocial interventions for distressed voice hearers.

Aims: To evaluate a novel approach to hearing voices: Experience Focused Counselling (EFC) aka Making Sense of Voices.

Study design and methods: Twelve voice hearers were randomly assigned to a 44-week EFC or Treatment As Usual intervention as part of a pilot study design.

Results: At the end of intervention, EFC showed clinically large treatment effect improvements on the Brief Psychiatric Rating Scale – Expanded Version psychotic symptoms (Cohen’s d=1.6) and overall psychopathology domains (d=1.3), and the Psychotic Symptom Rating Scales voices (d=1) and delusions (aka non-shared reality) (d=1) scales. EFC voice hearers also felt more able to do first trauma disclosures (n=4) than TAU group voice hearer (n=1).

Discussion: EFC improvements may have been related to the focus on reducing voices-related distress. EFC holds some promise as a safe and effective intervention for voice hearers, with possible improvements in general psychopathology, psychosis, voices and non-shared reality (aka delusions)-related distress. This will need replicating in more powerful studies.

Journal Article Type Article
Publication Date Jan 2, 2017
Journal Psychosis
Print ISSN 1752-2439
Electronic ISSN 1752-2447
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 9
Issue 1
Pages 12-24
APA6 Citation Schnackenberg, J., Fleming, M., & Martin, C. R. (2017). A randomised controlled pilot study of Experience Focused Counselling with voice hearers. Psychosis, 9(1), 12-24.
Keywords Experience focussed counselling; Hearing voices; Making sense of voices; Psychosis; Randomised controlled trial; Schizophrenia
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Copyright Statement ©2018 University of Hull
Additional Information Peer Review Statement: The publishing and review policy for this title is described in its Aims & Scope.; Aim & Scope: http://www.tandfonline....cope&journalCode=rpsy20


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