Views And Reviews

Accepting Voices

BMJ 1994; 308 doi: (Published 18 June 1994) Cite this as: BMJ 1994;308:1649
  1. R Cochrane

    Ed Marius Romme, Sandra Escher MIND Publications, £13.99, pp 258 ISBN 1-874690-13-8

    Auditory hallucinations are among the most distressing symptoms of schizophrenia, and much therapeutic effort in dealing with schizophrenia is aimed at extinguishing, or at least alleviating, the impact of the voices that people hear. Indeed, removal of auditory hallucinations is often taken as a sign of the success of treatment even if the underlying disorder remains.

    Modern psychological approaches to treating schizophrenia emphasise two points. The first is the strong evidence that prolonged exposure of the patient to active psychosis is in itself damaging. Thus, there is a good reason for reducing the length of exposure to symptoms, especially auditory hallucinations. Clearly, the most efficacious and widely used method is to treat the patient with neuroleptics, but some patients have …

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