Abstract

This chapter establishes a cognitive approach to understand and manage auditory hallucinations and delusions. The auditory hallucination itself can be noise, music, single words, a brief phrase, or a whole conversation. The serious disturbance associated with voices tends to be located in the way an individual feels and behaves. The defining feature of the cognitive model within clinical psychology is the premise that people's feelings and behavior are mediated by their beliefs, and therefore are not inevitable consequences of antecedent events, such as an auditory hallucination. If the cognitive perspective is to be applicable to voices, two hypotheses must be supported. One is that the cognitive model will make sense of why individuals respond in such different ways to their voices. Second, the cognitive model needs to add to the understanding of voices. That is to say, if differences in voice content accounted for people's diverse behavior and feelings, then from an explanatory point of view the cognitive model would be superfluous.

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