Chapter

Hallucinations-focused Integrative Therapy (HIT)

Jack A. Jenner

in Hallucinations

Published on behalf of Oxford University Press

Published in print June 2010 | ISBN: 9780199548590
Published online February 2013 | e-ISBN: 9780191754623 | DOI: http://dx.doi.org/10.1093/med/9780199548590.003.0010
Hallucinations-focused Integrative Therapy (HIT)

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Cost-effectiveness of HIT has been demonstrated, as has the feasibility of program application in community treatment settings. Direct comparison of HIT with other therapies is fairly difficult because most therapies (family treatment, and rehabilitation studies) are disorder and syndrome orientated. Only a few therapies other than HIT focus specifically on symptoms. Comparison is also problematic because few therapies have been examined in RCTs for their effectiveness in the reduction of AVH. CBT has been thoroughly studied in many RCTs, but mainly for efficacy, not effectiveness.

Although CBT is an essential module in HIT, family treatment, flexibility of program, psycho-education, and form of treatment differentiate CBT in the context of HIT from CBT-only programs. When one compares HIT with CBT, dropout percentage, patient satisfaction (HIT population scores: 80% good/very good), effect-size, NNT, and generalization of effect to social functioning seem to favour HIT. Durability of effect on AVH is another advantage of HIT. Luteijn (2009) compared several treatment modalities of CBT and HIT (Table 10.1).

Implementation of HIT requires proper training of competent therapists. HIT shares this obstacle with other psycho-social interventions. It is regrettable that the politics of health care management have not been able, or perhaps willing, to solve this problem. To know that voices in psychiatric patients are persistent and represent a severe burden for them, their relatives, and the community, and to realize that these voices improve insufficiently with medication alone makes it difficult to accept that these patients have inadequate access to psycho-social treatments that may alleviate their burden and may improve their social functioning.

Chapter.  9189 words. 

Subjects: Psychiatry

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