Mr. B. actively participated in the CBSST group. He
McQuaid et al.
J Psychother Pract Res, 9:3, Summer 2000 155
was always punctual, attending all sessions but one, and
compliant with his homework activities. During the initial
phase of treatment, we encouraged him to apply the 3-C’s to
his auditory hallucinations and delusions of reference by
checking the evidence for the thought that the therapists belonged
to the Mafia. Mr. B. did not find these exercises particularly
helpful and continued to endorse suspicions and
the belief that he needed to obey his auditory hallucinations.
During the second module, however, Mr. B. appeared to develop
increased social awareness of others in the group and
a decreased sense of mistrust and guardedness. Through the
use of interactive role-playing, the emphasis on nonverbal
and verbal communication techniques, and the interchange
of similar experiences via class and homework activities, Mr.
B. interacted more appropriately with both the group members
and the group leaders, and, as a consequence, received
more positive feedback.