Conclusion
RCT data for the use of CBTp in schizophrenia sup-
ports the idea that including psychological therapy in
addition to routine care is more beneficial than routine
care alone on participants’ report of psychotic symptom
severity,
with very
recent
data
suggesting that
this
extends
to measures
of
overall voice severity. However,
closer examination of the data relating specifically to
voices suggests that our understanding of which specific
methods are useful for promoting expected outcomes for
voices as a specific treatment target remains limited. To
address this, we may need to graduate from the focus on
whether broad therapy approaches such as CBTp demonstrate
effects
on generic symptom outcomes onto more
targeted
research
to better understand specific processes,
therapeutic
methods,
and applicability
for
different
voice
hearers
and service delivery
contexts.