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How Do You Help Schizophrenics? Give Their Hallucinations Faces

How Do You Help Schizophrenics? Give Their Hallucinations Faces

A new study has shown that helping schizophrenics put a face to the voices in their head could dramatically help them deal with their auditory hallucinations.

The trial, published in the British Journal of Psychiatry in late May, involved 16 patients, all of whom suffered from auditory hallucinations and in particular, hearing disembodied voices. Researchers allowed the 16 patients to create a computer-based avatar, essentially a portrait of a person, that they felt matched the voice they heard.

The computer was then made to synchronize the avatar’s lips with human speech. This enabled a therapist to speak to the patient through the avatar and in real time. At first, the therapist mirrored closely things that the patient had reported the disembodied voice as saying. However, gradually the therapist changed the voice’s words to become positive.

Over the course of up to just seven 30 minute sessions of therapy, the therapist was able to help patients recognize and take control of the hallucinations. The results were staggering. 15 of the 16 patients reported a benefit with only one patient unable to follow the rules of the trial. Of those who did see a benefit, the improvement in their mental condition was marked with a lessening of the frequency and a decrease in the severity of the voices.

In fact, three of the patients stopped hearing voices completely, one after experiencing the hallucinations for 16 years. This approach, known as “avatar therapy,” has caused considerable excitement in the field for its potential applications. Professor Craig of King’s College London’s Institute of Psychiatry, a member of the team behind the study, is quoted as saying:

The beauty of the therapy is its simplicity and brevity. Most other psychological therapies for these conditions are costly and take many months to deliver. If we show that this treatment is effective, we expect it could be widely available in the UK within just a couple of years as the basic technology is well developed and many mental health professionals already have the basic therapy skills that are needed to deliver it.

Schizophrenia is classed as a long-term mental health problem that can have a debilitating impact on a person’s life.

While schizophrenia causes a range of different symptoms, common identifiers include but are not limited to:

  • auditory or visual hallucinations
  • irrational beliefs that are recognizably delusional
  • extreme confusion and an incapability to differentiate reality from those hallucinations
  • sometimes wild changes in behavior

While many will know schizophrenia as a violent mental disorder, it doesn’t necessarily follow that all schizophrenics will be violent, but it is true that the symptoms of schizophrenia, putting the patient under sustained and intense mental pressure, have been shown to make sufferers more likely to harm themselves or, sometimes, others.

Currently it isn’t known exactly what causes schizophrenia, though there is some evidence of an interplay between environmental factors and genetic predispositions.

Current treatments combine a full range of medications, including anti-psychotics and behavioral therapy, but these treatments often require several years in order to derive benefit, demanding a consistency that can be hard for schizophrenia sufferers.

Avatar therapy sidesteps this problem by offering quick and targeted results. For this reason, it has drawn significant interest from donors.

The Wellcome Trust, the world’s second-largest biomedical charity, has announced that it is giving the scientific team at University College London and King’s College London the equivalent of a $2 million grant for wider tests for the avatar therapy.

The same team behind the original trial will now embark on a “rigorous” randomized study with 142 new patients who have all experienced auditory hallucinations for a number of years.

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Image credit: Thinkstock.

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69 comments

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10:52PM PDT on Jun 21, 2013

Thanks for interesting article.

12:36PM PDT on Jun 10, 2013

Thanks for sharing!

3:42PM PDT on Jun 8, 2013

This is pretty awesome!

1:34PM PDT on Jun 8, 2013

Great article - and I am happy that you mentioned that not all people with schizophrenia are violent.

1:02PM PDT on Jun 8, 2013

happy to see that people are trying to help those with mental illness

11:32AM PDT on Jun 8, 2013

Thanks

11:18AM PDT on Jun 8, 2013

.....it would also help not to refer to people with schizophrenia as schizophrenics...

9:50AM PDT on Jun 8, 2013

This is amazing!

8:23AM PDT on Jun 8, 2013

The 4 rural programs I set up fed 1/4 million free meals over 10 yrs, we reduced hospitalization needs from 5 time a year for many to 1 time in 5 yrs. We ranked in the top 3% of the world treatment centers and my expertise was the totally refractory patient who was homeless.

My efforts were rewarded with my meeting some of the most wonderful people I have ever known, yea at times they were a bitch but then they were very ill. They taught me to see the world from their positions and think "out of the box" or "crazy". I find the destruction of our community mental health system disturbing, currently our prisons are our "treatment"

This is an issue we can not risk hindsight and while it is true that mentally ill crimes are no different that the general publics, the fact is clear that the impulsive nature of a thought disorder plus our social stigmas make the population a high risk if left with no support systems,.

8:21AM PDT on Jun 8, 2013

I worked with people who were diagnosed with schizophrenia for a lifetime, facts are 1/3 of all schizophrenics have 1 break and recover with no recurring psychosis over their life. 1/3 will have an initial break and then need help every 1 to 5 yrs with breakthrough symptoms. 1/3 are refractory to some treatments and about 1/3 of them are refractory to all treatment and suffer with daily hallucinations

I have little faith in this suggested venue of treatment but will also say if it works for an individual use it

What I discovered was how well Psychosocial rehab works, Places like Fountain House or the Leiberman model both have real consumer benefit. My approach was to combine the concepts and offer specialty treatment centers that were large homes to remove he stigma of he system, we served a daily meal, had shrink, nurse, VR, GED health department and social activity 5 hrs a day. The consumer was referred and individual plans they controlled were set up. I had consumers come for 2 yrs just to get a good meal who may help keep the facility up with cutting grass or helping cook the meal but over time hey would ask for services. Homeless would wish to be warm, some wanted part time work, some medical help and they got it no strings (or charges) attached

The 4 rural programs I set up fed 1/4 million free meals over 10 yrs, we reduced hospitalization needs from 5 time a year for many to 1 time in 5 yrs. We ranked in the top 3% of the world treatment centers and my e

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