Hallucination-focused Integrative Treatment (HIT) is a specific treatment for auditory verbal hallucinations which integrates techniques from CBT, systems therapy, psychoeducation, coping training, rehabilitation and medication. It emphasises active family involvement, crisis intervention when required and specialised motivational strategies. In clinical trials HIT has been proven to have longer lasting and wider ranging effects than other therapies, high patient satisfaction scores and a low drop-out rate.
In Hallucination-focused Integrative Therapy, Jack Jenner presents a full manual for using HIT with patients. Divided into five parts, the book offers a clear and straightforward explanation of each aspect of the treatment. Part One introduces auditory verbal hallucinations in their social and historical context. Part Two explains the need for an integrative approach to treating them and sets out the eleven-step diagnostic procedure. Part Three describes the treatment in full, including motivational strategies, the constituent modules and how to integrate them, flexible implementation of a tailor-made procedure and its overall effectiveness. It also demonstrates the use of HIT with specific patient groups, including those suffering from trauma, children and adolescents, those who are suicidal and those with learning difficulties. Part Four examines other hallucination-focused therapies. Finally, Part Five covers insight-oriented psychotherapies. The book also includes several appendices of supplementary material which enhance the content.
Illustrated throughout with case studies and clinical material, Hallucination-focused Integrative Therapy will be of interest to psychiatrists, psychologists, psychiatric nurses and social workers working with patients who experience auditory verbal hallucinations.
Table of Contents
Preface. Part 1: Auditory Verbal Hallucinations (AVH) in Context. Introduction. Historical Perspectives. Part 2: Need for Hallucination focused Interventions. Psychosocial Interventions. HIT (Hallucination focused Integrative Treatment). Psychosocial Interventions. HIT (Hallucination focused Integrative Treatment). Part 3: HIT in specific target groups. HIT adjustments for specific patient groups. HIT and Suicidal Patients. Part 4: Other Hallucination focused Therapies. Individual Cognitive Behaviour Therapy for Psychoses (CBTp). Empowerment Movement Aiming at Understanding Voices. Voice Dialogue. Part 5: Insight-oriented Psychotherapies. Introduction. Experiential or client-centered psychotherapy (Ep). Conclusions. Appendices.
Jack A. Jenner is a consultant psychiatrist and psychotherapist registered for children and adolescents as well as adults in the Netherlands. He has been presenting and giving workshops internationally on issues relating to emergency psychiatry, suicidology, psychiatry and hallucinations for over 30 years. He is the director of AUDITO, a centre for diagnosis and treatment of people with auditory verbal hallucinations, and is the creator of HIT. He has formerly been associate professor of community psychiatry at Groningen University and visiting professor at Banaras Hindu University.
'A brilliant book that places ‘hands-on’ therapeutic interventions in an innovative theoretical framework. Jenner’s pioneering treatment for auditory verbal hallucinations is acceptable to patients and relatives. There is a spirit of personal involvement and a willingness to go beyond guidelines towards personal needs, written in a coherent style. Exquisite case-vignettes illustrate the ‘what’ and the ‘how’ of his method across a range of contexts and patient needs including suicidality, treatment-resistant schizophrenia, borderline personality disorder, post-traumatic stress disorder, intellectual disability and childhood psychosis. This book will keep us going for years.' - Jim van Os, Professor of Psychiatry, Maastricht University Medical Centre, The Netherlands
‘In this book you will find a novel treatment for persons who suffer from voice-hearing. Over the last 25 years Dr. Jenner has developed and researched a concise goal-directed and evidence-based treatment: HIT! This book is a must read for those interested in treating persons who very often suffer for long periods, despite biological treatments, from voice-hearing. You will find in this book a systematic approach, with many clinical details and which pays special attention to treating specific subgroups of patients, e.g. children. We are very happy that his work on HIT is now also available for a large international audience.’ - Bert L.B. Luteijn MD, Psychiatrist and Chair of the Dutch HIT implementation Network, The Netherlands
‘In this outstanding resource, Jack Jenner provides an elegant and helpful synthesis of the HIT program. Evidenced-based strategies to relieve distressing hallucinations are presented in depth, always illustrated with key clinical cases. An absolute must-read book for every clinician working with hallucinations.’ – Renaud Jardri, University of Lille, France
‘This book compiles the long experience of one of the most leading experts in the therapeutic approach to hallucinations. Jack Jenner has developed the most complete program currently existing on hallucination focused integrative therapy, with a wide range of very practical modules of sequenced and combined interventions, which may be used adapting them to the specific needs, characteristics and circumstances of each patient and his/her hallucinatory experiences. Learning and conducting this hallucination focused integrative therapy is of great interest for all the mental health professionals working in this field.’ - Manuel González de Chávez, Ex-President of the International Society for Psychological and Social Approaches to Psychosis
'Hallucination-Focused Integrative Therapy... is a solid corrective to the misinformation that has been circulated about verbal hallucinations, and as or morei mportant, this volume presents an empirically validated treatment for these symptoms... What comes through above all in Jenner's description of this approach is his acceptance of, respect for, and empathy twoards very trouble, often limited patients who frequently suffer also from medical illnesses, societal indifference and neglect, trauma, and previous bad treatment... [There] is much of value in this book for any mental health professional who treats patients with this condition, and I recommend it to those colleagues without hesitation." - Jerry Gold, PhD, Adelphi University, PsycCritiques