ABSTRACT
Promoting control is a key concept in CTCH. Mackinnon et al. (2004) have reported that those patients in their study who were unable to resist their command hallucinations rated them as intrusive and had fewer coping strategies than those more able to resist, and were prescribed higher dosages of medication. Helping clients develop and build a coping repertoire will not only give them some reprieve from their voices but early successes will help build confidence in the therapy and the therapist, thereby promoting engagement. Improving coping in CTCH is also central to the process of gathering new evidence for reframing this increased control as a power shift in the client’s relationship with their voices. In this chapter we describe in detail the process of promoting control and show how we use this to address power beliefs and relationships.
