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Impact of Mindfulness on Cognition and Affect in Voice Hearing: Evidence from Two Case Studies

  • Katherine Newman Taylor (a1), Sean Harper (a2) and Paul Chadwick (a3)

Background: There is a small body of research indicating that mindfulness training can be beneficial for people with distressing psychosis. What is not yet clear is whether mindfulness effects change in affect and cognition associated with voices specifically. This study examined the hypothesis that mindfulness training alone would lead to change in distress and cognition (belief conviction) in people with distressing voices. Method: Two case studies are presented. Participants experienced long-standing distressing voices. Belief conviction and distress were measured twice weekly through baseline and mindfulness intervention. Mindfulness in relation to voices was measured at the start of baseline and end of intervention. Results: Following a relatively stable baseline phase, after 2–3 weeks of mindfulness practice, belief conviction and distress fell for both participants. Both participants' mindfulness scores were higher post treatment. Conclusion: Findings show that mindfulness training has an impact on cognition and affect specifically associated with voices, and thereby beneficially alters relationship with voices.

Corresponding author
Reprint requests to Katherine Newman Taylor, Department of Psychiatry, Royal South Hants Hospital, Southampton SO14 0YG, UK. E-mail:
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N. Abba , P. D. J. Chadwick and C. Stevenson (2007). Responding mindfully to distressing psychosis: a grounded theory analysis. Psychotherapy Research, 18, 7787.

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P. D. J. Chadwick (2006). Person-Based Cognitive Therapy for Distressing Psychosis. Chichester: Wiley.

P. D. J. Chadwick , K. Newman Taylor and N. Abba (2005). Mindfulness groups for people with distressing psychosis. Behavioural and Cognitive Psychotherapy, 33, 351359.

J. D. Teasdale , R. G. Moore , H. Hayhurst , M. Pope , S. Williams and Z. V. Segal (2002). Metacognitive awareness and prevention of relapse in depression: empirical evidence. Journal of Consulting and Clinical Psychology, 70, 275287.

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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
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