Auditory hallucinations and delusional thinking: A review and critique of outcome studies

This paper reviews the literature in which behavioral interventions were applied in an attempt to reduce hallucinatory and delusional verbalizations in psychiatric patients. Subject characteristics, dependent variables and treatment variations, as well as generalization of effects, are considered. It is concluded that even though operant procedures, such as extinction, aversive stimulation, and token reinforcement, have been successful in decreasing hallucinatory-delusional verbalizations, further research examining generalization is needed. Methodological issues influencing interpretation are discussed and suggestions for further research are offered.