In previous articles we looked at various aspects of CB therapy for delusions in schizophrenia: 1. CBT for acute psychotic symptoms in schizophrenia: stages, methodology (link);2. CBT for schizophrenia: therapy for delusions (Part 1. Prerequisites and postulates) - link; 3. CBT for schizophrenia: delusion therapy (Part 2. Process) - link;4. CBT for schizophrenia: therapy for delusions (Part 3. Methods) - link.==================================== =============================================The purpose of this article is to consider the effectiveness of the programs described above. Delirium within the framework of cognitive-behavioral analysis is considered as cognitive processes, and auditory hallucinations - “voices” - are considered pathogens. These stimuli cause subsequent cognitive processes in the patient - the patient somehow evaluates his voices, thinks about them, takes a certain position in relation to them, and this leads to a certain emotional reaction and external behavior of the patient. The goal of CBT is to mitigate the negative impact “voices” on the patient’s life by changing his attitude towards them - he will stop believing in them, check that they cannot harm him or control him in any way, and thus his further behavior and emotions caused by these “voices” will change. Examination of voices This examination is carried out in a similar way as the examination of delusions - it is established in what situations voices appear, what their content is, how often they occur, what emotions they evoke in the patient and through what behavior he reacts to them. The patient makes notes about the appearance of voices, and, if necessary, records this information on an audio tape or voice recorder. Methods of cognitive therapy for auditory hallucinations Two approaches were considered aimed at mitigating the impact of auditory hallucinations on the patient’s psyche. With the first approach, the patient learned to distract his attention from the voices, with the second, to pay attention to the voices and actively manage the effect of their influence on his psyche.1. Distracting attention from hallucinations:• using an audio player: the patient can listen to music and voice programs every time he hears voices. Then, the patient evaluates the extent to which this listening affected the voices - from their complete disappearance to no influence; • through reading, talking, silent calculations, crossword puzzles, etc.: the patient is instructed to read aloud, and then about yourself, perform simple calculations (for example, subtract the number seven), name objects in the room and their properties, solve crossword puzzles, start talking to someone else, etc. The patient then evaluates the influence of the voices again;• by planning appropriate activities: After determining which activities best help the patient reduce the influence of the voices, the therapist plans with the patient how to increase the scope of these activities in his life.2. Paying attention to hallucinations: In this approach, patients must carefully notice their voices and gradually consider the individual aspects of their manifestations. Initially, the patient focuses on their properties: number of voices, volume, tone, accent, localization. Only then does he begin to record the exact content of his voices. At the next stage of therapy, the patient writes down his own thoughts associated with the voices - that is, those that preceded the voices and those that responded to them, as well as the emotions that the voices evoke in him: depression, anger, fear. Finally, the patient, with the help of the therapist, tries to determine the meaning of the voices in the patient's life, that is, what meaning the patient attaches to them.3. Consideration and assessment of the meaning of hallucinations When considering the meaning of voices, it was found that to the greatest extent it is not the voices themselves that lead patients into a stressful state, but the emotions, thoughts and feelings associated with them. Therefore, in the final phase of therapy, the therapist and the patient direct attention to consideration of the following questions: is the patient correct]