This magnificent book brings together in one volume all the theory, learning, research, wisdom from practice and practical examples of the revolutionary work of Marius Romme, Sandra Escher and Dirk Corstens into supporting people who hear voices. Challenging the fundamental premises of mainstream psychiatry, Romme, Escher and Corstens have pioneered their approach of 'making sense of voices' since the 1980s. They were the first to listen to and talk with the voices of voice hearers, and to realise that the identities of the voices and what they had to say held huge meaning in the contexts of voice hearers' lives. These were not hallucinations or delusions but phenomena whose words offered clues both to the person's history (frequently of childhood abuse and severe trauma) and how they might be helped to learn to live with their voices and recover. For far too many people, the blunt interventions preferred by mainstream psychiatry - incarceration in psychiatric institutions, loss of independence and long-term reliance on welfare and heavy doses of neuroleptics and tranquillisers - had in fact robbed them of the mental and emotional capacity and external resources they needed to help themselves.

This book explains the history and reports the wealth of research conducted to support this way of working, together with detailed practical advice on how to use the approach with voice hearers. Drawing on the accounts of numerous voice hearers, in addition to the clinical research, this book is the go-to resource for those who hear voices, the people who love and support them and those whose work brings them into contact with voice hearers and who wish to help them find ways to negotiate a positive relationship with their sometimes unwelcome and vociferous companions.

Unlike medication, this approach works, has no distressing side effects, and can enable the person to co-exist with the voices that they find helpful, while others that could be hostile and even seemingly evil, can be managed or even go away. Once heeded, their messages, which could often be attempts to protect the voice hearer, were no longer needed.

Foreword: The voice of the hearing voices movement by Jim van Os

Introduction
How the book is organised
Research projects and investigations
Terminology

Part 1 - Background and foundation
1. A content-focused approach to hearing voices
2. The scientific foundation of the approach
3. The relation between voices and life history

Part 2 - The voices analysis, from interview to construct
4. The voices analysis, stage 1: Conducting the Maastricht Hearing Voices Interview
5. The voices analysis, stage 2: Drawing up a report
6. The voices analysis, stage 3: Producing a construct of the person's social-emotional problems

Part 3 - Exploring ways of dealing with voices
7. Dealing with hearing voices as a process
8. Education
9. 'Working with Voices': A training course for voice-hearers and caregivers
10. Dealing with voices in the stage of confusion
11. Keeping a diary as an aid to communication
12. Taking ownership of the voices as a form of emancipation
13. One hundred constructs under the magnifying glass
14. Voice Dialogue and Talking with Voices
15. Living with voices - developing one's own identity

Part 4 - Continuing the process
16. Support from peers and self-help groups
17. Networks: Making connections and sharing experiences
18. Dealing with the effects of trauma
19. Cognitive behavioural therapy and hallucinations integration treatment for hearing voices
20. Medication
21. Open Dialogue and 'Working with Voices'
22. Alternative explanations and care

References
Appendices