{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:03:38Z","timestamp":1789571018747,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Distressing voices (\n                    <jats:italic>auditory verbal hallucinations<\/jats:italic>\n                    ) are frequently accompanied by emotional mental imagery, the nature of which often amplifies the associated distress. Mental imagery can be experienced across any of the sensory modalities and can reflect memories of past events or be fictional. Often, the themes for the content of distressing voices and associated mental imagery are driven by underlying core beliefs, or\n                    <jats:italic>schemas<\/jats:italic>\n                    , that the individual holds. Imagery\u2010Enhanced Cognitive Behavioural Therapy for distressing voices (IE\u2010CBTv) builds on the traditional first\u2010line CBT approach by incorporating targeted work with associated mental imagery and using imagery techniques to address the underlying themes and core beliefs linked to the voices. This paper presents the case of a 25\u2010year\u2010old male voice hearer, Leo, who worked collaboratively with their therapist across ten sessions of IE\u2010CBTv. Leo reported distressing voices with core themes of being unloved, abandoned, and not belonging. His distressing voices were associated with a clear mental image of Leo being cast aside in a social group situation. This case presentation will discuss how the therapist supported the client to make sense of his voices, using a formulation\u2010based approach. The rationale for different imagery techniques, how they were collaboratively designed, implemented, and received, will be discussed; alongside challenges and therapist reflections. Implications for clinical practice for working with distressing voices using an IE\u2010CBTv framework will also be discussed.\n                  <\/jats:p>","DOI":"10.1002\/jclp.70227","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:19:40Z","timestamp":1789568380000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reimagining Voices: A Case\u2010Based Exploration of Imagery\u2010Enhanced Cognitive Behavioural Therapy for Distressing Voices (IE\u2010CBTv)"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2357-1525","authenticated-orcid":false,"given":"Mikaela","family":"Bere","sequence":"first","affiliation":[{"name":"Perth Voices Clinic Perth Western Australia Australia"},{"name":"School of Psychology, Murdoch University Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8973-8922","authenticated-orcid":false,"given":"Georgie","family":"Paulik","sequence":"additional","affiliation":[{"name":"Perth Voices Clinic Perth Western Australia Australia"},{"name":"School of Psychology, Murdoch University Perth Western Australia Australia"},{"name":"School of Psychology, Curtin University Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.eclinm.2023.102392","article-title":"Cognitive Behavioural Therapy for the Treatment of Schizophrenia Spectrum Disorders: An Umbrella Review of Meta\u2010Analyses of Randomised Controlled Trials","volume":"67","author":"Berendsen S.","year":"2024","journal-title":"EClinicalMedicine"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbtep.2021.101699","article-title":"A Randomised Multiple Baseline Case Series of a Novel Imagery Rescripting Protocol for Intrusive Trauma Memories in People With Psychosis","volume":"75","author":"Clarke R.","year":"2022","journal-title":"Journal of Behavior Therapy and Experimental Psychiatry"},{"issue":"3","key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1002\/capr.12730","article-title":"\u2018Like I'd Been Listened to Without Actually Saying Words\u2019: Picturing the Nurturer in Compassion\u2010Focused Therapy","volume":"24","author":"Crone R. 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J.","year":"2025","journal-title":"Schizophrenia Bulletin"},{"issue":"5","key":"e_1_2_8_22_1","doi-asserted-by":"crossref","first-page":"1072","DOI":"10.1093\/schbul\/sbaa045","article-title":"What Constitutes Sufficient Evidence for Case Formulation\u2013Driven CBT for Psychosis? Cumulative Meta\u2010Analysis of the Effect on Hallucinations and Delusions","volume":"46","author":"Turner D. T.","year":"2020","journal-title":"Schizophrenia Bulletin"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70227","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jclp.70227","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:19:43Z","timestamp":1789568383000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.70227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":21,"alternative-id":["10.1002\/jclp.70227"],"URL":"https:\/\/doi.org\/10.1002\/jclp.70227","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"2026-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jclp.70227"}}