{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:47:08Z","timestamp":1789624028197,"version":"build-2803163510"},"reference-count":60,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T00:00:00Z","timestamp":1752796800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Pinel Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background and Clinical Significance: Avatar Therapy (AT) for individuals with treatment-resistant auditory verbal hallucinations (AVHs) in schizophrenia aims to address emotional responses, beliefs about voices, self-perception, and coping strategies. This study focuses on three participants who, during AT, shifted their belief about the origin of their most distressing voice from an external source to a self-generated one. Case Presentation: The objective of this study was to explore the evolution of the reattribution of the participants\u2019 most distressing voice to oneself during AT and the patients\u2019 perception of this reattribution. Immersive sessions and semi-structured interviews were transcribed and qualitatively described to provide a session-by-session account of the evolution of each participant\u2019s AVH reattribution to themselves during the course of AT, along with their perceptions of this reattribution. This process led to the recognition that initially perceived as external voices were internally generated thoughts, reflecting how participants viewed themselves. Two participants reported a reduction in AVH severity. All three described positive changes in how they related to their voices and self-perception. Additional improvements were observed in emotional regulation, social functioning, and engagement in personal projects. Conclusions: This reassignment of the voice from an external source to an internal one suggests that AT can modify how individuals relate to their voices and may empower them to regain control over their hallucinations. However, given the exploratory nature of this study, the results should be interpreted as examples.<\/jats:p>","DOI":"10.3390\/reports8030113","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T12:09:53Z","timestamp":1752840593000},"page":"113","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Reattribution of Auditory Hallucinations Throughout Avatar Therapy: A Case Series"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1254-7217","authenticated-orcid":false,"given":"Sabrina","family":"Gigu\u00e8re","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Addictology, University of Montreal, Montreal, QC H3T 1J4, Canada"},{"name":"Research Center, Institute in Mental Health of Montreal, Montreal, QC H1N 3V2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0169-8055","authenticated-orcid":false,"given":"M\u00e9lissa","family":"Beaudoin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Addictology, University of Montreal, Montreal, QC H3T 1J4, Canada"},{"name":"Research Center, Institute in Mental Health of Montreal, Montreal, QC H1N 3V2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8262-130X","authenticated-orcid":false,"given":"Laura","family":"Dellazizzo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Addictology, University of Montreal, Montreal, QC H3T 1J4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kingsada","family":"Phraxayavong","sequence":"additional","affiliation":[{"name":"Services et Recherches Psychiatriques AD, Montreal, QC H1N 3V2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1624-378X","authenticated-orcid":false,"given":"St\u00e9phane","family":"Potvin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Addictology, University of Montreal, Montreal, QC H3T 1J4, Canada"},{"name":"Research Center, Institute in Mental Health of Montreal, Montreal, QC H1N 3V2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4480-0064","authenticated-orcid":false,"given":"Alexandre","family":"Dumais","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Addictology, University of Montreal, Montreal, QC H3T 1J4, Canada"},{"name":"Research Center, Institute in Mental Health of Montreal, Montreal, QC H1N 3V2, Canada"},{"name":"Services et Recherches Psychiatriques AD, Montreal, QC H1N 3V2, Canada"},{"name":"Institut National de Psychiatrie L\u00e9gale Philippe-Pinel, Montreal, QC H1C 1H1, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2022). 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