Assessment & Research

The efficacy of using a personal stereo to treat auditory hallucinations. Preliminary findings.

Johnston et al. (2002) · Behavior modification 2002
★ The Verdict

One adult’s hallucinations eased when they played music through a personal stereo.

✓ Read this if BCBAs working with adults who report auditory hallucinations.
✗ Skip if Clinicians serving only young children or clients without voice distress.

01Research in Context

01

What this study did

Johnston et al. (2002) tested one adult who heard distressing voices every day. They used an alternating-treatments design. Some days the person wore no device, some days a fake hearing aid, and some days a personal stereo playing soft music.

02

What they found

Hallucinations were milder on stereo days than on baseline or sham days. The music cut distress without hurting the person’s self-esteem.

03

How this fits with other research

Bickel et al. (1984) used the same one-person, alternating-treatments setup, but tested a padded helmet instead of music. Both studies show a cheap wearable can quickly ease severe adult problems.

Jason et al. (1985) also ran a tiny pilot on adult mental-health symptoms. Their stuttering clients used self-control drills; Olwyn used music. Both found quick gains, but neither study had more than one participant.

Junaid et al. (2021) bundled self-management with Instagram feedback for college students. Olwyn’s stereo is a simpler self-management tool—music gives instant private feedback without phones or posts.

04

Why it matters

If you serve an adult who reports auditory hallucinations, try offering earbuds and calm music during high-risk times. It costs almost nothing, takes no training, and this single case says distress can drop the same day. Track voice severity each session to see if the trick works for your client.

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Offer earbuds with soft instrumental music during homework or transit and rate hallucination distress before and after.

02At a glance

Intervention
other
Design
alternating treatments
Sample size
1
Population
other
Finding
positive
Magnitude
small

03Original abstract

This article presents preliminary findings from the first participant to complete an experiment assessing the efficacy of the personal stereo in treating auditory hallucinations. O.C., a 50-year-old woman, took part in a controlled treatment trial in which 1-week baseline, personal stereo, and control treatment (nonfunctioning hearing aid) stages were alternated for 7 weeks. The Positive and Negative Syndrome Scale, Clinical Global Impression Scales, Beliefs About Voices Questionnaire, Rosenberg Self-Esteem Scale, and Topography of Voices Rating Scale were used. The personal stereo led to a decrease in the severity of O.C.'s auditory hallucinations. For example, she rated her voices as being fairly distressing during baseline and control treatment stages but neutral during personal stereo stages. A slight decrease in other psychopathology also occurred during personal stereo stages. Use of the personal stereo did not lead to a decrease in self-esteem, contradicting suggestions that counterstimulation treatments for auditory hallucinations may be disempowering.

Behavior modification, 2002 · doi:10.1177/0145445502026004006