Marius Romme - Academia.edu (original) (raw)
Papers by Marius Romme
American Journal of Medical Genetics, 2003
Previous work suggests that auditory hallucinations in children and adolescents occur frequently ... more Previous work suggests that auditory hallucinations in children and adolescents occur frequently in the absence of psychotic illness, although a number of such children go on to develop more severe psychotic symptomatology and need for care. We examined prospectively what factors are associated with formation of delusions in adolescents who are hearing voices. Eighty adolescents (mean age 12.9 years, SD = 3.1) who reported hearing voices were examined at baseline and followed-up three times over a period of 3 years. Fifty percent were receiving professional care, but 50% were not in need of care. Baseline measurement of voice appraisals, attributions, psychopathology, global functioning, dissociation, stressful life events, coping mechanisms, and receipt of professional care were used as predictors of delusion formation, measured as a score of 6 or greater on the extended BPRS items: "suspiciousness," "unusual thought content" and "grandiosity." Thirteen children (16%) displayed evidence of delusional ideation over at least one of the three follow-up periods, of which seven (9%) de novo. Adjusting for presence of baseline delusional ideation, delusion formation over the follow-up period was associated with baseline voice appraisals and attributions such as tone of the voice (hazard ratio voice "variably friendly and hostile" compared to "always friendly": HR = 6.8, 95% CI: 1.1, 41.0), perceived location of the voice (outside vs. inside head: HR = 2.9, 95% CI: 1.0, 8.7), and whether the voice resembled that of a parent (HR = 3.5, 95% CI: 1.0, 12.0); baseline BPRS anxiety/depression (HR = 6.4, 95% CI: 1.9, 21.4), baseline BPRS disorganization (HR = 5.0, 95% CI: 0.98, 26.1) and the baseline amount of reported recent stressful life events (HR continuous life events score: 1.8, 95% CI: 1.0, 3.3). In addition, in older children, the perceived influence of the voices on emotions and behavior was strongly associated with delusion formation (HR = 5.1, 95% CI: 1.0, 25.9). Delusion formation in children hearing voices may be responsive to triggering events and facilitated by feelings of anxiety/depression. The results also highlight the role of attributions associated with external sources, authority figures, perceived influence or "power" over the person, as well as emotional appraisal processes and cognitive disorganization.
The British Journal of Psychiatry Supplement, Sep 1, 2002
Nederlands tijdschrift voor geneeskunde
children with hallucinations have been conducted to study the course of these conducted to study ... more children with hallucinations have been conducted to study the course of these conducted to study the course of these experiences themselves and the possible experiences themselves and the possible factors that influence their short-term factors that influence their short-term course. In this study, a group of children course. In this study, a group of children who were hearing voices were
Psychosis, Trauma and Dissociation, 2008
A Guide to Treatment and Management, 2010
Hallucinations, 2011
ABSTRACT The Hearing Voices Movement is an international movement directed at creating opportunit... more ABSTRACT The Hearing Voices Movement is an international movement directed at creating opportunities for voice hearers to exchange experiences and knowledge about the hearing of voices. This is mostly done in groups of voice hearers where the participants can feel safe and respected and where their experiences are accepted rather than criticized. The participants also explore the personal backgrounds of their voices and learn coping strategies from each other. The primary challenge for professionals is to accept that voices can be meaningful, in the sense that they may constitute a link with the voice hearer’s prior life experiences. In our opinion, voices often represent an abuser, at least in those cases where the voice hearer has been the victim of sexual or physical abuse, while the age of the “person heard” may indicate the age at which the trauma was actually experienced. Our whole approach starts from the dictum that those vital links should not be eradicated with the aid of pharmaceuticals but explored with the aid of psychological therapy and self-help methods. The instruments we consider of crucial importance to that process are the groups of voice hearers which are now slowly spreading around the world.
Psychosis, 2013
ABSTRACT This paper reports on the methodology, results and conclusions from a study of 50 voice-... more ABSTRACT This paper reports on the methodology, results and conclusions from a study of 50 voice-hearers’ stories of the experience of their recovery process. The original text includes full first-hand accounts and this paper provides details of questions put forward in order to analyse the information from these reports. It also discusses how these questions were derived from earlier studies. The results are presented as identifiable steps towards recovery. The conclusion accentuates evidence that assuming voice-hearing is a psychotic symptom might not be justified. The study identifies the opportunities that become available when psychiatric services recognise voice hearing as an acceptable and understandable variation of human experience.
Nordic Journal of Psychiatry, 2003
Mental Health Practice, 2008
Journal of Psychiatric and Mental Health Nursing, 2011
The Journal of Nervous & Mental Disease, 1998
The form and the content of chronic auditory hallucinations were compared in three cohorts, namel... more The form and the content of chronic auditory hallucinations were compared in three cohorts, namely patients with schizophrenia, patients with a dissociative disorder, and nonpatient voice-hearers. The form of the hallucinatory experiences was not significantly different between the three groups. The subjects in the nonpatient group, unlike those in the patient groups, perceived their voices as predominantly positive: they were not alarmed or upset by their voices and felt in control of the experience. In most patients, the onset of auditory hallucinations was preceded by either a traumatic event or an event that activated the memory of earlier trauma. The significance of this study is that it presents evidence that the form of the hallucinations experienced by both patient and nonpatient groups is similar, irrespective of diagnosis. Differences between groups were predominantly related to the content, emotional quality, and locus of control of the voices. In this study the disability incurred by hearing voices is associated with (the reactivation of) previous trauma and abuse.
Journal of Mental Health, 2003
... A Page 8. 98 Sandra Escher et al. prospective general population study. ... Coping with negat... more ... A Page 8. 98 Sandra Escher et al. prospective general population study. ... Coping with negative symptoms of schizophrenia: patient and family perspectives. Schizophrenia Bulletin, 23, 329339. Overall, JE, & Gorham, DR (1962). The Brief Psy-chiatric Rating Scale. ...
International Journal of Social Welfare, 2004
© Blackwell Publishing Ltd and the International Journal of Social Welfare 2004. ... 208 Publishe... more © Blackwell Publishing Ltd and the International Journal of Social Welfare 2004. ... 208 Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA ... INTERNATIONAL JOURNAL OF SOCIAL WELFARE ISSN ...
The British Journal of Psychiatry, 1996
The British Journal of Psychiatry, 2002
American Journal of Medical Genetics, 2002
Previous work suggests that auditory hallucinations in children and adolescents occur frequently ... more Previous work suggests that auditory hallucinations in children and adolescents occur frequently in the absence of psychotic illness, although a number of such children go on to develop more severe psychotic symptomatology and need for care. We examined prospectively what factors are associated with formation of delusions in adolescents who are hearing voices. Eighty adolescents (mean age 12.9 years, SD = 3.1) who reported hearing voices were examined at baseline and followed-up three times over a period of 3 years. Fifty percent were receiving professional care, but 50% were not in need of care. Baseline measurement of voice appraisals, attributions, psychopathology, global functioning, dissociation, stressful life events, coping mechanisms, and receipt of professional care were used as predictors of delusion formation, measured as a score of 6 or greater on the extended BPRS items: "suspiciousness," "unusual thought content" and "grandiosity." Thirteen children (16%) displayed evidence of delusional ideation over at least one of the three follow-up periods, of which seven (9%) de novo. Adjusting for presence of baseline delusional ideation, delusion formation over the follow-up period was associated with baseline voice appraisals and attributions such as tone of the voice (hazard ratio voice "variably friendly and hostile" compared to "always friendly": HR = 6.8, 95% CI: 1.1, 41.0), perceived location of the voice (outside vs. inside head: HR = 2.9, 95% CI: 1.0, 8.7), and whether the voice resembled that of a parent (HR = 3.5, 95% CI: 1.0, 12.0); baseline BPRS anxiety/depression (HR = 6.4, 95% CI: 1.9, 21.4), baseline BPRS disorganization (HR = 5.0, 95% CI: 0.98, 26.1) and the baseline amount of reported recent stressful life events (HR continuous life events score: 1.8, 95% CI: 1.0, 3.3). In addition, in older children, the perceived influence of the voices on emotions and behavior was strongly associated with delusion formation (HR = 5.1, 95% CI: 1.0, 25.9). Delusion formation in children hearing voices may be responsive to triggering events and facilitated by feelings of anxiety/depression. The results also highlight the role of attributions associated with external sources, authority figures, perceived influence or "power" over the person, as well as emotional appraisal processes and cognitive disorganization.
American Journal of Medical Genetics, 2003
Previous work suggests that auditory hallucinations in children and adolescents occur frequently ... more Previous work suggests that auditory hallucinations in children and adolescents occur frequently in the absence of psychotic illness, although a number of such children go on to develop more severe psychotic symptomatology and need for care. We examined prospectively what factors are associated with formation of delusions in adolescents who are hearing voices. Eighty adolescents (mean age 12.9 years, SD = 3.1) who reported hearing voices were examined at baseline and followed-up three times over a period of 3 years. Fifty percent were receiving professional care, but 50% were not in need of care. Baseline measurement of voice appraisals, attributions, psychopathology, global functioning, dissociation, stressful life events, coping mechanisms, and receipt of professional care were used as predictors of delusion formation, measured as a score of 6 or greater on the extended BPRS items: "suspiciousness," "unusual thought content" and "grandiosity." Thirteen children (16%) displayed evidence of delusional ideation over at least one of the three follow-up periods, of which seven (9%) de novo. Adjusting for presence of baseline delusional ideation, delusion formation over the follow-up period was associated with baseline voice appraisals and attributions such as tone of the voice (hazard ratio voice "variably friendly and hostile" compared to "always friendly": HR = 6.8, 95% CI: 1.1, 41.0), perceived location of the voice (outside vs. inside head: HR = 2.9, 95% CI: 1.0, 8.7), and whether the voice resembled that of a parent (HR = 3.5, 95% CI: 1.0, 12.0); baseline BPRS anxiety/depression (HR = 6.4, 95% CI: 1.9, 21.4), baseline BPRS disorganization (HR = 5.0, 95% CI: 0.98, 26.1) and the baseline amount of reported recent stressful life events (HR continuous life events score: 1.8, 95% CI: 1.0, 3.3). In addition, in older children, the perceived influence of the voices on emotions and behavior was strongly associated with delusion formation (HR = 5.1, 95% CI: 1.0, 25.9). Delusion formation in children hearing voices may be responsive to triggering events and facilitated by feelings of anxiety/depression. The results also highlight the role of attributions associated with external sources, authority figures, perceived influence or "power" over the person, as well as emotional appraisal processes and cognitive disorganization.
The British Journal of Psychiatry Supplement, Sep 1, 2002
Nederlands tijdschrift voor geneeskunde
children with hallucinations have been conducted to study the course of these conducted to study ... more children with hallucinations have been conducted to study the course of these conducted to study the course of these experiences themselves and the possible experiences themselves and the possible factors that influence their short-term factors that influence their short-term course. In this study, a group of children course. In this study, a group of children who were hearing voices were
Psychosis, Trauma and Dissociation, 2008
A Guide to Treatment and Management, 2010
Hallucinations, 2011
ABSTRACT The Hearing Voices Movement is an international movement directed at creating opportunit... more ABSTRACT The Hearing Voices Movement is an international movement directed at creating opportunities for voice hearers to exchange experiences and knowledge about the hearing of voices. This is mostly done in groups of voice hearers where the participants can feel safe and respected and where their experiences are accepted rather than criticized. The participants also explore the personal backgrounds of their voices and learn coping strategies from each other. The primary challenge for professionals is to accept that voices can be meaningful, in the sense that they may constitute a link with the voice hearer’s prior life experiences. In our opinion, voices often represent an abuser, at least in those cases where the voice hearer has been the victim of sexual or physical abuse, while the age of the “person heard” may indicate the age at which the trauma was actually experienced. Our whole approach starts from the dictum that those vital links should not be eradicated with the aid of pharmaceuticals but explored with the aid of psychological therapy and self-help methods. The instruments we consider of crucial importance to that process are the groups of voice hearers which are now slowly spreading around the world.
Psychosis, 2013
ABSTRACT This paper reports on the methodology, results and conclusions from a study of 50 voice-... more ABSTRACT This paper reports on the methodology, results and conclusions from a study of 50 voice-hearers’ stories of the experience of their recovery process. The original text includes full first-hand accounts and this paper provides details of questions put forward in order to analyse the information from these reports. It also discusses how these questions were derived from earlier studies. The results are presented as identifiable steps towards recovery. The conclusion accentuates evidence that assuming voice-hearing is a psychotic symptom might not be justified. The study identifies the opportunities that become available when psychiatric services recognise voice hearing as an acceptable and understandable variation of human experience.
Nordic Journal of Psychiatry, 2003
Mental Health Practice, 2008
Journal of Psychiatric and Mental Health Nursing, 2011
The Journal of Nervous & Mental Disease, 1998
The form and the content of chronic auditory hallucinations were compared in three cohorts, namel... more The form and the content of chronic auditory hallucinations were compared in three cohorts, namely patients with schizophrenia, patients with a dissociative disorder, and nonpatient voice-hearers. The form of the hallucinatory experiences was not significantly different between the three groups. The subjects in the nonpatient group, unlike those in the patient groups, perceived their voices as predominantly positive: they were not alarmed or upset by their voices and felt in control of the experience. In most patients, the onset of auditory hallucinations was preceded by either a traumatic event or an event that activated the memory of earlier trauma. The significance of this study is that it presents evidence that the form of the hallucinations experienced by both patient and nonpatient groups is similar, irrespective of diagnosis. Differences between groups were predominantly related to the content, emotional quality, and locus of control of the voices. In this study the disability incurred by hearing voices is associated with (the reactivation of) previous trauma and abuse.
Journal of Mental Health, 2003
... A Page 8. 98 Sandra Escher et al. prospective general population study. ... Coping with negat... more ... A Page 8. 98 Sandra Escher et al. prospective general population study. ... Coping with negative symptoms of schizophrenia: patient and family perspectives. Schizophrenia Bulletin, 23, 329339. Overall, JE, & Gorham, DR (1962). The Brief Psy-chiatric Rating Scale. ...
International Journal of Social Welfare, 2004
© Blackwell Publishing Ltd and the International Journal of Social Welfare 2004. ... 208 Publishe... more © Blackwell Publishing Ltd and the International Journal of Social Welfare 2004. ... 208 Published by Blackwell Publishing, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA ... INTERNATIONAL JOURNAL OF SOCIAL WELFARE ISSN ...
The British Journal of Psychiatry, 1996
The British Journal of Psychiatry, 2002
American Journal of Medical Genetics, 2002
Previous work suggests that auditory hallucinations in children and adolescents occur frequently ... more Previous work suggests that auditory hallucinations in children and adolescents occur frequently in the absence of psychotic illness, although a number of such children go on to develop more severe psychotic symptomatology and need for care. We examined prospectively what factors are associated with formation of delusions in adolescents who are hearing voices. Eighty adolescents (mean age 12.9 years, SD = 3.1) who reported hearing voices were examined at baseline and followed-up three times over a period of 3 years. Fifty percent were receiving professional care, but 50% were not in need of care. Baseline measurement of voice appraisals, attributions, psychopathology, global functioning, dissociation, stressful life events, coping mechanisms, and receipt of professional care were used as predictors of delusion formation, measured as a score of 6 or greater on the extended BPRS items: "suspiciousness," "unusual thought content" and "grandiosity." Thirteen children (16%) displayed evidence of delusional ideation over at least one of the three follow-up periods, of which seven (9%) de novo. Adjusting for presence of baseline delusional ideation, delusion formation over the follow-up period was associated with baseline voice appraisals and attributions such as tone of the voice (hazard ratio voice "variably friendly and hostile" compared to "always friendly": HR = 6.8, 95% CI: 1.1, 41.0), perceived location of the voice (outside vs. inside head: HR = 2.9, 95% CI: 1.0, 8.7), and whether the voice resembled that of a parent (HR = 3.5, 95% CI: 1.0, 12.0); baseline BPRS anxiety/depression (HR = 6.4, 95% CI: 1.9, 21.4), baseline BPRS disorganization (HR = 5.0, 95% CI: 0.98, 26.1) and the baseline amount of reported recent stressful life events (HR continuous life events score: 1.8, 95% CI: 1.0, 3.3). In addition, in older children, the perceived influence of the voices on emotions and behavior was strongly associated with delusion formation (HR = 5.1, 95% CI: 1.0, 25.9). Delusion formation in children hearing voices may be responsive to triggering events and facilitated by feelings of anxiety/depression. The results also highlight the role of attributions associated with external sources, authority figures, perceived influence or "power" over the person, as well as emotional appraisal processes and cognitive disorganization.