Hearing voices: From the Experience Qualification to the Possibility of Care (original) (raw)
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Experiences of hearing voices: analysis of a novel phenomenological survey
Background Auditory hallucinations-or voices-are a common feature of many psychiatric disorders and are also experienced by individuals with no psychiatric history. Understanding of the variation in subjective experiences of hallucination is central to psychiatry, yet systematic empirical research on the phenomenology of auditory hallucinations remains scarce. We aimed to record a detailed and diverse collection of experiences, in the words of the people who hear voices themselves.
Distinctiveness of Auditory Hallucination Patient Care in A Psychiatric Hospital: Case Study
Nursing & Primary Care
Auditory hallucination has a dramatic impact on the quality of life of sufferers and their families. The ability to control hallucinations depends on the patient's distraction taught by the nurse while paying attention to the unique history of the patient's development, so that the patient's survival has a positive impact on himself and his family. However, there is still very limited exploration of the patient's treatment process of auditory hallucinations related to training patients in controlling hallucinations by paying attention to differences in patient conditions. The study aims to illustrate the treatment process of two cases of auditory hallucinations focusing on the ability to control hallucinations. The participants of this study were two patients, and their families were already based on the approval of the head nurse. The method of case study is used with the approach of the nursing process to obtain a detailed representation of nurse activities to pati...
2014
Despite an increasing volume of cross-sectional work on auditory verbal hallucinations (hearing voices), there remains a paucity of work on how the experience may change over time. Aims: The first aim of this study was to attempt replication of a previous finding that beliefs about voices are enduring and stable, irrespective of changes in the severity of voices, and do not change without a specific intervention. The second aim was to examine whether voice-hearers' interrelations with their voices change over time, without a specific intervention. Method: A 12-month longitudinal examination of these aspects of voices was undertaken with hearers in routine clinical treatment (N = 18). Results: We found beliefs about voices' omnipotence and malevolence were stable over a 12-month period, as were styles of interrelating between voice and hearer, despite trends towards reductions in voicerelated distress and disruption. However, there was a trend for beliefs about the benevolence of voices to decrease over time. Conclusions: Styles of interrelating between voice and hearer appear relatively stable and enduring, as are beliefs about the voices' malevolent intent and power. Although there was some evidence that beliefs about benevolence may reduce over time, the reasons for this were not clear. Our exploratory study was limited by only being powered to detect large effect sizes. Implications for clinical practice and future research are discussed.
Changing relationship with voices: new therapeutic perspectives for treating hallucinations
Clinical Psychology & Psychotherapy, 2008
A growing body of research on verbal hallucinations shows the importance of beliefs about and relationships with the voices for their pathological course. In particular, beliefs about the omnipotence of the voices and the need to control them, and relationships with them that involve efforts to resist or fi ght them, have shown themselves to be more pathogenic than effective. Likewise, treatments aimed at eliminating the voices, be they based on medication or 'traditional' cognitive-behavioural therapy, have not always been successful. A series of strategies focused on changing relationships with the voices instead of trying to eliminate them-including mindfulness, acceptance, experiential role plays and re-authoring lives-is emerging as a new perspective for the treatment of hallucinations. All of these strategies are based on the person, not on the syndrome, which also represents a new conception of the problem, in a phenomenological-social perspective, alternative to the predominant medical conception.
Changing relationship whit voices: New therapeutic perspectives for treating hallucinations
Clinical Psychology & Psychotherapy
A growing body of research on verbal hallucinations shows the importance of beliefs about and relationships with the voices for their pathological course. In particular, beliefs about the omnipotence of the voices and the need to control them, and relationships with them that involve efforts to resist or fi ght them, have shown themselves to be more pathogenic than effective. Likewise, treatments aimed at eliminating the voices, be they based on medication or 'traditional' cognitive-behavioural therapy, have not always been successful. A series of strategies focused on changing relationships with the voices instead of trying to eliminate them-including mindfulness, acceptance, experiential role plays and re-authoring lives-is emerging as a new perspective for the treatment of hallucinations. All of these strategies are based on the person, not on the syndrome, which also represents a new conception of the problem, in a phenomenological-social perspective, alternative to the predominant medical conception.
International Journal of Social Psychiatry, 2017
Background: Auditory verbal hallucinations (AVHs) played an important role in the psychiatric diagnostics, but in the last few decades the diagnostic-free complex phenomenological understanding of the phenomena of voice hearing became the focus of studies. Materials: Six semi-structured interviews with recovering voice hearers were conducted and analysed using interpretative phenomenological analysis (IPA). Discussion: The self-help group gives significant help in identification and dealing with the voices; therefore, it serves as turning point in the life story of voice hearers. Conclusion: Applying self-help group in clinical context contributes to better outcomes in treatment of voice hearers.
This paper explores the experiences of women who ‘hear voices’ (auditory verbal hallucinations). We begin by examining historical understandings of women hearing voices, showing these have been driven by androcentric theories of how women’s bodies functioned, leading to women being viewed as requiring their voices be interpreted by men. We show the twentiethcentury was associated with recognition that the mental violation of women’s minds (represented by some voice-hearing) was often a consequence of the physical violation of women’s bodies. We next report the results of a qualitative study into voicehearing women’s experiences (N=8). This found similarities between women’s relationships with their voices and their relationships with others and the wider social context. Finally, we present results from a quantitative study comparing voicehearing in women (n=65) and men (n=132) in a psychiatric setting. Women were more likely than men to have certain forms of voice-hearing (voices conversing) and to have antecedent events of trauma, physical illness, and relationship problems. Voices identified as female may have a more positive affective tone than male ones. We conclude that women voice-hearers have and continue to face specific challenges worthy of research and activism, and hope this paper will act as a stimulus to such work.