The origins of voices: links between life history and voice hearing in a survey of 100 cases
The origins of voices: links between life history and voice hearing in a survey of 100 cases
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DOI：
10.1080/17522439.2013.816337
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发表时间：
2013-10-01
影响因子：
1.2
通讯作者：
Longden, Eleanor
中科院分区：
文献类型：
--
作者：
Corstens, Dirk;Longden, Eleanor
数据合成，提出了从100例临床病例，80%的诊断为精神分裂症或其他精神障碍，其中Romme和Barrier的结构方法，制定语音听力的内容和特点，有关的生活事件。在整个样本中，大多数参与者听到两到五个声音，声音听觉的平均持续时间为18年。89%的样本报告了至少一次不良的童年经历，包括家庭冲突，忽视，身体/性/情感虐待和欺凌。此外，在儿童和成年期，各种急性应激源与语音听觉本身的发病有关。在94%的情况下，可以清楚地表达声音所体现的潜在情感冲突（例如，低自我价值，愤怒，羞耻和内疚）。语音身份的表示（例如，在78%的案件中，自我、家庭成员、过去的施虐者被否认的方面被表述出来。有人建议，许多人听到的声音，使心理意义上的生活事件的背景下，这些信息可以在临床上应用的方式，服务于个人恢复。
A data synthesis is presented from 100 clinical cases, 80% with a diagnosis of schizophrenia or other psychotic disorder, in which Romme and Escher's construct method was used to formulate voice-hearing content and characteristics in relation to life events. Across the sample, most participants heard between two and five voices and the average duration of voice hearing was 18 years. At least one adverse childhood experience was reported by 89% of the sample, including family conflict, neglect, physical/sexual/emotional maltreatment, and bullying. In addition, a broad range of acute, precipitating stressors were associated with the onset of voice hearing itself in both childhood and adulthood. In 94% of cases, it was possible to clearly formulate the underlying emotional conflicts embodied by the voices (e.g., low self-worth, anger, shame and guilt). Representations for voice identity (e.g., disowned aspects of self, a family member, a past abuser) were formulated in 78% of cases. It is proposed that many individuals hear voices that make psychological sense in the context of life events, and that this information can be clinically applied in ways that serve personal recovery.