Investigating the Lived Experience of Recovery in People Who Hear Voices

Investigating the Lived Experience of Recovery in People Who Hear Voices
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DOI:
10.1177/1049732315581602
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发表时间:
2016-08-01
影响因子:
3.2
通讯作者:
Hayward, Mark
Hayward, Mark
中科院分区:
医学2区
文献类型:
--
作者:
de Jager, Adele;Rhodes, Paul;Hayward, Mark

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虽然有临床和个人从痛苦的声音中恢复的证据,但随着时间的推移,恢复的过程尚不清楚。采用叙事探究法对11名听话者的康复生活经历进行调查。在经历了一段时间的绝望/疲惫之后,出现了两种恢复类型:(a)转向/赋权,这涉及到对声音的规范化描述,建立声音特定技能,将声音融入日常生活,以及身份的转变;(b)转向/保护性冬眠,这涉及到利用所有可用的资源来生存,强调药物在恢复中的重要性。结果表明,服务在任何给定时间敏感和响应一个人的恢复方式以及他们准备改变的重要性。在向恢复类型学更有力的转变过程中,对声音听力和自我的正常描述以及对他人偏好的叙述的见证是必不可少的。
Although there is evidence of both clinical and personal recovery from distressing voices, the process of recovery over time is unclear. Narrative inquiry was used to investigate 11 voice-hearers' lived experience of recovery. After a period of despair/exhaustion, two recovery typologies emerged: (a) turning toward/empowerment, which involved developing a normalized account of voices, building voice-specific skills, integration of voices into daily life, and a transformation of identity, and (b) turning away/protective hibernation, which involved harnessing all available resources to survive the experience, with the importance of medication in recovery being emphasized. Results indicated the importance of services being sensitive and responsive to a person's recovery style at any given time and their readiness for change. Coming to hold a normalized account of voice-hearing and the self and witnessing of preferred narratives by others were essential in the more robust turning toward recovery typology.