Justifying voices : the discursive basis of attributions in auditory hallucinations.
This study describes, within a Discourse Analytic Framework, how
a small group of individuals who hear voices, explain and account
for their experiences.
An analysis of the explanations they gave during individual
interviews with a psychologist, illustrate the varied and
functional nature of their accounts, within the context of the
interviews themselves and the wider social context.
The study identified a number of discourses from which the
participants commonly drew their accounts, and illustrated how
various themes from these were combined, in an attempt to justify
their experience of hearing voices.
The participants' constructions of the voices as "real" were
complex; their accounts do not support the "cognitive" model
which emphasizes the role of "abnormal beliefs" and
"expectations", regarding the "internal" and "external" nature of
Individuals' attributions were understood within the context of
their identity as users of psychiatric services and the
predominance of the "mental illness"/"madness" discourses.