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Title: The voice-behaviour link in command hallucinations in psychosis
Author: Pearson, Stuart
Awarding Body: University of London
Current Institution: Royal Holloway, University of London
Date of Award: 2013
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Research into command hallucinations (CH) in psychosis has identified factors which influence behavioural responses to commands. Certain areas have not been explored, such as potential differences in individuals' experiences of CH between times of compliance and resistance. Additional research has explored cognitive processes, such as responsibility beliefs and Thought-Action Fusion, in psychosis. Such processes may be of relevance to the experience of CH, yet this has not been explored empirically. The present study aimed to address these gaps through an exploration of individuals' experiences of CH and potentially related cognitive processes. Seven individuals were included in the analysis and the data was analysed using Interpretative Phenomenological Analysis. Five super-ordinate themes emerged which represented aspects of participants' experiences of CH: A struggle for control; Appraising voices and commands; Deciding how to respond; Beliefs about thoughts, voices and actions; Understanding voices in relation to self. The study suggests factors which may differ between individuals' experiences of CH at times of resistance and compliance, and suggests other factors which may influence behavioural responses to commands. Further exploration of responsibility beliefs and Thought-Action Fusion in relation to experience of CH is required. The results have implications for clinical practice when working with individuals who experience CH. Further research is needed to validate the present findings and to investigate whether they can be generalised to other individuals who experience CH.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available