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Title: A matter of trust : how voice hearers experience communication with health professionals
Author: Sterrett, A. E.
ISNI:       0000 0004 2700 5389
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2008
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Communication between health professionals (HPs) and voice hearers (VHs) concerning the interpretation of voices has received little attention. The present study attempts to address this gap in the existing literature. It is known that various approaches are taken by HPs towards VHs and that the dominant model used within the National Health Service (NHS) is the medical model. The National Institute for Health and Clinical Excellence guidelines (2002) recommend that VHs be offered psychotherapeutic interventions but remain dominated by recommendations concerning medication. The aim of this study is to examine how VHs have experienced communication with HPs for their voices in a context where different perspectives may be adopted. Five VHs (two female and three male) were recruited from a Community Mental Health Team and its associated psychiatric ward and were interviewed using semi-structured interviews. A discursively informed variant of interpretative phenomenological analysis (lPA) was used to analyse the data. Four main themes emerged from the analysis. Theme (1) 'making sense of the voices' demonstrated that participants drew upon a variety of theories when interpreting their voices, had positive and negative experiences of voice hearing and varying degrees of acceptance of their voices. Theme (2) 'separation and inclusion' highlighted that some participants separated themselves from other VHs and the concept of mental illness whilst others valued similarities with others and viewed mental illness as part of themselves. Theme (3) 'interaction with HPs' showed that communication with HPs was chiefly experienced negatively but could be positive and the issue of trust impacted greatly on this. Theme (4) 'impact of intervention with HPs' revealed that medication and psychotherapy were evaluated both positively and negatively by participants. These findings are discussed in relation to relevant literature, clinical implications are explored and areas for further research are identified.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available