Title:
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A matter of trust : how voice hearers experience communication with health professionals
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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.
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