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Psychosocial approaches -1 The acute episode and its aftermath
Published in Kathy J Aitchison, Karena Meehan, Robin M Murray, First Episode Psychosis, 2021
Kathy J Aitchison, Karena Meehan, Robin M Murray
Psychological treatment aimed directly at auditory hallucinations is much less developed. It already shows promise, but its use in first-episode cases remains experimental. It should, therefore, generally be reserved for those first-episode cases in which auditory hallucinations fail to respond to more conventional therapy. Various options have been employed ranging from self-help groups to completing diaries on the monitoring of hallucinations. A number of recent approaches depend on the theory that auditory hallucinations represent a misperception of ‘inner speech’, and that consequently their content is important.269
Psychotic disorders
Published in Bhaskar Punukollu, Michael Phelan, Anish Unadkat, MRCPsych Part 1 In a Box, 2019
Bhaskar Punukollu, Michael Phelan, Anish Unadkat
Auditory hallucinations: Hearing thoughts repeated out loudIn the third personAs a running commentaryMade AffectMade WillMade VolitionsThought InsertionThought BroadcastThought WithdrawalDelusional PerceptionSomatic Passivity.
Symptom Management Framework
Published in David B. Cooper, Jo Cooper, Palliative Care Within Mental Health, 2018
John Richard Ashcroft, Laura Henry
In addition, it is extremely important that the treating professionals regularly assess, and re-evaluate the nature of the presenting symptom. Failure to do so may deflect from identification of cause and associated factors of aetiological significance. In Steve’s case a diagnosis of schizophrenia may lead to a presumption that the ‘voices’ as reported are psychotic in nature, and by virtue of this fact, that the cause is in some way related to the primary diagnosis (albeit acknowledging that such a diagnosis of schizophrenia is one of a diagnosis of exclusion). However, voices manifest in a variety of guises and intrusive worries and thoughts may present as and be described as ‘voices’. The treatment approach to the latter would be very different than the treatment of true auditory hallucinations.
Conversations about mental illness and health in adult audiological rehabilitation
Published in International Journal of Audiology, 2023
Emma C. Laird, Christina A. Bryant, Caitlin M. Barr, Rebecca J. Bennett
Nearly half of the participants reported that they have had at least one previous conversation with a client about symptoms of psychosis (prompted in the survey with ‘e.g. Hearing voices, paranoid thoughts, unusual beliefs’). One participant provided some insight by stating that discussions about psychosis ‘would be more in relation to describing tinnitus-like symptoms rather than being specific to symptoms of psychosis’. Prevalence of psychosis is only approx. 0.39% in the general population (Moreno-Kustner, Martin, and Pastor 2018) and hearing loss has been estimated to increase the odds of experiencing psychosis by 2.23 times (95% CI = 1.83–2.72) (Linszen et al. 2016). However, when auditory hallucinations have been studied in isolation, Linszen et al. (2019) found that 16.2% of people with hearing loss had experienced auditory hallucinations over the past month. Most auditory hallucinations involved hearing voices and music, and these symptoms were found to increase with the severity of hearing loss (Linszen et al. 2019). This may help to explain why many audiologists have reported previous discussions of client psychotic experiences, where information about auditory hallucinations may arise from enquires about tinnitus experiences. Many auditory hallucinations experienced by people with hearing loss are, however, not a product of psychopathology, but rather an experience of tinnitus or musical hallucinations (Musiek et al. 2007). Nevertheless, audiologists should still endeavour to establish the psychological impact of these experiences on their clients.
Hearing Distressing Voices Simulation: Students’ Perspectives
Published in Issues in Mental Health Nursing, 2019
Hyun Jung Kim, Danuta M. Wojnar
Among psychotic symptoms, auditory hallucinations are reported to be the most commonly observed in patients with schizophrenia in clinical settings (Bauer et al., 2011). The challenge, however, is that auditory hallucinations are highly subjective, personal experiences (Beavan & Read, 2010; Woods, Jones, Alderson-Day, Callard, & Fernyhough, 2015) and can be concealed from the outside world (Vilhauer, 2017). Creating the experience of voice-hearing in a realistic way for non-voice hearers offers nurses and other healthcare providers insight into what is like to live with psychotic symptoms such as auditory hallucinations. The experience of having ‘walked a mile in the shoes of another’ can offer caregivers greater empathy, enhance their potential for establishing a therapeutic relationship, and foster their competence in providing effective individualised care.
A Critical Review of Standardized Measures of Hypnotic Suggestibility
Published in International Journal of Clinical and Experimental Hypnosis, 2021
David J. Acunzo, Devin B. Terhune
Embedded within an individual’s behavioral response to a suggestion are two phenomenological dimensions pertaining to the experiential concomitants of the response (i.e., attendant qualia). In addition to the dimension of involuntariness described above (Bowers, 1981), responses can differ in verisimilitude, the perceived reality of the suggested experience (Terhune et al., 2017; Woody & Szechtman, 2007). For instance, a suggestion for an auditory hallucination may or may not generate an experience as real as an auditory stimulus. The extent to which these dimensions are distinct remains poorly understood, and it may be better to think of certain suggestions as evoking one type of experience more than the other (Barnier et al., 2008; Polito et al., 2014).