Assessing the Impact and Effectiveness of Hearing Voices Network Self-Help Groups

Longden, Eleanor; Read, John; Dillon, Jacqui

doi:10.1007/s10597-017-0148-1

Cited by 63 publications

(49 citation statements)

References 9 publications

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“…Our data also suggests the importance of exploring therapeutic benefits of clinical interventions that support engagement or relating with voices, consistent with previous research showing that relating therapy can decrease level of distress experienced (Hayward et al, 2017). Dialogical engagement with AVH, which allows one to shape the relationship with voice(s) by acceptance, listening, and exploring meaning and positive intention of voices can result in increased self-esteem and social function (Davies et al, 1999; Ellerby, 2016; Jones et al, 2016; Longden et al, 2017). If inner speech, AVH and delusions are at times intertwined, as we have shown, clinical interventions that include a detailed, phenomenological evaluation of inner speech, AVH and delusions rather than experiences that exist without influence of inner speech, may help to develop tailored multipronged clinical interventions that target the point of convergence and distinction.…”

Section: Discussionmentioning

confidence: 99%

The tangled roots of inner speech, voices and delusions

Rosen

McCarthy-Jones

Chase

et al. 2018

Psychiatry Research

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The role of inner speech in the experience of auditory verbal hallucinations (AVH) and delusions remains unclear. This exploratory study tested for differences in inner speech (assessed via self-report questionnaire) between 89 participants with psychosis and 37 non-clinical controls. We also tested for associations of inner speech with, i) state/trait AVH, ii) AVH-severity; iii) patients' relations with their voices, and; iv) delusion-severity. Persons with psychosis had greater levels of dialogic inner speech, other people in inner speech, and evaluative/motivational inner speech than non-clinical controls. Those with state, but not trait AVH had greater levels of dialogic and evaluative/motivational inner speech than non-clinical controls. After controlling for delusions, there was a positive relation between AVH-severity and both evaluative/motivational inner speech and other people in inner speech. Participants with greater levels of dialogic inner speech reported better relations both with and between their voices. There was no association between delusion-severity and inner speech. These results highlight the importance of better understanding relations between inner speech and AVH, provide avenues for future research, and underscore the need for research into the interrelatedness of inner speech, voices and delusions, and the complexities involved in disentangling these experiences.

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Section: Discussionmentioning

confidence: 99%

The tangled roots of inner speech, voices and delusions

Rosen

McCarthy-Jones

Chase

et al. 2018

Psychiatry Research

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“…As described previously, creating these wider, real-world opportunities for social safeness and connection is a key relational context in which the CFT approach is built. In this regard, the CFT approach to voice-hearing is very compatible with social network approaches in psychosis such as Open Dialogue (Seikkula et al, 2006), Peer-Supported Open Dialogue (Stockmann et al, 2017), and the Hearing Voices Network approach (Corstens et al, 2014; Longden et al, 2018b).…”

Section: Compassion For Voices Multiple Selves and Emotional Partsmentioning

confidence: 99%

Compassion Focused Approaches to Working With Distressing Voices

et al. 2019

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This paper presents an outline of voice-hearing phenomenology in the context of evolutionary mechanisms for self- and social- monitoring. Special attention is given to evolved systems for monitoring dominant-subordinate social roles and relationships. These provide information relating to the interpersonal motivation of others, such as neutral, friendly or hostile, and thus the interpersonal threat, versus safe, social location. Individuals who perceive themselves as subordinate and dominants as hostile are highly vigilant to down-rank threat and use submissive displays and social spacing as basic defenses. We suggest these defense mechanisms are especially attuned in some individuals with voices, in which this fearful-subordinate – hostile-dominant relationship is played out. Given the evolved motivational system in which voice-hearers can be trapped, one therapeutic solution is to help them switch into different motivational systems, particularly those linked to social caring and support, rather than hostile competition. Compassion focused therapy (CFT) seeks to produce such motivational shifts. Compassion focused therapy aims to help voice-hearers, (i) notice their threat-based (dominant-subordinate) motivational systems when they arise, (ii) understand their function in the context of their lives, and (iii) shift into different motivational patterns that are orientated around safeness and compassion. Voice-hearers are supported to engage with biopsychosocial components of compassionate mind training, which are briefly summarized, and to cultivate an embodied sense of a compassionate self-identity. They are invited to consider, and practice, how they might wish to relate to themselves, their voices, and other people, from the position of their compassionate self. This paper proposes, in line with the broader science of compassion and CFT, that repeated practice of creating internal patterns of safeness and compassion can provide an optimum biopsychosocial environment for affect-regulation, emotional conflict-resolution, and therapeutic change. Examples of specific therapeutic techniques, such as chair-work and talking with voices, are described to illustrate how these might be incorporated in one-to-one sessions of CFT.

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“…Organizations exist in 26 countries, training staff how to respond sensitively and/or facilitating peer-support groups where voice-hearers can discuss the origins of their voices and share what works for them, without being pathologized or medicated (www.intervoiceonline.org). Early research findings are promising (Beavan, de Jager, & dos Santos, 2017; Longden, Read & Dillon, 2017; Ruddle, 2017).…”

Section: Helpful Responsesmentioning

confidence: 99%

Making Sense of, and Responding Sensibly to, Psychosis

Read

2018

Journal of Humanistic Psychology

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This article argues that words like “psychosis” and “schizophrenia” create the illusion of an explanation for certain behaviors and thoughts but actually explain nothing. Hearing distressing voices and feeling very paranoid do not occur because someone has something called “schizophrenia” that causes them to act in certain ways, although many psychiatrists still cling to this delusion. The behaviors and thoughts that experts in some cultures label psychotic or schizophrenic are usually understandable reactions to our life events and circumstances. So rather than ask, “What is wrong with you?” and “What shall we call it?” It is more sensible, and useful, to ask, “What happened to you?” and “What do you need?”

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Assessing the Impact and Effectiveness of Hearing Voices Network Self-Help Groups

Cited by 63 publications

References 9 publications

The tangled roots of inner speech, voices and delusions

The tangled roots of inner speech, voices and delusions

Compassion Focused Approaches to Working With Distressing Voices

Making Sense of, and Responding Sensibly to, Psychosis

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