Recovering from Hallucinations: A Qualitative Study of Coping with Voices Hearing of People with Schizophrenia in Hong Kong

Ng, Petrus Y N; Chun, Ricky W. K.; Tsun, Angela O K

doi:10.1100/2012/232619

Cited by 15 publications

(26 citation statements)

References 31 publications

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“…The findings of this study demonstrate how cultural beliefs and values had an influence on the women's perceptions of their “illness of the brain.” The cultural context of a person's life must be taken into consideration when caring for people living mental illness (Ng, Chun, & Tsun, ). Previous studies (Kalathil, ; Ng et al, ; NHS Health Scotland, ) have suggested service users do not benefit from health services because of either cultural conflicts or exclusion of their cultural values in their plan of care. Consideration of cultural practises and values were identified as being integral to recovery, with a number of studies recognizing the importance of staff's understanding and acknowledgement of diverse culture when delivering care, and being flexible in order to meet service users’ needs (Manuel et al, ; McKay, ).…”

Section: Discussionmentioning

confidence: 99%

The experiences and meanings of recovery for Swazi women living with “schizophrenia”

Ngubane

McAndrew

Collier

2019

Psychiatric Ment Health Nurs

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Accessible summary What is known on the subject? While there is no single definition of the concept of recovery for people with mental illness, hope has been recognized as a guiding principle; the belief that it is possible for a person to regain a meaningful life, despite serious mental illness. Little is known about the recovery process of women diagnosed with schizophrenia per se, with only six studies offering the woman’s voice identified and these all having taken place in developed countries. No studies on this topic have been carried out in Sub‐Saharan Africa, including Swaziland. What this paper adds to existing knowledge? This study provides unique insight into what is important to Swazi women, diagnosed with schizophrenia, in their process of their recovery. Because of current trends in migration, the findings of this study may provide mental health professionals with a better understand of the needs of those from this particular Sub‐Saharan country. The study discusses a range of issues affecting women including being labelled as mentally ill, stigma and discrimination, the importance of the sociocultural context of illness and positive attributes which promote women’s recovery. What are the implications for practice? This study provides mental health practitioners with insights and understanding of the lives of women from a Sub‐Saharan developing country. This will be helpful for better understanding of the context of mental illness both for practitioners supporting the development of services in such countries and for those working in Western countries with migrant populations. Abstract Introduction Globally, twenty‐four million people live with schizophrenia, 90% living in developing countries. While most Western cultures recognize service user expertise within the recovery process, this is not evident in developing countries. In particular, Swazi women diagnosed with schizophrenia experience stigma from family, community and care providers, thus compromising their recovery process. Aim This study aimed to explore the experiences and meanings of recovery for Swazi women living with schizophrenia. Methodology Interpretive phenomenological analysis was used. Fifteen women were recruited from Swaziland National Psychiatric Hospital out‐patients’ department, and face‐to‐face interviews were conducted. Findings Four super‐ordinate themes were identified: (a) The emotionality of “illness of the brain”; (b) Pain! Living with the illness and with others; (c) She is mad just ignore her; and (d) Being better. Discussion Discussion focuses on the findings of this study and a number of positive and negative implications emanating from them: labelling, stigma and the roles of family, culture and religious beliefs on the process of recovery. Implications for practice This study provides practitioners with insight into the importance of the sociocultural context of the lives of women diagnosed with schizophrenia and how, in understanding this, mental health care could be improved.

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Section: Discussionmentioning

confidence: 99%

The experiences and meanings of recovery for Swazi women living with “schizophrenia”

Ngubane

McAndrew

Collier

2019

Psychiatric Ment Health Nurs

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“…16 Um estudo também mostrou como é vista a experiência de ouvir vozes no contexto sociocultural chinês onde existe uma crença religiosa popular de retribuição pelo pecado na forma de um espírito mau que vai invadir o corpo, além da ênfase no desequilíbrio entre o yin e yang que pode ocasionar em doença ou psicopatologia. 17 Uma questão que norteia o Movimento dos Ouvidores de Vozes a partir desta nova perspectiva de compreender o fenômeno de ouvir vozes é entender as formas de lidar com esta experiência e como esta experiência se reflete na vida do ouvidor. Uma pesquisa realizada na Espanha, onde foram utilizadas entrevistas em profundidade, os participantes relataram em sua primeira experiência com a escuta das vozes sentimentos como impotência, incerteza e desesperança com relação ao futuro o que ocasionou no isolamento e desconfiança devido a falta de informação com relação a sua experiência.…”

Section: Materiais E Métodosunclassified

“…Os resultados mostraram diversas estratégias elaboradas pelos ouvidores para lidar com suas vozes como aceitar a existência das vozes, ignorar as vozes, definir limites para as vozes, anotar o conteúdo das vozes, ligar o rádio, fazer caminhadas, distrair com outras atividades como as tarefas cotidianas, ler e ouvir música. [17][18][19] Alguns autores enfatizam em seus estudos a importância dos Grupos de Ouvidores de Vozes como uma estratégia e um meio positivo de avançar diante desta experiência, elaborando soluções singulares contribuindo com suporte entre os pares, respeito, compreensão, carinho e solidariedade além de restaurar a capacidade de confiança nos outros promovendo a aceitação e convivência com as vozes. A criação de uma comunidade de trabalho voltada para essa experiência que essencialmente é evidenciada por não ser possível de ser compartilhada com o restante da sociedade mostra-se positiva.…”

Section: Materiais E Métodosunclassified

Uma nova visão acerca da experiência de ouvir vozes

2018

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Objetivo: contextualizar o conhecimento acerca da temática da experiência de ouvir vozes. Métodos: trata-se de uma revisão sistematizada, para compreensão da temática, realizada nas bases de dados SciELO, LILACS e PubMed, em novembro de 2017, sendo selecionados 15 artigos científicos para este estudo. Resultados: temas como o Movimento dos Ouvidores de Vozes, a figura do ouvidor de voz, a fenomenologia da escuta das vozes, a experiência de ouvir vozes em diferentes culturas, estratégias utilizadas no enfrentamento e o Grupo de Ouvidores de vozes foram abordados. Considerações finais: é evidente a grande transformação a partir do surgimento do Movimento dos Ouvidores de Vozes e seus precursores, sendo importante os serviços de saúde mental compreenderem as implicações deste movimento para produção de novas formas de cuidados mais humanos.

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“…Aile ve arkadaşlarla destekleyici ilişkilerin şizofreni ile baş etmede yardımcı olduğu belirtilmiştir 23 . Ayrıca sosyal destek yetersizliği şizofreni tanılı hastalarda uzun süreli ve tekrarlı yatışlara 24 ve bireyin duygusal zorlanma yaşamasına sebep olabilmektedir 25 . Hasta tarafından deneyimlenen işitsel varsanılar, hem hasta hem de çevresindekiler için bilinmezliğin getirdiği etki ile korkutucu ve rahatsız edici olabilmektedir 25 Şizofreni tanılı hastalarda görülen pozitif ve negatif belirtiler, bu hasta grubunun kendi tedavilerine etkin biçimde katılma konusunda yetersiz olduğu varsayımına yol açabilmektedir Ancak şizofreni tanılı hastaların davranışlarının çoğu amaca yöneliktir ve etkin iradeleri mevcuttur 27 .…”

Section: Introductionunclassified

Şizofreni tanılı hastalarda yaşanan sorunlar, işitsel varsanılar ve algılanan sosyal destek

Ercan

Demir

2019

Cukurova Medical Journal

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Öz Purpose: The purpose of this study is to determine the experienced problems, auditory hallucinations, and perceived social support in patients with schizophrenia followed up in Community Mental Health Center (CMHC) and outpatient clinics. Materials and Methods: This comparative-descriptive study was carried out between January-June 2017 in an adult psychiatry outpatient clinic of a university hospital and two CMHCs. The sample consisted of 66 patients, followed up in CMHC (n=33) and outpatient clinic (n=33). The data of the study were collected using Patient Information Form and Multidimensional Scale of Perceived Social Support. Results: The average age, gender, educational status, marital status of the patients in CMHC and outpatient clinic group, the people living with them, and the presence of another individual with a mental disorder in the family were similarities in terms of the characteristics of the disorder and treatment. Most of the patients explained the cause of the disease as "I don't know/I don't remember/black magic/destiny given by God". Most of the patients in the outpatient clinic group (78.6%) and patients slightly more than half of CMHC group (51.5%) explained the cause of the hallucinations as "I don't know/gins/black magic/surrounding evils". The difference between these rates were found to be statistically significant. Conclusion: Patients followed up in CMHC and patients followed up in the outpatient clinic exhibited similarity in terms of problems experienced due to the disease and coping characteristics. Amaç: Bu çalışmanın amacı, Toplum Ruh Sağlığı Merkezi (TRSM) ve poliklinikte takip edilen şizofreni tanılı hastalarda yaşanan sorunlar, işitsel varsanılar ve sosyal destek algısının belirlenmesidir. Gereç ve Yöntem: Karşılaştırmalı-tanımlayıcı tipte olan bu araştırma, iki TRSM ve bir üniversite hastanesi yetişkin psikiyatri polikliniğinde Ocak-Haziran 2017 tarihleri arasında yürütülmüştür. TRSM'de (n=33) ve poliklinikte (n=33) takip edilen toplam 66 hasta örneklemi oluşturmuştur. Araştırmanın verileri Hasta Bilgi Formu ve Çok Boyutlu Algılanan Sosyal Destek Ölçeği ile toplanmıştır. Bulgular: TRSM ve poliklinik grubundaki hastalar yaş ortalaması, cinsiyet, eğitim durumu, medeni durum, evde birlikte yaşanan kişiler, ailede ruhsal hastalığı olan başka bir bireyin bulunması, hastalık ve tedavi ile ilgili özellikler açısından benzerdir. Hastaların çoğu hastalığın nedenini "bilmiyorum / hatırlamıyorum/ büyüler/ Allah tarafından oldu" şeklinde açıklamıştır. Poliklinik grubundaki hastaların çoğu (%78.6), TRSM grubundaki hastaların ise yarıdan biraz fazlası (%51.5) işitsel varsanıların nedenini "bilmiyorum / cinler/ büyüler/ çevredeki kötülükler" şeklinde açıklamıştır. Bu oranlar arasındaki fark istatistiksel olarak anlamlı bulunmuştur. Sonuç: TRSM'de takip edilen hastalar ile poliklinikten takip edilen hastalar, hastalığa bağlı yaşanan sorunlar ve baş etme özellikleri yönünden benzerlik göstermektedir.

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Recovering from Hallucinations: A Qualitative Study of Coping with Voices Hearing of People with Schizophrenia in Hong Kong

Cited by 15 publications

References 31 publications

The experiences and meanings of recovery for Swazi women living with “schizophrenia”

The experiences and meanings of recovery for Swazi women living with “schizophrenia”

Uma nova visão acerca da experiência de ouvir vozes

Şizofreni tanılı hastalarda yaşanan sorunlar, işitsel varsanılar ve algılanan sosyal destek

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