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MAKING SENSE OF VOICES interview with a person who hears voices

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Title: MAKING SENSE OF VOICES interview with a person who hears voices


1
MAKING SENSE OF VOICESinterview with a
person who hears voices
  • Sandra Escher Marius Romme, Patsy Hage

2
INTERVIEW -SUBJECTS
  • the nature of the experience
  • characteristics of the voices
  • personal history of voice hearing
  • what triggers the voices
  • what do the voices say
  • how do you explain the origin of the voices
  • what impact do the voices have on your way of
    life
  • balance of the relationship with the voices
  • coping strategies
  • cognitive
  • behavioural
  • physiological 
  • your experiences of childhood
  • your treatment history
  • your social network

3
The nature of the experience
  • Are they voices what you hear?
  • Do the voices

By the ears
Not me (ego dystone)
In the head
Make a dialogue
Talk to you
Talk about you
4
Characteristics of the voices
  • Do you hear one or more voices? How many?
  • Name
  • Age
  • Gender
  • How do they sound
  • Frequency
  • Do the voices remind you of someone you know or
    used to know? If yes who?
  •  
  •  

5
Characteristics of the voices
No Name Gender Age Tone Frequency





6
Personal history of voice hearing
  • During a serious physical illness
  • (Life threatening)
  • After the death of a close friend or family
    member (suicide)
  • Living on your own for the first time
  • Following a divorce or breaking up an intimate
    relation (rejection) 
  • Following admission to a psychiatric hospital
  •  
  • Losing a job, closing a business failing an exam
    (Experienced as life threatening)
  • Sexual abuse 
  • Sexual identity problems
  • (Homosexuality)

7
What triggers the voices?
  • Have you noticed that the voices are present?
  • In particular activities
  • In certain kind of circumstances
  • At a specific time
  • Have you noticed that the voices are triggered by
    certain emotions?
  • Fear
  • Aggression
  • Insecurity
  • Your own sexual feelings
  • Sexual feelings of others
  • When you are fatigued

8
What do the voices say (content)
  • - Do you hear positive (friendly) voices?
  • What do they say what do they do? (literally)
  • - Do you hear negative (unfriendly) voices?
  • What do they say what do they do? (literally)
  • - Do the voices talk about specific
    subjects/themes/persons?
  • Can you describe what they say?

9
what impact do the voices have on your way of
life?
  • Which influence have the voices on you?
  • At home?
  • At your work or at school?
  • In your social contacts?

10
How do you explain the origin of the voices
  • Voices come from
  • Your parent or another family member
  • A living person that
  • You know
  • Do not know
  • Some one you pass by
  • A deceased person that
  • Was very well known to you
  • Unknown to you
  • A guide
  • A ghost
  • Gods, or angels
  • A bad spirit or the devil
  • Entities (A spiritual person or power that
    you cannot see but is there. You feel or hear
    the presence of it)

11
Frame of reference
  • A form of telepathy
  • A special gift
  • Reincarnation
  •  
  • Mystical experience 
  •  
  • Metaphysical 
  •  
  • A symptom of a disease 
  •  
  • One or more parts of your own personality
  •  

12
Balance of the relationship
  • Which influence do you have on the voices?
  • Do you have any control?
  • Do the voices listen to you?
  • Are you able to shut yourself of
  • Are you able to call the voices
  • Who is the boss?

13
COPING strategies
  • Cognitive
  • Ignore them
  • Listen to them
  • Listen selectively
  • Send them away
  • Maintain a discussion
  • Behavioural
  • Distraction
  • Have an agreement
  • Keep a dairy
  •  
  • Physiological
  • Alcohol/drugs
  • Medication
  • Relaxation exercises
  • Diet

14
History of Youth
  • Did you have a happy youth
  • Did you feel safe
  • Were you nagged or bullied
  • Did you feel welcome and accepted
  • Were you maltreated
  • Did you witness abuse
  • Did someone abuse you

15
Dissociative Experience Scale
  • Bernstein and Putman
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