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Reliving, Replaying Lived Experiences Through Auditory Verbal Hallucinations: Implications on Theories and Management.

Smriti Vallath, Tanya M Luhrmann, Joske Bunders, Lakshmi Ravikant, Vandana Gopikumar

Frontiers in Psychiatry 2018 DOI: 10.3389/fpsyt.2018.00528 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 21
Population Individuals experiencing auditory hallucinations and accessing mental health treatment services at a not-for-profit organization
Topics Philosophy of mind
Keywords Auditory verbal hallucinations Lived experiences Treatment strategies Voice-hearing
Key findings The authors report that the content and form of voices were linked to individuals' negative life experiences, which they argue contribute to the development and maintenance of hallucinations. They propose that treatment should focus on voice content and past experiences, and put forth a model conceptualizing the diversity of voice-hearing phenomenology.

Abstract

Objective: This study aims to understand the impact of negative life experience (NLE) in auditory hallucinations (AHs) and explain the heterogeneity in phenomenology of auditory verbal hallucinations (AVHs).

Method: In depth interviews were conducted with 21 individuals (7 males and 14 females) experiencing AHs and accessing mental health treatment services at a not-for-profit organization. Maximum variation purposive sampling technique was used to select the sample to ensure variegation is accounted for and was collected until saturation of themes data was obtained.

Results: Various different forms and functions of hallucinations are obtained with an evident pattern that links voices back to the NLE of the individual. Implications for therapeutic methods focusing on distress arising from said NLE is emphasized.

Conclusions: The results obtained from this study implicate NLEs as a contributing factor in the development and maintenance of hallucinations. Sociocultural factors act as a catalyst with psychological factors creating distress and contributing to the voice-hearing experience. Treatment strategies must thus focus on content of voices and past experiences of the individual to promote recovery. A model toward conceptualization of the diversity in phenomenology is put forth.

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