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一项关于幻听的Q方法学研究:对幻听者对其经历理解的初步探索。

A Q-methodological study of hearing voices: a preliminary exploration of voice hearers' understanding of their experiences.

作者信息

Jones S, Guy A, Ormrod J A

机构信息

Hartlepool TS26 7ED, UK.

出版信息

Psychol Psychother. 2003 Jun;76(Pt 2):189-209. doi: 10.1348/147608303765951212.

Abstract

Using Q-methodology and structured interviews, this preliminary study set out to explore how a diverse range of voice hearers construed their experience of hearing voices. Following factor analysis of 20 completed Q-sorts, six factors emerged. Pejorative media stereotypes about voice hearers were rejected, and despite the dominance of the biomedical model in our culture, on no factor did participants adhere to all of the biomedical concepts. All six factors endorsed some elements of psychological discourse on voice-hearing experiences. It is argued that attempting to understand voice hearers within a single theoretical framework may limit or adversely affect engagement and understanding of an individual. Consistent with previous research, users of mental-health services were more likely to find voices frightening and perceive them as negative experiences than non-users. However, some non-users found managing some of their voices difficult despite having seemingly positive beliefs about the experience of hearing voices. Comment is made on the potential therapeutic implications of this study along with some acknowledgement of its limitations.

摘要

本初步研究采用Q方法和结构化访谈,旨在探索不同类型的幻听体验者如何理解他们的幻听经历。对20份完整的Q分类进行因素分析后,出现了六个因素。关于幻听体验者的贬义媒体刻板印象被否定,尽管生物医学模式在我们的文化中占主导地位,但没有一个因素让参与者完全认同所有生物医学概念。所有六个因素都认可了关于幻听经历的心理话语的一些元素。有人认为,试图在单一理论框架内理解幻听体验者可能会限制或不利地影响对个体的参与和理解。与先前的研究一致,心理健康服务使用者比非使用者更有可能觉得幻听可怕,并将其视为负面经历。然而,一些非使用者尽管对幻听经历持有看似积极的信念,但仍觉得难以应对其中一些幻听。本文对该研究的潜在治疗意义进行了评论,并承认了其局限性。

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