Paijmans Robin, Cromwell Jim, Austen Sally
Denmark House, Deaf Mental Health Services, Birmingham, England.
Am Ann Deaf. 2006 Spring;151(1):42-8. doi: 10.1353/aad.2006.0018.
THE PSYCHIATRIC LITERATURE has described profoundly prelingually deaf people with psychosis who report hearing voices. The present study proposes that such reports in fact reflect the beliefs of professionals in mental health and deafness and not the hallucinatory experience of psychotic deaf people. The study demonstrates that it is functionally meaningless to assert that a prelingually profoundly deaf psychotic patient "hears voices," and provides a theoretical structure from which to consider more appropriately the internal experiences of deaf people with psychosis, and to encourage the clinically relevant articulation of these experiences. The authors also suggest that the "true" phenomenological experience is of secondary clinical interest to the meaning imposed upon it by the client and the distress caused by it.
精神病学文献描述了一些患有精神病的先天性失聪者，他们声称能听到声音。本研究提出，此类报告实际上反映的是心理健康和失聪领域专业人员的观念，而非患有精神病的失聪者的幻觉体验。该研究表明，宣称一名先天性深度失聪的精神病患者“听到声音”在功能上毫无意义，并提供了一个理论框架，以便更恰当地思考患有精神病的失聪者的内心体验，并鼓励对这些体验进行与临床相关的阐述。作者还指出，“真正的”现象学体验相对于服务对象赋予它的意义以及它所造成的痛苦而言，在临床方面的重要性居次。
