Newton Elizabeth, Larkin Michael, Melhuish Ruth, Wykes Til
University College, London, UK.
Psychol Psychother. 2007 Mar;80(Pt 1):127-49. doi: 10.1348/147608306X110148.
Auditory hallucinations are extremely distressing, particularly when occurring during adolescence. They may be most responsive to psychological intervention during a three-year critical period following symptom-onset, but as yet no studies have investigated voices groups for young participants with adolescent-onset psychosis. The aim of the current study is to explore the experience of group-CBT amongst a group of young people experiencing distressing auditory hallucinations.
This project was planned and conducted in the tradition of idiographic, qualitative psychology. A small purposive sample was selected, and in-depth, open-ended interviews were conducted, in order to generate and explore rich, experiential accounts which are clearly situated and contextualized.
Eight participants who had completed a cognitive behavioural group intervention were interviewed using a semi-structured interview schedule. The transcribed data were analysed according to the principles of Interpretative Phenomenological Analysis (IPA; Smith, Osborn, & Jarman, 1999).
Two superordinate themes emerged. The first describes experiential features of the respondents' accounts of group therapy. The second theme posits a cyclical relationship between four key factors: the content of the hallucinated voices, the participants' explanations for, and reactions to these voices, and thus, their ability to cope with them.
'Voices groups' are appreciated by young people with auditory hallucinations, as sources of therapy, information, and support. These results suggest a number of testable hypotheses about the efficacy of group treatment and its future development.
幻听极其令人痛苦，尤其是在青春期出现时。在症状发作后的三年关键期内，幻听可能对心理干预反应最为敏感，但尚无研究调查针对青少年期发病精神病的年轻参与者的语音团体。本研究的目的是探索一组经历痛苦幻听的年轻人中团体认知行为疗法（CBT）的体验。
本项目按照个案质性心理学的传统进行规划和实施。选取了一个小的有目的样本，并进行了深入的、开放式访谈，以生成和探索丰富的、有明确情境的体验性描述。
使用半结构化访谈提纲对八名完成了认知行为团体干预的参与者进行访谈。根据解释现象学分析（IPA；史密斯、奥斯本和贾曼，1999）的原则对转录数据进行分析。
出现了两个上位主题。第一个描述了受访者团体治疗描述的体验特征。第二个主题提出了四个关键因素之间的循环关系：幻听的内容、参与者对这些声音的解释和反应，以及他们应对这些声音的能力。
“语音团体”受到有幻听的年轻人的赞赏，被视为治疗、信息和支持的来源。这些结果提出了一些关于团体治疗效果及其未来发展的可检验假设。
