Abertawe Bro Morgannwg University Health Board, Neath/Port Talbot Hospital, Port Talbot, UK.
Int J Ment Health Nurs. 2012 Feb;21(1):50-9. doi: 10.1111/j.1447-0349.2011.00761.x. Epub 2011 Jul 26.
Unitary explanations of mental illness symptoms appear to be inadequate when faced with everyday experiences of living with these conditions. In particular, the experience of voice hearing is not sufficiently accounted for by biomedical explanations. This paper revisits data collected from a sample of people who hear voices to perform a secondary analysis with the aim of examining the explanatory devices deployed by individuals in their accounts of voice hearing. Secondary analysis is the use of existing data, collected for a previous study, in order to explore a research question distinct from the original inquiry. In this study, we subjected these data to a thematic analysis. People who hear voices make use of standard psychiatric explanations about the experience in their accounts. However, the accounts paint a more complex picture and show that people also impute personal meaning to the experience. This in turn implicates both personal and social identity; that is, how the person is known to themselves and to others. We suggest that this knowledge can inform a more thoughtful engagement with the experiences of voice hearing by mental health nurses.
当面对这些病症的日常经历时，单一的精神疾病症状解释似乎不够充分。特别是，生物医学解释并不能充分说明幻听的体验。本文重新分析了从一组幻听患者中收集的数据，进行二次分析，目的是检查个人在幻听体验描述中使用的解释手段。二次分析是指利用以前研究中收集的现有数据，以探索与原始研究不同的研究问题。在这项研究中，我们对这些数据进行了主题分析。幻听患者在描述中使用了关于这种体验的标准精神科解释。然而，这些描述描绘出了一个更加复杂的画面，并表明人们也将个人意义归因于这种体验。这反过来又涉及到个人和社会身份；也就是说，一个人对自己和他人的认知。我们认为，这种知识可以为精神科护士更深入地了解幻听体验提供信息。
