Kalhovde Anne Martha, Elstad Ingunn, Talseth Anne-Grethe
Department of General Psychiatry, University Hospital of North Norway, Åsgårdveien, Tromsø, Norway; Department of Health and Care Sciences, Faculty of Health Sciences, University in Tromsø, The Artic University of Norway, Tromsø, Norway; Jaeren District Psychiatric Center, Bryne, Norway;
Department of Health and Care Sciences, Faculty of Health Sciences, University in Tromsø, The Artic University of Norway, Tromsø, Norway.
Int J Qual Stud Health Well-being. 2014 Mar 26;9:23069. doi: 10.3402/qhw.v9.23069. eCollection 2014.
Our objective in this article is to add to the understanding of how people with mental illness experience dealing with hearing troublesome voices and sounds in everyday life. Fourteen people contributed through in-depth interviews and we analysed these using a hermeneutic phenomenological approach. We found that the participants (a) tried to block out the voices and sounds, (b) navigated the health care services, and (c) struggled to come to terms with limitations. Our overall understanding of how the participants dealt with hearing voices is that they sought to be independent and lead ordinary lives despite being troubled by voices. The participants fought desperately to find relief and avoid being overcome by the voices and sounds in intense phases. In less intense phases, they developed ways of getting along with daily life in spite of these experiences. We reflect on the implications of these findings and emphasize the need for care providers to attempt to understand and engage in collaborative explorations with service users in search of the most helpful ways of dealing with hearing troublesome voices and sounds in everyday life.
本文的目的是增进对患有精神疾病的人在日常生活中如何应对听到烦人的声音和声响的理解。通过深入访谈,有14人参与其中,我们采用诠释现象学方法对这些访谈进行了分析。我们发现,参与者:(a)试图屏蔽这些声音和声响;(b)在医疗服务体系中周旋;(c)努力接受自身的局限。我们对参与者如何应对幻听的总体理解是,尽管受到幻听困扰,他们仍试图保持独立并过上正常生活。在症状强烈阶段,参与者拼命抗争以寻求缓解,避免被声音和声响所控制。在症状不太强烈的阶段,尽管有这些经历,他们仍找到了适应日常生活的方法。我们思考了这些发现的意义,并强调护理人员需要尝试理解服务使用者,并与他们进行合作探索,以寻找在日常生活中应对烦人的声音和声响的最有效方法。