de Jager Adèle, Rhodes Paul, Beavan Vanessa, Holmes Douglas, McCabe Kathryn, Thomas Neil, McCarthy-Jones Simon, Lampshire Debra, Hayward Mark
The University of Sydney, New South Wales, Australia
The University of Sydney, New South Wales, Australia.
Qual Health Res. 2016 Aug;26(10):1409-23. doi: 10.1177/1049732315581602. Epub 2015 Apr 20.
Although there is evidence of both clinical and personal recovery from distressing voices, the process of recovery over time is unclear. Narrative inquiry was used to investigate 11 voice-hearers' lived experience of recovery. After a period of despair/exhaustion, two recovery typologies emerged: (a) turning toward/empowerment, which involved developing a normalized account of voices, building voice-specific skills, integration of voices into daily life, and a transformation of identity, and (b) turning away/protective hibernation, which involved harnessing all available resources to survive the experience, with the importance of medication in recovery being emphasized. Results indicated the importance of services being sensitive and responsive to a person's recovery style at any given time and their readiness for change. Coming to hold a normalized account of voice-hearing and the self and witnessing of preferred narratives by others were essential in the more robust turning toward recovery typology.
尽管有证据表明从令人痛苦的幻听中实现了临床和个人康复，但随着时间推移的康复过程尚不清楚。叙事探究被用于调查11位幻听患者的康复生活经历。经过一段时间的绝望/疲惫后，出现了两种康复类型：（a）转向/赋权，包括对幻听形成正常化的认知、培养针对幻听的技能、将幻听融入日常生活以及身份转变；（b）远离/保护性蛰伏，包括利用所有可用资源来熬过这段经历，强调了药物治疗在康复中的重要性。结果表明，服务在任何特定时间对一个人的康复方式及其改变意愿保持敏感并做出响应非常重要。在更有力的转向康复类型中，对幻听和自我形成正常化认知以及他人见证偏好的叙事至关重要。
