Schnackenberg J K, Fleming M, Martin C R
EFC Institute, Westende 3, 24806, Hohn, Germany.
Stiftung Diakoniewerk Kropp & St Ansgar gGmbH, Kropp, Germany.
Community Ment Health J. 2018 Oct;54(7):997-1007. doi: 10.1007/s10597-018-0294-0. Epub 2018 Jun 12.
The individual approach of the Hearing Voices Movement, Experience Focussed Counselling or Making Sense of Voices, claims a strong life context and trauma focus. This qualitative study represented the first to explore whether Experience Focussed Counselling with voice hearers, when compared to Treatment As Usual, could be considered trauma-sensitive. Twenty-five semi-structured interviews with voice hearers and mental health professionals in routine German mental health settings were analysed as part of an Applied Thematic Analysis. Overall themes identified were: trauma related; dealing with emotions; process of working with voices; intra- and interpersonal life; and coping related. Experience Focussed Counselling was considered helpful in understanding and working on unresolved trauma-related areas of distress. The same did not apply to Treatment As Usual. Findings support Experience Focussed Counselling as a trauma-sensitive intervention in hearing voices. Frontline mental health staff can potentially support voice hearers in identifying and working on trauma-related voices and emotions.
“听见声音运动”的个体化方法、以体验为重点的咨询或理解声音，强调强烈的生活背景和对创伤的关注。这项定性研究首次探讨了与常规治疗相比，针对幻听者的以体验为重点的咨询是否可被视为对创伤敏感。作为应用主题分析的一部分，对德国常规心理健康环境中的25名幻听者和心理健康专业人员进行了半结构化访谈。确定的总体主题包括：与创伤相关；处理情绪；应对幻听的过程；个人和人际生活；以及与应对相关。以体验为重点的咨询被认为有助于理解和处理未解决的与创伤相关的痛苦领域。常规治疗则不然。研究结果支持以体验为重点的咨询作为一种对幻听创伤敏感的干预措施。一线心理健康工作人员有可能支持幻听者识别和处理与创伤相关的幻听和情绪。
