The meaning of voices in understanding and treating psychosis: Moving towards intervention informed by collaborative formulation
Author(s) / Creator(s)
Lonergan, Aoife
Abstract / Description
From a medical perspective, hearing voices is perceived as a symptom of mental illness and their content as largely irrelevant. The effectiveness of antipsychotic medication has made it central to the treatment of psychosis. However pharmacological treatment alone is rarely sufficient for this disabling condition. This review examined the feasibility of formulating an understanding of the meaning of voices in psychosis to inform intervention. Examination of the literature demonstrated the need for a paradigm shift to a recovery model, drawing on biopsychosocial factors in formulating an understanding of the meaning of voices in the context of a person’s life. Providing the opportunity to talk about their experiences may aid the development of an interpersonally coherent narrative representing opportunities for psychological growth. Findings have implications for treatment planning and assessment of outcome. Collaborative formulation regarding the subjective meaning of voices may aid in understanding their development and maintenance and guide intervention. Hearing voices with reduced negative effects on wellbeing and functioning may reduce distress and improve quality of life even in the presence of voices. CFT, CBT, Relating Therapy and Open Dialogue may be effective in applying these principles. Findings are limited by the lack of controlled studies. Further controlled studies and qualitative explorations of individual experiences are recommended.
Keyword(s)
psychosis hearing voices formulation recovery approach biopsychosocialPersistent Identifier
Date of first publication
2017-05-31
Journal title
Europe's Journal of Psychology
Volume
13
Issue
2
Page numbers
352–365
Publisher
PsychOpen GOLD
Publication status
publishedVersion
Review status
peerReviewed
Is version of
Citation
Lonergan, A. (2017). The meaning of voices in understanding and treating psychosis: Moving towards intervention informed by collaborative formulation. Europe's Journal of Psychology, 13(2), 352–365. https://doi.org/10.5964/ejop.v13i2.1199
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Author(s) / Creator(s)Lonergan, Aoife
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PsychArchives acquisition timestamp2018-11-21T09:59:58Z
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Made available on2018-11-21T09:59:58Z
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Date of first publication2017-05-31
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Abstract / DescriptionFrom a medical perspective, hearing voices is perceived as a symptom of mental illness and their content as largely irrelevant. The effectiveness of antipsychotic medication has made it central to the treatment of psychosis. However pharmacological treatment alone is rarely sufficient for this disabling condition. This review examined the feasibility of formulating an understanding of the meaning of voices in psychosis to inform intervention. Examination of the literature demonstrated the need for a paradigm shift to a recovery model, drawing on biopsychosocial factors in formulating an understanding of the meaning of voices in the context of a person’s life. Providing the opportunity to talk about their experiences may aid the development of an interpersonally coherent narrative representing opportunities for psychological growth. Findings have implications for treatment planning and assessment of outcome. Collaborative formulation regarding the subjective meaning of voices may aid in understanding their development and maintenance and guide intervention. Hearing voices with reduced negative effects on wellbeing and functioning may reduce distress and improve quality of life even in the presence of voices. CFT, CBT, Relating Therapy and Open Dialogue may be effective in applying these principles. Findings are limited by the lack of controlled studies. Further controlled studies and qualitative explorations of individual experiences are recommended.en_US
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Publication statuspublishedVersion
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Review statuspeerReviewed
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CitationLonergan, A. (2017). The meaning of voices in understanding and treating psychosis: Moving towards intervention informed by collaborative formulation. Europe's Journal of Psychology, 13(2), 352–365. https://doi.org/10.5964/ejop.v13i2.1199
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ISSN1841-0413
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Persistent Identifierhttps://hdl.handle.net/20.500.12034/1046
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Persistent Identifierhttps://doi.org/10.23668/psycharchives.1238
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Language of contenteng
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PublisherPsychOpen GOLD
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Is version ofhttps://doi.org/10.5964/ejop.v13i2.1199
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Keyword(s)psychosisen_US
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Keyword(s)hearing voicesen_US
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Keyword(s)formulationen_US
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Keyword(s)recovery approachen_US
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Keyword(s)biopsychosocialen_US
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Dewey Decimal Classification number(s)150
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TitleThe meaning of voices in understanding and treating psychosis: Moving towards intervention informed by collaborative formulationen_US
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DRO typearticle
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Issue2
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Journal titleEurope's Journal of Psychology
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Page numbers352–365
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Volume13
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Visible tag(s)Version of Record