ABSTRACT

Background

The “Talking with Voices” (TwV) approach is a novel, formulation-driven approach to helping people who hear distressing voices. It is based on an understanding of voice-hearing as a relational phenomenon, often linked to trauma. Therapy involves facilitation of dialogical engagement between hearers and their voices. There are as yet few empirical studies of the approach.

Method

The current study explored experiences of the TwV approach from the perspectives of voice-hearers and also of their voices. Ten qualitative interviews were subjected to Interpretative Phenomenological Analysis.

Results

Both hearers and their voices felt that the TwV approach can be a powerful enabler of positive change, and that it provides a valuable means of working through past trauma. Establishing a safe base – with time to build trust in the process – was considered key, as were the personal qualities of the facilitator, including openness, courage and a non-judgemental approach. Participants also saw flexibility as important, including the ability to try things out within the work. It was also important that the ideas behind the approach made sense to the participant. Perceived barriers included the medicalised nature of current services and the lack of availability of the TwV approach.

Conclusion

The findings provide support for the acceptability and value of dialogical approaches to helping people who hear voices. In particular, they suggest that participating in TwV can help people develop an understanding of, and a more peaceful relationship with, their voices. The study is novel in eliciting perspectives from the voices themselves, and this yielded valuable insights.

中文翻译：

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“它让我们摆脱了痛苦”：来自声音听众的观点及其对“用声音说话”方法的声音

摘要

背景

“用声音说话”（TwV）方法是一种新颖的、公式驱动的方法，可以帮助听到令人痛苦的声音的人。它基于对声音听觉作为一种关系现象的理解，通常与创伤有关。治疗包括促进听者和他们的声音之间的对话。目前还很少有关于这种方法的实证研究。

方法

目前的研究从声音听众及其声音的角度探讨了 TwV 方法的经验。对十次定性访谈进行了解释性现象学分析。

结果

听众和他们的声音都认为 TwV 方法可以成为积极变革的有力推动者，并且它提供了一种有价值的方法来克服过去的创伤。建立一个安全的基础——在这个过程中建立信任——被认为是关键，促进者的个人品质也是如此，包括开放、勇气和非评判的方法。参与者还认为灵活性很重要，包括在工作中尝试的能力。同样重要的是，该方法背后的想法对参与者来说是有意义的。可感知的障碍包括当前服务的医疗性质和 TwV 方法的缺乏可用性。

结论

研究结果为对话方法在帮助听到声音的人方面的可接受性和价值提供了支持。特别是，他们建议参与 TwV 可以帮助人们理解他们的声音，并与他们建立更和平的关系。这项研究在从声音本身引出观点方面是新颖的，这产生了宝贵的见解。