The recovery process with hearing voices: accepting as well as exploring their emotional background through a supported process

Romme, Marius; Morris, Mervyn

doi:10.1080/17522439.2013.830641

Cited by 18 publications

(23 citation statements)

References 11 publications

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“…This narrative research aimed to investigate recovery trajectories and critically appraise and further develop Romme, Escher, and colleagues’ seminal work on recovery from distressing voices, in particular the suggested startling, organization , and stabilization phases of recovery (Romme & Escher, 1989; Romme & Morris, 2013). In keeping with prior research, participants in the current research understood negative life events to be causally related to voice onset (e.g., Romme et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Investigating the Lived Experience of Recovery in People Who Hear Voices

et al. 2015

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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.

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Section: Discussionmentioning

confidence: 99%

Investigating the Lived Experience of Recovery in People Who Hear Voices

et al. 2015

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“…Fourthly, it is believed that in the majority of cases voice-hearing can be understood and interpreted in the context of life events and interpersonal narratives. 11 , 18 , 23 Specifically, it is often reported that voices are precipitated and maintained by emotional life events that overwhelm and disempower the individual, with the content, identity, and/or onset of voices frequently corresponding to broader issues in the person’s life. 3 , 7 , 24 Tools like the Maastricht Hearing Voices Interview, and “the construct” that is derived from it, can be employed to understand—and attempt to address and resolve—the latent conflicts that may underlie the voices’ presence.…”

Section: Key Values Of the Hvmmentioning

confidence: 99%

Emerging Perspectives From the Hearing Voices Movement: Implications for Research and Practice

Corstens

Longden

McCarthy-Jones

et al. 2014

Schizophrenia Bulletin

203

166

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The international Hearing Voices Movement (HVM) is a prominent mental health service-user/survivor movement that promotes the needs and perspectives of experts by experience in the phenomenon of hearing voices (auditory verbal hallucinations). The main tenet of the HVM is the notion that hearing voices is a meaningful human experience, and in this article, we discuss the historical growth and influence of the HVM before considering the implications of its values for research and practice in relation to voice-hearing. Among other recommendations, we suggest that the involvement of voice-hearers in research and a greater use of narrative and qualitative approaches are essential. Challenges for implementing user-led research are identified, and avenues for future developments are discussed.

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“…One distinct advantage of this therapy stems from its emphasis on the development and mastery of self-counseling skills. This way, RBT's transdiagnostic features can be useful in prodromal states and in persons who present with some symptoms but do not meet the diagnostic criteria for a specific mental illness (Romme & Morris, 2013). Thanks to its rational self-counseling, RBT may also be applicable to individuals who experience unusual inner speech sensations (Alderson-Day & Fernyhough, 2015;Romme et al, 2009) but do not consent to standard psychiatric care.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it turns out that the content of delusions and hallucinations reflects the person's biography, their views of the world, of their own nature, and of their future, therefore it also, to a certain degree, is learned (Longden et al, 2012). It became clear to us that if one listened to the psychotic content and explored the related beliefs that appeared hidden, many possibilities for effective cognitive interventions would open (Romme & Morris, 2013).…”

Section: General Principles Of Applying Rbt In Psychosismentioning

confidence: 99%

The Application of Maultsby’s Rational Behavior Therapy in Psychosis – A Case Report

Kałwa

Wirga

2021

J Rat-Emo Cognitive-Behav Ther

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The purpose of this paper is to present the applicability of Rational Behavior Therapy (RBT) for a patient with psychosis. RBT is a form of cognitive-behavioral therapy developed by an American psychiatrist, Maxie C. Maultsby, Jr. RBT teaches rational self-counseling to achieve emotive and behavioral goals, reduce distress and the symptoms of the disease, improve functioning, improve treatment adherence, and prevent relapse. The challenges in applying cognitive behavior therapy in psychosis are described. We report the case of a 17-year-old patient who had been recently diagnosed with schizophrenia according to ICD-10 criteria, presenting with recurrent psychotic symptoms and suicidal ideation. Over 1.5 years, the patient was treated in an outpatient setting with antipsychotic medications and, intermittently, with RBT-based psychotherapy (by the first author). The therapy process was interrupted periodically due to temporary improvements in the patient’s status, non-adherence, or relapses, including one episode requiring hospitalization. Nevertheless, the treatment eventually resulted in a long-lasting remission. We present examples of the RBT techniques used in this therapeutic process and highlight this treatment modality’s unique features which support patients utilizing rational self-counseling skills to become more independent in coping with their problems. We emphasize that patients with a mental illness like schizophrenia or bipolar disorder also suffer from learned emotional disturbances that are amenable to treatment with cognitive-behavior therapies like RBT. In conclusion, we submit that with its self-counseling properties, RBT offers non-intrusive ways of helping people experiencing psychotic symptoms as part of their diagnosis and in prodromal or non-diagnostic states.

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The recovery process with hearing voices: accepting as well as exploring their emotional background through a supported process

Cited by 18 publications

References 11 publications

Investigating the Lived Experience of Recovery in People Who Hear Voices

Investigating the Lived Experience of Recovery in People Who Hear Voices

Emerging Perspectives From the Hearing Voices Movement: Implications for Research and Practice

The Application of Maultsby’s Rational Behavior Therapy in Psychosis – A Case Report

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