ABSTRACT

Background

To determine the impact of a contextual group CBT intervention for voices on the narratives of people with psychosis

Method

Narratives from 10 participants with psychosis and hearing auditory hallucinations, who participated in a group intervention for voices, were collected and analysed, before and after the intervention.

Results

Four main themes emerged from the phenomenological analysis of the participant’s narratives regarding their voices: ‘representation of voices’, ‘explanations given to hearing voices’, ‘unfolding and appearance of voices, and ’reactions and emotional management of voices’. It was possible to isolate sub-categories within the four main (or superordinate) themes that evolved following the intervention, reflecting the psychological and behavioural processes at work involved in response to the voices. The identification of these processes made it possible to understand how a contextual group CBT intervention for voice management could concretely help those who receive it.

Conclusion

A contextual group intervention for the management of auditory hallucinations in people with psychosis seems to improve the ability to describe, accept, and manage voices, as well as to encourage participants to relate differently, in a more peaceful way, with them.

中文翻译：

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针对精神病患者进行上下文团体治疗后有关“声音”的叙事变化

摘要

背景

确定针对语音的上下文分组CBT干预对精神病患者叙事的影响

方法

在干预之前和之后，收集并分析了来自10名患有精神病和听觉幻觉的参与者的叙事，他们参加了针对声音的小组干预。

结果

从参与者关于其声音的叙述的现象学分析中出现了四个主要主题：“声音的表示”，“对声音的解释”，“声音的展开和出现，以及“声音的反应和情感管理”。可以将干预后演变出的四个主要（或上级）主题中的子类别隔离开，以反映工作中响应声音的心理和行为过程。对这些过程的识别使我们有可能了解针对语音管理的上下文小组CBT干预如何具体地帮助那些接受该干预的人。

结论

在精神病患者中进行听觉幻觉管理的情境小组干预似乎可以提高描述，接受和管理声音的能力，并鼓励参与者以更和平的方式与他们进行不同的联系。