Abstract Forensic inpatients who experience hallucinations and delusions present with complex clinical needs, which can be exacerbated through additional individual difficulties and disabilities impacting responsivity. Experiences of hallucinations and delusions are shaped by the individual’s context and culture; however, to date this has not been explored with regards to the experience of deaf persons. The current study employed Multiple Sequential Functional Analysis to conceptualize the developmental nature of hallucinations and/or delusions in a sample of three Deaf men from a secure specialist Deaf service. No evidence was found of unique experiences shaping the content and themes of hallucinations; however, participants reported a learning history of associating deafness with being inferior, which later emerged in delusions of grandeur. Across all three cases, there was a noticeable lack of clinical information available in case notes and a lack of targeted interventions offered by forensic service providers.

中文翻译：

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法医环境中的精神病和耳聋：聋人的经历如何塑造幻觉和妄想

摘要经历幻觉和妄想的法医住院病人具有复杂的临床需求，而由于其他个人困难和残疾影响响应能力，这种情况会加剧。幻觉和妄想的经历取决于个人的背景和文化。然而，迄今为止，关于聋人的经验尚未对此进行探讨。当前的研究采用了多重顺序功能分析法，从安全的专业聋人服务部门的三名聋人中抽取了幻觉和/或妄想的发展性概念。没有证据表明形成幻觉内容和主题的独特经历。然而，参与者报告了将耳聋与自卑联系在一起的学习历史，后来又因妄想症而出现。