Auditory verbal hallucinations (AVH) are a common perceptual experience and occur in 9.6 percent of the general population internationally (Maijer, Begemann, Palmen, Leucht, & Sommer, 2018). Childhood traumatic stress has been implicated in the development of AVH, also known as voice hearing, and can render people more vulnerable to hearing either supportive or disturbing voices (Bailey et al., 2018; Daalman, Diederen, & Derks, 2012). Challenging life events also play a role in shaping the content of voices people hear, as AVH often represent people or problems located in a voice hearer’s history (Longden, Corstens, Escher, & Romme, 2012). Despite the association between stress factors and AVH, voice hearing is primarily conceptualized in the Western biomedical system as a symptom of genetically based mental disorders that requires diagnosis and pharmacological solutions (Corstens, Escher, & Romme, 2008; McCarthy-Jones, 2017). Within this framework, questions related to antipsychotic medications are prioritized over voice content and personal concerns, with consequential effects on the relationships that clients develop with their mental health supports. Service users who hear voices have reported feeling invalidated, unheard, and dissatisfied in their interactions with mental health professionals (Kapur et al., 2014). This frustration highlights a need for more trauma-informed therapeutic approaches with this population. This Viewpoint column will discuss an underused method for supporting people who hear voices and proposes a fundamental shift in the way social workers and mental health professionals engage with people who hear voices.

中文翻译：

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聆听声音：帮助来访者审视听觉幻听背后的含义

听觉语言幻觉 (AVH) 是一种常见的感知体验，在全球 9.6% 的普通人群中发生（Maijer、Begemann、Palmen、Leucht 和 Sommer，2018 年）。童年创伤性压力与 AVH（也称为声音听力）的发展有关，并且会使人们更容易听到支持性或令人不安的声音（Bailey 等人，2018 年；Daalman、Diederen 和 Derks，2012 年）。具有挑战性的生活事件也在塑造人们听到的声音内容方面发挥作用，因为 AVH 通常代表声音听者历史中的人物或问题（Longden、Corstens、Escher 和 Romme，2012 年）。尽管压力因素与 AVH 之间存在关联，声音听力主要在西方生物医学系统中被概念化为需要诊断和药物解决方案的基于遗传的精神障碍的症状（Corstens、Escher 和 Romme，2008 年；McCarthy-Jones，2017 年）。在这个框架内，与抗精神病药物相关的问题优先于声音内容和个人关注，从而对客户与心理健康支持发展的关系产生影响。听到声音的服务用户报告说，他们在与心理健康专业人员的互动中感到无效、听不见和不满意（Kapur 等，2014）。这种挫败感凸显了对这一人群的更多创伤知情治疗方法的需求。