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Published on: October 28, 2020
Hearing voices and the quest for autonomy: An interpretative phenomenological analysis
Sepinood Noroozi1, Nastaran Doroud2, Eleanor Longden3
1Centre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
People who hear voices continuously negotiate their autonomy, often finding it challenging to maintain self-authorship. Supporting voice hearers in creating meaningful narratives is crucial for strengthening their sense of self-determination and resilience.
Area of Science:
- Psychology
- Psychiatry
- Qualitative Research
Background:
- Auditory hallucinations (hearing voices) are frequently perceived as controlling or threatening.
- Understanding the subjective experience of autonomy for voice hearers is essential for therapeutic interventions.
Purpose of the Study:
- To explore the lived experiences of autonomy among individuals who hear voices.
- To gain insights into how autonomy is negotiated, diminished, and re-established in the context of auditory hallucinations.
Main Methods:
- Qualitative design utilizing in-depth, semi-structured phenomenological interviews.
- Interpretative phenomenological analysis (IPA) applied to data from six voice hearers.
- Focus on personal narratives and meaning-making processes related to autonomy.
Main Results:
- Autonomy is a dynamic process requiring constant negotiation, reflection, and self-regulation.
- Hearing voices challenges selfhood and self-authorship, making narrative construction vital for autonomy.
- Participants described a shared power dynamic with voices and limitations in perceived competence and decision-making.
Conclusions:
- Supporting voice hearers in developing self-oriented narratives is key to enhancing autonomy.
- Future research should focus on strategies for constructive integration of voice-hearing experiences to promote resilience and autonomy.
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