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Early Support for People Who Hear Voices: Exploratory Research on Family Medicine Physicians' Clinical Practice and Beliefs

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Date 2024 May 24
PMID 38785848
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Abstract

Nowadays the phenomenon of hearing voices represents a very fertile and discussed field of research. In psychological and psychiatric fields, the phenomenon has been described as a normal phenomenon, but also as a prodromal stage and as a symptom of psychosis. Through a qualitative research methodology, the aim was to explore how family medicine physicians configure the phenomenon and its clinical and interactive implications. The present research involved 35 family medicine physicians as figures of primary importance in the approach toward people who start to hear voices. Semi-structured interviews have been used and they have been analyzed by the method of discourse analysis. The results show a remarkable difficulty in understanding the phenomenon in all its complexity and the tendency to consider it a symptom or a prodromal stage of psychopathology. Increasing the knowledge of doctors on the subject is necessary so that their evaluation and choice of intervention match the needs of each patient. We also discuss the importance of promoting the knowledge of the potential meanings taken on by the voices in the context of the personal and family background of the individual hearer, and of collaboration with other relevant professionals and services.

References
1.
Gaudiano B, Herbert J . Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: pilot results. Behav Res Ther. 2005; 44(3):415-37. DOI: 10.1016/j.brat.2005.02.007. View

2.
Girardi P, Del Casale A, Rapinesi C, Kotzalidis G, Splendori F, Verzura C . Predictive factors of overall functioning improvement in patients with chronic schizophrenia and schizoaffective disorder treated with paliperidone palmitate and aripiprazole monohydrate. Hum Psychopharmacol. 2018; 33(3):e2658. DOI: 10.1002/hup.2658. View

3.
Gottlieb J, Harper Romeo K, Penn D, Mueser K, Chiko B . Web-based cognitive-behavioral therapy for auditory hallucinations in persons with psychosis: a pilot study. Schizophr Res. 2013; 145(1-3):82-7. DOI: 10.1016/j.schres.2013.01.002. View

4.
Lincoln T, Peters E . A systematic review and discussion of symptom specific cognitive behavioural approaches to delusions and hallucinations. Schizophr Res. 2018; 203:66-79. DOI: 10.1016/j.schres.2017.12.014. View

5.
Vilhauer R . Stigma and need for care in individuals who hear voices. Int J Soc Psychiatry. 2016; 63(1):5-13. DOI: 10.1177/0020764016675888. View