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Through the looking glass : self-reassuring meta-cognitive capacity and its relationship with the thematic content of voices

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Connor, Charlotte and Birchwood, M. J. (2013) Through the looking glass : self-reassuring meta-cognitive capacity and its relationship with the thematic content of voices. Frontiers in Human Neuroscience, 7 . p. 213. doi:10.3389/fnhum.2013.00213 ISSN 1662-5161.

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Official URL: http://dx.doi.org/10.3389/fnhum.2013.00213

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Abstract

Aims:
To examine the self-critical thoughts and self-reassuring meta-cognitive capacity of those who hear voices and explore whether they are associated with the theme of voice content and appraisals of voice power and voice expressed emotion.
Method:
A cross-sectional design was used, combining semi-structured interviews and self-report measures. Data on symptomatology, self-critical thoughts and self-reassuring meta-cognitive capacity, thematic voice content, and appraisals of voice power and expressed emotion were collected from 74 voice-hearers in Birmingham, UK.
Results:
Common themes of voice content reflected issues of shame, control, and affiliation. Controlling content was the most prevalent theme, however, no significant predictor of this theme was found; shaming thematic voice content linked with reduced capacity to self-reassure following self-critical thoughts. Voice-hearers with the greatest level of self-critical thoughts appraised their voices as powerful and high in voice expressed emotion.
Conclusions:
Findings suggest that voice-hearers self-critical thoughts are reflected in the type of relationship they have with their voice. However, access to self-reassuring meta-cognitive capacity may serve as a protective factor for those who hear voices, resulting in more benign voice content. These findings highlight the importance of this specific meta-cognitive capacity and will inform future therapeutic interventions for the management of voices in this vulnerable group.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Auditory hallucinations, Schizophrenia -- Treatment, Metacognition
Journal or Publication Title: Frontiers in Human Neuroscience
Publisher: Frontiers Research Foundation
ISSN: 1662-5161
Official Date: 21 May 2013
Dates:
DateEvent
21 May 2013Published
6 May 2013Accepted
28 February 2013Submitted
Volume: 7
Page Range: p. 213
DOI: 10.3389/fnhum.2013.00213
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIED[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
UNSPECIFIEDBirmingham and The Black CountryUNSPECIFIED

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