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Acting on voices : omnipotence, sources of threat, and safety-seeking behaviours

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Hacker, David., Birchwood, M. J., Tudway, Jeremy., Meaden, Alan and Amphlett, Catherine. (2008) Acting on voices : omnipotence, sources of threat, and safety-seeking behaviours. British Journal of Clinical Psychology, 47 (2). pp. 201-213. doi:10.1348/014466507X249093 ISSN 0144-6657.

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Official URL: http://dx.doi.org/10.1348/014466507X249093

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Abstract

Objectives:
Previous research indicates that beliefs about voice power and omnipotence are associated with distress, depression, and compliance. The present study investigates whether acting on voices to mitigate perceived threat, in a broader sense than compliance, is driven by delusional beliefs, as the Chadwick, Birchwood, and Trower cognitive-behavioural model of voices would suggest. The role of safety behaviours in maintaining beliefs about voice omnipotence and distress is also examined.

Design:
A cross-sectional investigation of 30 individuals with current experience of auditory verbal hallucinations was conducted.

Method:
Participants were assessed on self-report measures of voice topography, voice-related threat and distress, safety behaviour use, beliefs about voices, and depression and anxiety.

Results:
Three sources of threat were identified: physical harm, shame, and loss of control. Twenty-six individuals had recently used safety behaviours, believing them to be effective in threat reduction. The degree of safety behaviour use and voice-related distress were associated with voice omnipotence beliefs; mood or voice characteristics did not account for this relationship. The association of safety behaviours with increased distress was mediated by beliefs about voice omnipotence.

Conclusions:
Acting on voices can be conceptualized as a form of safety seeking, associated with maintaining beliefs about voice omnipotence and distress.

Item Type: Journal Article
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
Journal or Publication Title: British Journal of Clinical Psychology
Publisher: John Wiley & Sons Ltd.
ISSN: 0144-6657
Official Date: June 2008
Dates:
DateEvent
June 2008Published
Volume: 47
Number: 2
Page Range: pp. 201-213
DOI: 10.1348/014466507X249093
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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