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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
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 |
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| Journal or Publication Title: | British Journal of Clinical Psychology | ||||
| Publisher: | John Wiley & Sons Ltd. | ||||
| ISSN: | 0144-6657 | ||||
| Official Date: | June 2008 | ||||
| Dates: |
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| 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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