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Auditory verbal hallucinations in first-episode psychosis : a phenomenological investigation

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Upthegrove, Rachel, Ives, Jonathan, Broome, Matthew R., Caldwell, Kimberly, Wood, Stephen J. and Oyebode, Femi (2016) Auditory verbal hallucinations in first-episode psychosis : a phenomenological investigation. BJPsych Open, 2 (1). pp. 88-95. bjporcpsych002303. doi:10.1192/bjpo.bp.115.002303 ISSN 2056-4724.

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Official URL: http://dx.doi.org/10.1192/bjpo.bp.115.002303

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Abstract

Background
In dimensional understanding of psychosis, auditory verbal hallucinations (AVH) are unitary phenomena present on a continuum from non-clinical voice hearing to severe mental illness. There is mixed evidence for this approach and a relative absence of research into subjective experience of AVH in early psychosis.
Aims
To conduct primary research into the nature of subjective experience of AVH in first-episode psychosis.
Method
A phenomenological study using diary and photo-elicitation qualitative techniques investigating the subjective experience of AVH in 25 young people with first-episode psychosis.
Results
AVH are characterised by: (a) entity, as though from a living being with complex social interchange; and (b) control, exerting authority with ability to influence. AVH are also received with passivity, often accompanied by sensation in other modalities.
Conclusions
A modern detailed phenomenological investigation, without presupposition, gives results that echo known descriptive psychopathology. However, novel findings also emerge that may be features of AVH in psychosis not currently captured with standardised measures.

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 -- Youth, Psychoses -- Youth
Journal or Publication Title: BJPsych Open
Publisher: Royal College of Psychiatrists
ISSN: 2056-4724
Official Date: 15 February 2016
Dates:
DateEvent
15 February 2016Published
15 January 2016Accepted
15 October 2015Submitted
Volume: 2
Number: 1
Page Range: pp. 88-95
Article Number: bjporcpsych002303
DOI: 10.1192/bjpo.bp.115.002303
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Funder: Birmingham and Solihull Mental Health NHS Trust

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