Speech processing in voice-hearers: Bridging the gap between empirical research and clinical implications

Individuals who hear voices (i.e. auditory verbal hallucinations) have been reported to exhibit a range of difficulties when listening to and processing the speech of other people. These speech processing challenges are observed even in the absence of hearing voices; however, some appear to be exacerbated during periods of acute symptomology. In this advisory piece, key findings from pertinent empirical research into external speech processing in voice-hearers are presented with the intention of informing healthcare professionals. It is the view that through a better understanding of the speech processing deficits faced by individuals who hear voices, more effective communication with such patients can be had.

Hearing Voices: A Corporeal Expression of Trauma in Margaret Atwood’s Lady Oracle

The study aims at giving the clinical symptom “Hearing Voices” a literary conceptualization through an analytical reading of Margaret Atwood’s Lady Oracle (1976). Shedding light on the synergy between the body, the voice, and trauma, the study specifically examines how the protagonist’s childhood trauma returns through the cracks of her consciousness in a form of hallucinations and hearing ghost voices in adulthood. The study also aims to explore how Atwood problematizes the notion of hearing voices to project her protagonist’s inner world. The ensuing discussion utilizes Sigmund Freud’s theorization on trauma’s embodiment through corporeality, as well as Cathy Caruth’s emphasis on the manifestation of trauma through both the voice and the body. Also relevant is Laura Di Prete’s focus on the interplay between embodied voices and speaking bodies. Keywords: Childhood memories; Corporeality of trauma; Hearing voices; Margaret Atwood,;Lady Oracle.

The Interpretation of “Local” Literacy Practices through Ethnography

Ethnography is a practice of inscribing local practice into texts, developed in the context of social anthropology. Local literacy practices often remain hidden, dependent on context and shaped by histories and cultures. Literacy is entwined with how lives are lived. Collaborative ethnography enables an approach that permits researchers to collaboratively develop research questions with participants and, rather than researching on people, researchers work with people as coresearchers. Local literacy practices are situated in homes and communities as well as within everyday contexts such as markets and mosques. Community literacy practices can be collaboratively understood and studied using this approach. Communities experience and practice diverse and multiple literacies, both locally and transnationally, and mapping this diversity is key to an understanding of the fluid and changing nature of literacies. Literacies can be understood as being multilingual, digital, transnational, and multimodal, thus expanding the concept of literacy as lived within communities. Threaded through this analysis is a discussion of power and whose literacy practices are seen as powerful within community contexts. Collaborative ethnography is a powerful methodology to excavate and co-analyze community literacy practices. Other methods that can explore local literacies include visual and sensory ethnography. Power sharing in terms of the design and architecture of the research is important for hearing voices and working equitably. There are many concepts introduced within, including the idea of literacy practices, the link between literacy and identity, the importance of an understanding of multilingualism, and the importance of situating literacy in communities.

The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review

Background Despite Auditory Verbal Hallucinations (AVHs) have been long associated with mental illness, they represent a common experience also in the non-clinical population, yet do not exhibit distress or need for care. Objectives This paper aims to provide a systematic review of studies that investigated the relationship between auditory hallucinations, shame, and guilt in people without relevant signs of psychiatric issues. Methods We searched studies reporting information about voices characteristics, the relationship between voices and hearers, hearer's reactions, and beliefs (1946-2021) and those that explored the differences between “patients” and “non-patients”, paying peculiar attention to shame and guilt issues. Included papers were evaluated for risk of bias. Results Eleven studies that explored the relationship between AVHs, shame and guilt, were extracted. Phenomenological, pragmatic, as well as neuropsychological features of hearing voices in non-clinical populations, allowed us to note a dynamic relationship and the constellation of subjective experiences that can occur. The role of guilt was characterized by few studies and mixed results, while shame was mainly common. Conclusions Due to the high heterogeneity detected and the scarce sources available, further studies should focus on both the aetiology and the bidirectional relationship between hearing voices, shame, and guilt in non-clinical people. This might favour the development and implication of different treatments considering emotion regulation, distress tolerance and interpersonal sensitivity on the other people.

Empathear: Design of a system to elicit empathy in siblings of voice hearers

<p>It is said that one in five adults will be affected by some form of mental disorder every year, and nearly half the population (45%) will experience a mental disorder at some stage in their life (SaneAustralia, 2004). This research poses the question: ‘How can design elicit empathy in siblings of voices hearers? Testing and using a designed device to simulate dynamic Auditory Hallucinations or ‘Voices’ in order for family members to experience an in-depth understanding of their own reaction to hearing ‘voices’. With multiple studies affirming that families are crucial to recovery, this thesis research targets families to provide an education on how to positively perpetuate the recovery of a loved one suffering from hearing voices. Empathy is the driving concept of this research, challenging the ability of a designed devices ability to elicit empathy. Through the design of a wearable technology scarf and smart phone App (both entitled Empathear) created to emulate ‘voices’, this thesis has developed and tested, a product-service system that provides family members a simulated voice hearing experience which can be undertaken in the family home and out in the general public. These voices adapt to the wearer’s environment, becoming louder, softer, more intense or relaxed. Using Empathear outside of the home is very important to this research as it allows family members to see what it is like to speak to members of the public with the distraction of voices. This research identified four common themes expressed by those interviewed: - Distraction and Concentration - Personal Adaption into a Progressional Experience - Empathy and Appreciation - Positivity for the Future Empathear fills a gap in the market, helping families to take control, becoming their own instigators of positive change. From a case study of user testing of the chosen design output – the Empathear App, it was found that this research was successful in achieving improved empathetic concern, with all sibling participants acknowledging a change in empathy towards their loved one. This generated a motivation, especially in younger participants, to improve the future of their loved one akin to Daniel C. Batson’s Altruism (Chapter 5.1 Types of Empathy). This research worked to avoid personal distress in participants by allowing them the option to turn the App off at any stage, giving participants free range on how they wanted to orchestrate their personal voices experience. Empathear has given premise to understanding that distinguishing the illness from our loved one can be achieved through understanding our own reaction to voices. Participants were given an experience of how their personality could be tested by this adversity, allowing them to recognize the reasons behind their loved ones day to day actions and reactions.</p>

Empathear: Design of a system to elicit empathy in siblings of voice hearers

<p>It is said that one in five adults will be affected by some form of mental disorder every year, and nearly half the population (45%) will experience a mental disorder at some stage in their life (SaneAustralia, 2004). This research poses the question: ‘How can design elicit empathy in siblings of voices hearers? Testing and using a designed device to simulate dynamic Auditory Hallucinations or ‘Voices’ in order for family members to experience an in-depth understanding of their own reaction to hearing ‘voices’. With multiple studies affirming that families are crucial to recovery, this thesis research targets families to provide an education on how to positively perpetuate the recovery of a loved one suffering from hearing voices. Empathy is the driving concept of this research, challenging the ability of a designed devices ability to elicit empathy. Through the design of a wearable technology scarf and smart phone App (both entitled Empathear) created to emulate ‘voices’, this thesis has developed and tested, a product-service system that provides family members a simulated voice hearing experience which can be undertaken in the family home and out in the general public. These voices adapt to the wearer’s environment, becoming louder, softer, more intense or relaxed. Using Empathear outside of the home is very important to this research as it allows family members to see what it is like to speak to members of the public with the distraction of voices. This research identified four common themes expressed by those interviewed: - Distraction and Concentration - Personal Adaption into a Progressional Experience - Empathy and Appreciation - Positivity for the Future Empathear fills a gap in the market, helping families to take control, becoming their own instigators of positive change. From a case study of user testing of the chosen design output – the Empathear App, it was found that this research was successful in achieving improved empathetic concern, with all sibling participants acknowledging a change in empathy towards their loved one. This generated a motivation, especially in younger participants, to improve the future of their loved one akin to Daniel C. Batson’s Altruism (Chapter 5.1 Types of Empathy). This research worked to avoid personal distress in participants by allowing them the option to turn the App off at any stage, giving participants free range on how they wanted to orchestrate their personal voices experience. Empathear has given premise to understanding that distinguishing the illness from our loved one can be achieved through understanding our own reaction to voices. Participants were given an experience of how their personality could be tested by this adversity, allowing them to recognize the reasons behind their loved ones day to day actions and reactions.</p>

Hearing Voices, Personal Growth and Positive Reinforcement

This case report delas with the interaction of hearing voices, maslows hierarchy and the role of positive reinforcement. It begins with an account of the different ways of hearing voices can affect each level of the maslow tree and then proceeds to identify ways this can be remedied through positive reinforcement. Finally this process is illustrated with a narrative detailing my personal experience of this.