Voice-Hearing Across The Continuum: A Phenomenology of Spiritual Voices

Moseley, Peter, Powell, Adam, Woods, Angela, Fernyhough, Charles and Alderson-Day, Ben (2022) Voice-Hearing Across The Continuum: A Phenomenology of Spiritual Voices. Schizophrenia Bulletin. sbac054. ISSN 0586-7614 (In Press)

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Official URL: https://doi.org/10.1093/schbul/sbac054


Background and Hypothesis
Voice-hearing in clinical and nonclinical groups has previously been compared using standardized assessments of psychotic experiences. Findings from several studies suggest that nonclinical voice-hearing is distinguished by reduced distress and increased control. However, symptom-rating scales developed for clinical populations may be limited in their ability to elucidate subtle aspects of nonclinical voices. Moreover, such experiences often occur within specific contexts and belief systems, such as spiritualism. We investigated similarities and differences in the phenomenology of clinical voice-hearing and nonclinical voice-hearer (NCVH).

Study Design
We conducted a comparative interdisciplinary study which administered a semi-structured interview to NCVH individuals (N = 26) and psychosis patients (N = 40). The nonclinical group was recruited from spiritualist communities. We used content analysis and inductive thematic analysis to create a coding frame which was used across both spiritual and patient groups to compare phenomenological features of voice-hearing.

Study Results
The findings were consistent with previous results regarding distress and control. Additionally, in the NCVH group, multiple modalities were often integrated into 1 entity, and there were high levels of associated visual imagery, and subtle differences in the location of voices relating to perceptual boundaries. Most NCVHs reported voices before encountering spiritualism, suggesting that their onset was not solely due to deliberate practice.

Nonclinical spiritual voice-hearing has important similarities and differences to voices in psychosis. Future research should aim to understand how spiritual voice-hearers cultivate and control voice-hearing after its onset, which may inform interventions for people with psychosis with distressing voices.

Item Type: Article
Additional Information: Funding information: This research was funded in whole, or in part, by the Wellcome Trust (Grant number WT108720 and WT 209513). For the purpose of open access, the author has applied a CC BY public copyright licence to any Author Accepted Manuscript version arising from this submission.
Uncontrolled Keywords: hallucinations, comparative phenomenology, distress, control
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > Psychology
Depositing User: Elena Carlaw
Date Deposited: 27 Jun 2022 15:06
Last Modified: 27 Jun 2022 15:45
URI: http://nrl.northumbria.ac.uk/id/eprint/49413

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