THE GROUP OF VOICE HEARERS: MENTAL HEALTH CARE DEVICE
Abstract
Auditory hallucination is a phenomenon that is part of the lives of many people who are treated in the public mental health system of our country. In the daily life of a Psychosocial Care Center in a Brazilian capital, voice hearers frequently reported that they continued to suffer from hallucinatory experiences, even following the treatment prescribed by the health team. Considering this problem, a group was set up to deal with the phenomenon. This article aimed to analyze the experiences of this group. For this, the qualitative method was used, which involved the registration of sixty-two sessions in the form of a field diary, and the analysis of the corpus. The organization of the data occurred in three temporal spectra that structure group (psycho)therapies in general: “presentation”, “exchanges of experiences”, and “closure”; besides a dynamic aspect, called “therapeutic management”. The presentation promoted the setting of the participants and allowed the emergence of important themes, which were worked on during the session. By exchanging experiences, the members were able to understand some dynamics related to voices, and there was the promotion of certain therapeutic factors. The management served to tie the spectra together and ensured the fluidity of the activity. It is recommended the adoption of groups with this focus and format in mental health services, considering that they increase the capacity of care.Downloads
References
Baker, P. (2009). The voice inside: a practical guide for and about people who hear voices. Port of Ness: P&P Press.
Bauer, S.M., Schanda, H., Karakula, H., Olajossy-Hilkesberger, L., Rudaleviciene, P., Okribelashvili, N., Chaudhry, H.R., Idemudia, S.E., Scheider, S., Ritter, K., & Stompe, T. (2011). Culture and the prevalence of hallucinations in schizophrenia. Comprehensive Psychiatry, 52, 319-325.
Brasil. (2011). Ministério da Saúde. Portaria Nº 3.088, de 23 de dezembro de 2011. Institui a Rede de Atenção Psicossocial para pessoas com sofrimento ou transtorno mental e com necessidades decorrentes do uso de crack, álcool e outras drogas, no âmbito do Sistema Único de Saúde. Brasília: Ministério da Saúde.
Cordiolli, A.V., & Giglio, L. (2008). Como atuam as psicoterapias: os agentes de mudança e as principais estratégias e intervenções psicoterápicas. In: Cordioli, A.V. Psicoterapias – Abordagens Atuais. Porto Alegre: Artmed.
Corstens, D., & Longden, E. (2013). The origins of voices: links between life history and voice hearing in a survey of 100 cases. Psychosis, 5(3), 270-285.
Corstens, D., Longden, E., McCarthy-Jones, S., Waddingham R., & Thomas, N. (2014). Emerging perspectives from the hearing voices movement: implications for research and practice. Schizophr Bull, 40, S285–S294.
De Leede-Smith, S., & Barkus, E. (2013). A comprehensive review of auditory verbal hallucinations: lifetime prevalence, correlates and mechanisms in healthy and clinical individuals. Front Hum Neurosci, 7, 1-25.
Dillon, J., & Hornstein, G.A. (2013). Hearing voices peer support groups: a powerful alternative for people in distress. Psychosis, 5(3), 286-295.
Englisch, S., & Zink, M. (2012). Treatment-resistant Schizophrenia: Evidence-based Strategies. Mens Sana Monographs, 10(1), 20–32.
Escher, S. (2009). Accepting voices and finding a way out. In: Romme, M., Escher, S., Dillon, J., Corstens, D., & Morris, M. Living with voices: 50 stories of recovery. Birmingham City University: PCCS Books.
Green, C. A., Estroff, S. E., Yarborough, B. J., Spofford, M., Solloway, M. R., Kitson, R. S., & Perrin, N. A. (2014). Directions for future patient-centered and comparative effectiveness research for people with serious mental illness in a learning mental health care system. Schizophr Bull, 40(S1), S1-S94.
Holanda, A. F. (2009). A perspectiva de Carl Rogers acerca da Resposta Reflexa. Revista do NUFEN, 1(1), 40-59.
Johns, L., Kompus, K., Connell, M., Humpston, C., Lincoln, T., Longden, E., Preti, A., Alderson-Day, B., Badcock, J. C., Cella, M., Fernyhough, C., McCarthy-Jones, S., Peters, E., Raballo, A., Scott, J., Siddi, S., Sommer,I., & Larøi, F. (2014). Auditory verbal hallucinations in persons with and without a need for care. Schizophr Bull, 40, S255-S264.
Kalhovde, A. M., Elstad, I., & Talseth, A. G. (2013). Understanding the experiences of hearing voices and sounds others do not hear. Qualitative Health Research, 23(11), 1470-1480.
Kråkvik, B., Larøi, F., Kalhovde, A. M., Hugdahl, K., Kompus, K., Salvesen, Ø., & Vedul-Kjelsås, E. (2015). Prevalence of auditory verbal hallucinations in a general population: A group comparison study. Scandinavian Journal of Psychology, 56, 508-515.
Larøi, F., Sommer, I. E., Blom, J. D., Fernyhough, C., Hugdahl, K., Johns, L. C., McCarthy-Jones, S., Preti,A., Raballo, A., Slotema, C.W., Stephane, M., & Waters, F. (2012). The characteristic features of auditory verbal hallucinations in clinical and nonclinical groups: state-of-the-art overview and future directions. Schizophr Bull, 38(4), 724-733.
Longden, E., Corstens, D., Escher, S., & Romme, M. (2012). Voice hearing in a biographical context: a model for formulating the relationship between voices and life history. Psychosis, 4, 224–234.
Longden, E., Corstens, D., & Dillon, J. (2013). Recovery, discovery and revolution: the work of Intervoice and the hearing voices movement. In: Madness contested: power and practice. Coles, S., Keenan, S., & Diamond, B. Ross-on-Wye: PCCS Books.
Martins, F. (2003). Psicopathologia II: Semiologia Clínica: Investigação Teórico Clínica das Síndromes Psicopatológicas Clássicas. Brasília: Universidade de Brasília.
Merhy, E.E. (2007). Os CAPS e seus trabalhadores: no olho do furacão antimanicomial. Alegria e alívio como dispositivos analisadores. In: Merhy EE, Amaral H, organizadores. A reforma psiquiátrica no cotidiano II. São Paulo: Hucitec.
Muñoz, N.M., Serpa Jr, O.D., Leal, E.M., Dahl, C.M., & Oliveira, I.C. (2011). Pesquisa clínica em saúde mental: o ponto de vista dos usuários sobre a experiência de ouvir vozes. Estudos de Psicologia, 16(1), 83-89.
Nuevo, R., Chatterji, S., Verdes, E., Naidoo, N., Arango, C., & Ayuso-Mateos, J.L. (2012). The continuum of psychotic symptoms in the general population: a cross-national study. Schizophr Bull., 38(3), 475-85.
Rogers, C.R., & Kinget, G.M. (1977). Psicoterapia e Relações Humanas, v. 2. Belo Horizonte: Interlivros.
Romme, M. (2009a). Hearing voices groups. In: Romme, M., Escher, S., Dillon, J., Corstens, D., & Morris, M. Living with voices: 50 stories of recovery. Birmingham City University: PCCS Books.
Romme, M. (2009b). What causes hearing voices? In: Romme, M., Escher, S., Dillon, J., Corstens, D., & Morris, M. Living with voices: 50 stories of recovery. Birmingham City University: PCCS Books.
Ruddle, A., Mason, O., & Wykes, T. (2011). A review of hearing voices groups: Evidence and mechanisms of change. Clinical psychology review, 31(5), 757-766.
Sommer, I.E., Slotema, C.W., Daskalakis, Z.J., Derks, E.M., Blom, J.D., & van der Gaag, M. (2012). The treatment of hallucinations in schizophrenia spectrum disorders. Schizophr Bull, 38(4), 704–714.
Vasconcelos, E. M. (2013). Manual [de] ajuda e suporte mútuos em saúde mental: para facilitadores, trabalhadores e profissionais de saúde e saúde mental. Brasília: Ministério da Saúde, Fundo Nacional de Saúde.
Yalom, I., & Leszcz, M. (2006). Psicoterapia de grupo: Teoria e prática. Porto Alegre: Artmed.
Zimmerman, D.E. (2007). Fundamentos básicos das grupoterapias [recurso eletrônico]. 2. ed. Porto Alegre: Artmed. Disponível em: https://books.google.com.br
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