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Beliefs about voices in voice-hearers: the role of schema functioning

Published online by Cambridge University Press:  29 June 2020

Brittany Davenport
Affiliation:
North Wales Clinical Psychology Programme, School of Psychology, Bangor University, Bangor, UK
Mike Jackson
Affiliation:
North Wales Clinical Psychology Programme, School of Psychology, Bangor University, Bangor, UK Early Intervention in Psychosis Service, Betsi Cadwaladr University Health Board, UK
James A. Grange
Affiliation:
School of Psychology, Keele University, UK
Michelle Rydon-Grange*
Affiliation:
Inclusion Integrated Mental Health Services, Midlands Partnership Foundation NHS Trust
*
*Corresponding author. Email: [email protected]; [email protected]

Abstract

Background:

Evidence is emerging that beliefs about voices are influenced by broader schematic beliefs about the self and others. Similarly, studies indicate that the relationship an individual has with their voice may mirror wider patterns of relating observed in social relationships, which may be influenced by schematic beliefs.

Aims:

This study examined associations between beliefs about voices and self and other schemas. Furthermore, associations between schemas and the perceived relationship between the hearer and their predominant voice were explored.

Method:

Forty-four voice-hearing participants were recruited across mental health services. Participants completed self-report measures of beliefs about voices, schema functioning, and relating between the hearer and their voice. Dimensions of voice experience, such as frequency and content, were assessed using a clinician-rated scale.

Results:

Beliefs about voices correlated with negative voice content and schemas. After controlling for negative voice content, schemas were estimated to predict between 1 and 17% of the variance in the six measured beliefs about voices; three of the associations reached statistical significance. Negative-self schema were the strongest predictors of beliefs about voices, whilst positive-self also showed potential relationships. Schemas also correlated with dimensions of relating between the hearer and their voice.

Conclusions:

In line with previous research, this study provides evidence that schemas, particularly self-schema, may be important in the development of beliefs about voices. This study offers preliminary findings to suggest that schemas are also associated with the perceived relationship between the hearer and their voice.

Type
Main
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2020

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References

Addington, J., & Tran, L. (2009). Using the Brief Core Schema Scales with individuals at clinical high risk of psychosis. Behavioural and Cognitive Psychotherapy, 37, 227231. doi: 10.1017/S1352465809005116CrossRefGoogle ScholarPubMed
Beck, A. T., & Rector, N. A. (2003). A cognitive model of hallucinations. Cognitive Therapy Research, 27, 1952. doi: 10.1023/a:1022534613005CrossRefGoogle Scholar
Birchwood, M., & Chadwick, P. (1997). The omnipotence of voices: testing the validity of a cognitive model. Psychological Medicine, 27, 13451353. doi: 10.1017/s0033291797005552CrossRefGoogle ScholarPubMed
Birchwood, M., Gilbert, P., Gilbert, J., Trower, P., Meaden, A., Hay, J., Murray, E., & Miles, J. (2004). Interpersonal and role-related schema influence the relationship with the dominant ‘voice’ in schizophrenia: a comparison of three models. Psychological Medicine, 34, 15711580. doi: 10.1017/S0033291704002636CrossRefGoogle ScholarPubMed
Birchwood, M., Meaden, A., Trower, P., Gilbert, P., & Plaistow, J. (2000). The power and omnipotence of voices: subordination and entrapment by voices and significant others. Psychological Medicine, 30, 337344. doi: 10.1017/s0033291799001828CrossRefGoogle ScholarPubMed
Birtchnell, J. (1996). How Humans Relate: A New Interpersonal Theory. Hove, UK: Psychology Press.Google Scholar
Birtchnell, J. (2002). Relating in Psychotherapy: The Application of a New Theory. Hove, UK: Brunner-Routledge.Google Scholar
Chadwick, P., & Birchwood, M. (1994). The omnipotence of voices a cognitive approach to auditory hallucinations. British Journal of Psychiatry, 164, 190201. doi: 10.1192/bjp.166.6.773CrossRefGoogle ScholarPubMed
Chadwick, P., Lees, S., & Birchwood, M. (2000). The revised Beliefs About Voices Questionnaire (BAVQ-R). British Journal of Psychiatry, 177, 229232. doi: 10.1192/bjp.177.3.229CrossRefGoogle Scholar
Close, H., & Garety, P. (1998). Cognitive assessment of voices: further developments in understanding the emotional impact of voices. British Journal of Clinical Psychology, 37, 173188. doi: 10.1111/j.2044-8260.1998.tb01292.xCrossRefGoogle ScholarPubMed
Drake, R., Haddock, G., Tarrier, N., Bentall, R., & Lewis, S. (2007). The Psychotic Symptom Rating Scales (PSYRATS): their usefulness and properties in first episode psychosis. Schizophrenia Research, 89, 119122. doi: 10.1016/j.schres.2006.04.024CrossRefGoogle Scholar
Fowler, D., Freeman, D., Smith, B., Kuipers, E., Bebbington, P., Bashforth, H., … & Garety, P. (2006). The Brief Core Schema Scales (BCSS): psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36, 749759. doi: 10.1017/S0033291706007355CrossRefGoogle ScholarPubMed
Freeman, D., Pugh, K., Dunn, G., Evans, N., Sheaves, B., Waite, F., … & Fowler, D. (2014). An early Phase II randomised controlled trial testing the effect on persecutory delusions of using CBT to reduce negative cognitions about the self: the potential benefits of enhancing self-confidence. Schizophrenia Research, 160, 186192. http://doi.org/10.1016/j.schres.2014.10.038CrossRefGoogle ScholarPubMed
Garety, P., Bebbington, P., Fowler, D., Freeman, D., & Kuipers, E. (2007). Implications for neurobiological research of cognitive models of psychosis: a theoretical paper. Psychological Medicine, 37, 13771391. doi: 10.1017/S003329170700013XCrossRefGoogle ScholarPubMed
Garety, P., Kuipers, E., Fowler, D., Freeman, D., & Bebbington, P. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31, 189195. https://doi.org/10.1017/S0033291701003312CrossRefGoogle ScholarPubMed
Gilbert, P., Birchwood, M., Gilbert, J., Trower, P., Hay, J., Murray, B., Meaden, A., Olsen, K., & Miles, J. (2001). An exploration of evolved mental mechanisms for dominant and subordinate behaviour in relation to auditory hallucinations in schizophrenia and critical thoughts in depression. Psychological Medicine, 31, 11171127. doi: 10.1017/s0033291701004093CrossRefGoogle ScholarPubMed
Haddock, G., McCarron, J., Tarrier, N., & Farragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: the Psychotic Symptom Rating Scales (PSYRATS). Psychological Medicine, 29, 879889. doi: 10.1017/s0033291799008661CrossRefGoogle Scholar
Hardy, A., Emsley, R., Freeman, D., Bebbington, P., Garety, P., Kuipers, E., … & Fowler, D. (2016). Psychological mechanisms mediating effects between trauma and psychotic symptoms: the role of affect regulation, intrusive trauma memory, beliefs, and depression. Schizophrenia Bulletin, 42(suppl 1), S34S43. doi: 10.1093/schbul/sbv175CrossRefGoogle ScholarPubMed
Hayward, M. (2003). Interpersonal relating and voice hearing: to what extent does relating to the voice reflect social relating? Psychology and Psychotherapy: Theory, Research and Practice, 76, 369383. doi: 10.1348/147608303770584737CrossRefGoogle ScholarPubMed
Hayward, M., Berry, K., & Ashton, A. (2011). Applying interpersonal theories to the understanding of and therapy for auditory hallucinations: a review of the literature and directions for further research. Clinical Psychology Review, 31, 13131323. doi: 10.1016/j.cpr.2011.09.001CrossRefGoogle ScholarPubMed
Hayward, M., Denney, J., Vaughan, S., & Fowler, D. (2008). The Voice and You: development and psychometric evaluation of a measure of relationships with voices. Clinical Psychology & Psychotherapy, 15, 4552. doi: 10.1002/cpp.561CrossRefGoogle ScholarPubMed
Hayward, M., & Fuller, E. (2010). Relating therapy for people who hear voices: perspectives from clients, family members, referrers and therapists. Clinical Psychology & Psychotherapy, 17, 363373. doi: 10.1002/cpp.672CrossRefGoogle ScholarPubMed
IBM Corporation (2017). IBM SPSS Statistics for Windows, version 25.0. Armonk, NY, USA: IBM Corporation.Google Scholar
Kingdon, D., Ashcroft, K., Bhandari, B., Gleeson, S., Warikoo, N., Symons, M., … & Mehta, R. (2010). Schizophrenia and borderline personality disorder: similarities and differences in the experience of auditory hallucinations, paranoia, and childhood trauma. Journal of Nervous and Mental Disease, 198, 399403. doi: 10.1097/NMD.0b013e3181e08c27CrossRefGoogle ScholarPubMed
Linscott, R., & van Os, J. (2013). An updated and conservative systematic review and meta-analysis of epidemiological evidence on psychotic experiences in children and adults: on the pathway from proneness to persistence to dimensional expression across mental disorders. Psychological Medicine, 43, 11331149. doi: 10.1017/S0033291712001626CrossRefGoogle ScholarPubMed
Mayhew, S., & Gilbert, P. (2008). Compassionate mind training with people who hear malevolent voices: a case series report. Clinical Psychology & Psychotherapy, 15, 113138. doi: 10.1002/cpp.566CrossRefGoogle ScholarPubMed
Morrison, A. P. (1998). A cognitive analysis of the maintenance of auditory hallucinations: are voices to schizophrenia what bodily sensations are to panic? Behavioural and Cognitive Psychotherapy, 26, 289302. https://www.cambridge.org/core/journals/behavioural-and-cognitive-psychotherapyCrossRefGoogle Scholar
Morrison, A. P. (2001). The interpretation of intrusions in psychosis: an integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29, 257276. https://www.cambridge.org/core/journals/behavioural-and-cognitive-psychotherapyCrossRefGoogle Scholar
Morrison, A., Haddock, G., & Tarrier, N. (1995). Intrusive thoughts and auditory hallucinations: a cognitive approach. Behavioural and Cognitive Psychotherapy, 23, 265280.CrossRefGoogle Scholar
Morrison, A. P., Nothard, S., Bowe, S. E., & Wells, A. (2004). Interpretations of voices in patients with hallucinations and non-patient controls: a comparison and predictors of distress in patients. Behaviour Research and Therapy, 42, 13151323. doi: 10.1016/j.brat.2003.08.009CrossRefGoogle ScholarPubMed
Morrison, A. P., Wells, A., & Nothard, S. (2002). Cognitive and emotional predictors of predisposition to hallucinations in non-patients. British Journal of Clinical Psychology, 41, 259270. doi: 10.1348/014466502760379127CrossRefGoogle ScholarPubMed
Smith, B., Fowler, D., Freeman, D., Bebbington, P., Bashforth, H., Garety, P., … & Kuipers, E. (2006). Emotion and psychosis: links between depression, self-esteem, negative schematic beliefs and delusions and hallucinations. Schizophrenia Research, 86, 181188. doi: 10.1016/j.schres.2006.06.018CrossRefGoogle ScholarPubMed
Sorrell, E., Hayward, M., & Meddings, S. (2010). Interpersonal processes and hearing voices: a study of the association between relating to voices and distress in clinical and non-clinical hearers. Behavioural and Cognitive Psychotherapy, 38, 127140. doi: 10.1017/S1352465809990506CrossRefGoogle ScholarPubMed
Thomas, N., Farhall, J., & Shawyer, F. (2015). Beliefs about voices and schemas about self and others in psychosis. Behavioural and Cognitive Psychotherapy, 43, 209223. doi: 10.1017/S1352465813000817CrossRefGoogle ScholarPubMed
Thomas, N., Morris, E. M. J., Farhall, J., & Shawyer, F. (2013). Acceptance and commitment therapy for voices. In Morris, E. M. J., Johns, L. C. & Oliver, J. E. (eds), Acceptance and Commitment Therapy and Mindfulness for Psychosis (pp. 95111). Chichester, UK: Wiley-Blackwell. doi: 10.1002/9781118499184.ch7CrossRefGoogle Scholar
van der Gaag, M., Hageman, M., & Birchwood, M. (2003). Evidence for a cognitive model of auditory hallucinations. Journal of Nervous and Mental Disease, 191, 542545. doi: 10.1097/01.nmd.0000082183.95853.ecCrossRefGoogle ScholarPubMed
Waters, F., Allen, P., Aleman, A., Fernyhough, C., Woodward, T., Badcock, J., … Laroi, F. (2012). Auditory hallucinations in schizophrenia and nonschizophrenia populations: a review and integrated model of cognitive mechanisms. Schizophrenia Bulletin, 38, 683693. doi: 10.1093/schbul/sbs045CrossRefGoogle ScholarPubMed
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