M.O.D.E.R.N. Voice-Hearer

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1 Debra Lampshire Presents The M.O.D.E.R.N. Voice-Hearer

2

3 Background Hearing Voices since childhood Developed unusual beliefs Long periods in institutions Stayed inside house for 18 years Got voices under control began working with Mental Health

4 Guiding Principles Informed by experience Accumulated knowledge, skills developed and wisdom of people dealing with distressing voices Approach can be used in group format or with individuals

5 Changing the relationship with voices Understanding the role of voices and how they work in peoples lives Acknowledging the impact of stress and anxiety The voice hearing experience has meaning, is related to life circumstances and is comprehensible.

6 Personal Perspective I am engaged in a relationship with my voices I am in an abusive relationship with some of them They can only express themselves in harsh ways it is my job to interpret their content into helpful ways. It alerts me to being stressed

7 I need to be their therapist at times They can do nothing without my consent Addressing them as quickly as possible makes it easier to deal with them They are not always honest they lie and misguide me at times I always treat them with kindness and respect

8 They are part of who I am. I would never choose to be free of them completely I only work on my negative voices positive voices require no attention at all They need my assistance to express themselves appropriately! The only power they have is what I give them!

9 M O D E R N Manifestation of Distress Explore Relevance Nomalise

10 M. O. D. Voice hearing experience is viewed as a manifestation of distress alerting the person to the fact that they concerned, worried or troubled by something which may not be obvious initially.

11 Advantages of this view Allows both client and clinicians to place within the realms of manageability. Voice hearing experience is not pathologised but rather seen as a coping strategy and legitimate response to stress

12 E = EXPLORE Participants are invited to explore the experience and the content of the voices. We note the very first thing the voice says We use the 5 part model as a way of introducing an objective component into the process of understanding the voices We look for connections to what is going on in our lives past or present

13 R = RELEVANCE Using the 5 part model we enquire about what had been happening prior to hearing the voices Going back to any circumstance which may have precipitated the voice. Look for any links that may indicate that this is related to making us aware of stressors.

14 Focus is on the content of the voices not on the voice itself. Provides opportunity to be aware of the factors which contribute to stress Places the voice hearing experience on the response to stress spectrum Gives an alternative explanation to their intrusion that they are motivated by stress rather than random

15 N = NORMALISE Provides a context in which to evaluate situations more broadly. If you are a voice hearer this is how stress manifests itself situation seems quite reasonable. This is not a catastrophe it is a opportunity to learn.

16 example You need to kill yourself! GO! Jump of the bridge!

17 What s the first thing the voice said? Stop it!

18 5 PART MODEL Situation I was thinking I was doing I was feeling My body felt

19 Christmas time - extra money needed for children Only bread winner in large family Working double shifts Not sleeping well Flu going around at work lots of people off sick Boss told him how much he depends on him and knew he wouldn t let him down Dog had been hurt and was with vet Dog may never be fit for work again

20 Example Stop It I have to kill myself! Stop it You cannot maintain this level of functioning. People are taking advantage of you. If you wont take care of yourself something bad will happen. This situation can t continue!

21 What did the voice say Fix it!

22 Example Fix it Your running yourself ragged. If you keep this up you will get really sick! Then where would the family be. You need to take some time of work and get some rest. Your no use to anyone if you end up in hospital or dead. If you really want to help your family you ll take good care of yourself.

23 What you might not know about voices. They hate to be ignored They can be witty and amusing They get away with saying things you never would They can make you feel special They have access to special information

24 Tactics of Voices They like to isolate. Significant relationships are the biggest threat to their existence They are jealous and interfere with relationships so they can have you all to themselves The are extreme and always go to the worst possible scenario first

25 They need fear to thrive so will induce as much anxiety as they can into a situation. They don t always tell the truth They know your deepest secrets so can needle you in the most efficient ways They are patient and will wait so they have your full attention

26 Common Traits of Voice hearers Find it hard to tolerate silence Tend to think symbolically and metaphorically Prefer their minds to be occupied Sensitivity to low frequency humming noise Highly Anxious Not very assertive

27 Tend to be language people who like to communicate Have a tendency to jump to conclusions rapidly and find it difficult to change their minds once they have formed an opinion Usually quite intelligent Experience fear intrusively Have a sense of over-responsibility and a need to make things right.

28 History of Groups Groups have been running for 7 years in DHB Open to all DHB clients regardless of diagnosis or service Groups are modified to met the needs of the range of participants e.g. Culture, age, gender, time in service Training provided to staff

29 Approach of Groups Have an experience-based expert leading the group CBT/DBT basic skill set Elements of Motivation Interviewing Normalising/Validating

30 The group explore: The pros and cons of voice hearing What makes them worse what makes them better How accurately can we read people s mind

31 Translating and rebuttals to the voices CBT approach Teaching voices some manners DBT Mindfulness Participants are invited to try a variety of techniques to see what suits them personally

32 Results Participants reported overall a 50% reduction in frequency and distress of voice hearing over the six week period. These voice hearers had on average 20 years of voice hearing experience. Current participants are reporting between a 30% 70% reduction in frequency and distress. Benefits to participations are effective up to 3 months of completion of group without follow-up

33 Where to get more information Debra Lampshire P.O. Box Lynfield, 1041 Auckland New Zealand address: Mobile Phone No:

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