Global Health Asia-Pacific March 2020 | Page 14

You Ask, They Answer seen as positive because it had a spiritual and religious meaning. Today, a lot of people find it helpful to think of their voice-hearing in a spiritual context. Voice-hearing has also been associated with positive things, like creativity. Several writers, like Virginia Woolf, heard voices, and some voice hearers find the information empowering and destigmatising. Q A : Do you have any advice on how to cope with distressing voices? : People who aren’t bothered by their voices shouldn’t seek help because they’re already doing fine. But those who feel distressed about the experience can try out a variety of coping strategies that have proved to work for some voice hearers. Being compassionate towards voices, such as showing is a meaningful experience that conveys an emotional you are willing to listen to them, is one option. Another is to message for the voice hearer. challenge them by saying no to their commands. Being with Though I don’t think this interpretation works for everyone, animals, connecting with others, keeping busy, and getting the change has been really liberating and empowering for lots creative, like writing a diary or painting, can help others. of people, and it has allowed voice hearers around the world to Taking care of yourself turns out to be really important as give their own meaning to their experience without being told well. Being well nourished and getting enough sleep and some what to think by psychiatrists. exercise make a difference. That being said, voice-hearing is still a poorly understood There’s no one-size-fits-all strategy since people deal with phenomenon getting a lot of bad press. It’s seen as a voices, or any other difficult situation in life, in particularly strong sign of madness, and therefore it’s different ways. highly stigmatised. There’s a lot of misunderstanding Hearing voice groups are another important There’s no one- size-fits-all about it. In particular, there’s a strong association source of support because voice hearers can talk strategy since in the public mind between hearing voices and about their experiences among themselves without people deal with violence, which is completely unfounded. A very involving any psychiatrist or psychologist. voices, or any small number of voice hearers actually act on any other difficult : What are the options available for those command the voices may make. Most people just situation in life, in different ways who want to seek medical care? hear the voices and ignore them, or they’ll find a way : When you seek professional help, talking to sort it out. And people with any serious mental therapy is a very valuable option to make the illness are much more likely to be victims of violence experience of hearing voices less upsetting. Some find helpful than perpetrators of it. art and dance therapies as well. The website Understanding Voices aims to dispel these Though they are not the first-line approach due to their misconceptions by providing free online information about potentially adverse effects, medications can also play a the many positive meanings voice-hearing can take on as stabilising role when people are in serious distress so that well as the different ways voice hearers have learned to cope psychologically-based interventions can have their effect. On with it. The website has been produced by Hearing the Voice, the Understanding Voices website, people can find detailed a research project at Durham University that approaches information on how to make an informed choice about the use the phenomenon of hearing voices through a wide range of psychiatric medications for treating voice-hearing. of academic disciplines, from theology and cognitive neuroscience to philosophy, linguistics, and medieval literature, because the topic is extremely rich and complex. Dr Charles Fernyhough One key finding is that voice-hearing has had different Dr Charles Fernyhough is a professor in the Department significances throughout history and across cultures, and, in of Psychology at Durham University in the UK. He’s the some contexts, it’s also been seen as very meaningful. principal investigator of the Hearing the Voice project. More Medieval mystics, for example, had various visionary information can be found at www.understandingvoices.com. experiences including voice-hearing, which was sometimes Q A 12 MARCH 2020 GlobalHealthAndTravel.com C M Y CM MY CY CMY K