He utilizes in-the-moment work and learning from experience to extend her repertoire of effective coping, even though insight is relatively low. Paul assists Lisa to disengage from the voice and reflect on the experience, seeing it as a phenomenon about which she can deliberately take coping actions. This scenario illustrates some elements of a coping approach for assisting voice hearers that we will take up in this chapter. It probably would have got bored and gone away. Yes, well, it might be co-incidence, but it did seem to stop when we started talking…What do you think might have happened if you had hummed your favourite tune when you were hearing the voice just now? Yes, I know, and singing and humming too, but I think it just went away anyway this time. I see, so you had noticed the voice for about half an hour, but it stopped when I spoke to you, or when you spoke to me just now?Īh, now that's interesting-it reminds me of an idea from your coping list-wasn't there something about the voice stopping when you're listening or talking?
How long were you caught up with the voice before I arrived? Is it the sun-god, or the old man that you're hearing now? Although Lisa says little other than acknowledging hearing voices, the worker gently persists: Lisa, who has struggled with voices for almost 10 years, is on the couch in her room, her coat pulled tightly around her, quietly saying, ‘No! No!’ Arriving for a home visit, Paul, her mental health worker, asks if she is speaking to one of her ‘voices’, and comments to Lisa that she sounds a bit stressed.
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