Developing a codebook for assessing auditory hallucination complexity using mixed methods
IntroductionIn recent years there has been a notable expansion of psychotherapeutic approaches to treat people experiencing auditory verbal hallucinations (AVH). While many psychotherapists conceptualize voices as “dissociative parts” and apply therapeutic techniques derived from the field of dissoc...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1441919/full |
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| author | Igor J. Pietkiewicz Radosław Tomalski Anna M. Hełka |
| author_facet | Igor J. Pietkiewicz Radosław Tomalski Anna M. Hełka |
| author_sort | Igor J. Pietkiewicz |
| collection | DOAJ |
| description | IntroductionIn recent years there has been a notable expansion of psychotherapeutic approaches to treat people experiencing auditory verbal hallucinations (AVH). While many psychotherapists conceptualize voices as “dissociative parts” and apply therapeutic techniques derived from the field of dissociation, research investigating AVH from this perspective is limited. Despite the acknowledgment that voices encountered in dissociative identity disorder (DID) often exhibit high complexity and autonomy, there is a critical need for assessment tools capable of exploring voice complexity across different clinical groups. Such tools hold significant potential for aiding clinicians to identify patients who may benefit more from dissociation-based therapy approaches. This study aims to operationalize the concept of voice complexity (VC) by identifying its different dimensions and indicators. MethodsUsing concept mapping procedures, 12 healthcare professionals and two voice-hearers participated in brainstorming, and 24 people with clinical backgrounds performed sorting and rating tasks. ResultsSeven dimensions of VC were identified: System Complexity, Content Complexity, Voice’s Interest Complexity, Interaction Complexity with Voice-Hearer, Voice’s Own Life, Voice Influence, and Voice’s Vocal Characteristics. A codebook for assessing VC with indicators for varying levels of complexity across these dimensions was developed and can be used with the Structured Clinical Interview for Voice-Hearers. Inter-rater reliability, measured by comparing the assessments of two interview transcripts by seven raters using Kendall’s Coefficient, indicated substantial agreement in one interview (W = .613) and almost perfect agreement in the second (W = .805). DiscussionThe new instrument has promise as an effective tool for comparative studies exploring VC in diverse clinical and non-clinical populations, with potential implications for clinical practice and future research. |
| format | Article |
| id | doaj-art-fafa40f08e214a1bb94745fb5fb5b2de |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-fafa40f08e214a1bb94745fb5fb5b2de2025-08-20T02:50:27ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-12-011510.3389/fpsyt.2024.14419191441919Developing a codebook for assessing auditory hallucination complexity using mixed methodsIgor J. Pietkiewicz0Radosław Tomalski1Anna M. Hełka2Research Centre for Trauma and Dissociation, Ignatianum University in Cracow, Cracow, PolandResearch Centre for Trauma and Dissociation, Ignatianum University in Cracow, Cracow, PolandInsititute of Psychology, SWPS University, Warsaw, PolandIntroductionIn recent years there has been a notable expansion of psychotherapeutic approaches to treat people experiencing auditory verbal hallucinations (AVH). While many psychotherapists conceptualize voices as “dissociative parts” and apply therapeutic techniques derived from the field of dissociation, research investigating AVH from this perspective is limited. Despite the acknowledgment that voices encountered in dissociative identity disorder (DID) often exhibit high complexity and autonomy, there is a critical need for assessment tools capable of exploring voice complexity across different clinical groups. Such tools hold significant potential for aiding clinicians to identify patients who may benefit more from dissociation-based therapy approaches. This study aims to operationalize the concept of voice complexity (VC) by identifying its different dimensions and indicators. MethodsUsing concept mapping procedures, 12 healthcare professionals and two voice-hearers participated in brainstorming, and 24 people with clinical backgrounds performed sorting and rating tasks. ResultsSeven dimensions of VC were identified: System Complexity, Content Complexity, Voice’s Interest Complexity, Interaction Complexity with Voice-Hearer, Voice’s Own Life, Voice Influence, and Voice’s Vocal Characteristics. A codebook for assessing VC with indicators for varying levels of complexity across these dimensions was developed and can be used with the Structured Clinical Interview for Voice-Hearers. Inter-rater reliability, measured by comparing the assessments of two interview transcripts by seven raters using Kendall’s Coefficient, indicated substantial agreement in one interview (W = .613) and almost perfect agreement in the second (W = .805). DiscussionThe new instrument has promise as an effective tool for comparative studies exploring VC in diverse clinical and non-clinical populations, with potential implications for clinical practice and future research.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1441919/fullconcept mappingmixed methodsinterview for voice-hearersassessmentvoice complexityauditory hallucinations |
| spellingShingle | Igor J. Pietkiewicz Radosław Tomalski Anna M. Hełka Developing a codebook for assessing auditory hallucination complexity using mixed methods Frontiers in Psychiatry concept mapping mixed methods interview for voice-hearers assessment voice complexity auditory hallucinations |
| title | Developing a codebook for assessing auditory hallucination complexity using mixed methods |
| title_full | Developing a codebook for assessing auditory hallucination complexity using mixed methods |
| title_fullStr | Developing a codebook for assessing auditory hallucination complexity using mixed methods |
| title_full_unstemmed | Developing a codebook for assessing auditory hallucination complexity using mixed methods |
| title_short | Developing a codebook for assessing auditory hallucination complexity using mixed methods |
| title_sort | developing a codebook for assessing auditory hallucination complexity using mixed methods |
| topic | concept mapping mixed methods interview for voice-hearers assessment voice complexity auditory hallucinations |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1441919/full |
| work_keys_str_mv | AT igorjpietkiewicz developingacodebookforassessingauditoryhallucinationcomplexityusingmixedmethods AT radosławtomalski developingacodebookforassessingauditoryhallucinationcomplexityusingmixedmethods AT annamhełka developingacodebookforassessingauditoryhallucinationcomplexityusingmixedmethods |