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Cited by 26Mental Health and Patient InvolvementSchizophrenia research and treatmentHallucinations in medical conditions

How do hearing voices peer-support groups work? A three-phase model of transformation

Hornstein, Gail A., Robinson Putnam, Emily, Branitsky, Alison·2020·Psychosis
DOI 10.1080/17522439.2020.1749876
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Abstract

Despite decades of research and the development of many psychiatric medications, widespread suffering remains among people who hear voices. Hearing voices groups (HVGs) encourage an in-depth exploration of the meaning of voices and use peer support to develop coping strategies. Although HVGs continue to spread around the world, their effectiveness remains unknown and only a few studies have examined members’ experiences. To understand the mechanisms by which these groups operate, we recruited a diverse sample of 113 participants from across the US, who completed detailed qualitative questionnaires describing their voice-hearing histories, experiences in HVGs and changes in their lives outside the group. Asubset also participated in follow-up interviews. A collaborative team of researchers and voice hearers used phenomenological, grounded theory and thematic analyses to identify a distinctive set of elements that make HVGs unique: in their style of interaction (non-judgmental, curious, reciprocal and unstructured dialogue among people regarded as equals, in a shared community); and in the content of meetings (welcoming multiple perspectives and exploring coping strategies in non-prescriptive ways, with a focus on expertise by experience). We propose a three-phase model to explain how these elements interact within HVGs to enable significant transformation to occur.

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  • This recovery was made possible after engagement with approaches that centred empowerment and autonomy including peer support work and work with a psychologist using recovery models and dialogical frameworks, and trauma work.

    “This recovery was made possible after engagement with approaches that centred empowerment and autonomy including peer support work and work with a psychologist using recovery models and dialogical frameworks (i.e., Voice-Hearing approach, Chair Work, Schema Therapy; [86–91]), and trauma work.”

    From A lived experience response to the proposed diagnosis of terminal anorexia nervosa: learning from iatrogenic harm, ambivalence and enduring hope (2023) · cites this paper as [87]

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Authors
Hornstein, G. A., Robinson Putnam, E., & Branitsky, A.
Affiliations
  • Mount Holyoke College (US)
  • Department of Psychology, Mount Holyoke College, South Hadley, MA, USA
Corresponding author
Hornstein, Gail A.
ORCID
Venue
Psychosis
Publisher
Informa UK Limited
Published
2020-04-23
Volume
12
Issue
3
Pages
201-211
ISSN
  • 1752-2439 (ISSN-L)
  • 1752-2447
DOI
10.1080/17522439.2020.1749876
OpenAlex
W3019274020
Cited by
26
References
25
Citations by year
2026: 4 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 4 · 2020: 1
FWCI
3.65
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosis (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
Funders
Foundation for Excellence in Mental Health Care (GD8911 to Mount Holyoke College)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
Keywords
peer support, voice hearing, coping strategies, three-phase model, transformation, lived experience

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