P‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍rofessional Practice Dissertation (7KNIA713) Formative Asse

P‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍rofessional Practice Dissertation (7KNIA713) Formative Assessment – Case Study Project The formative assessment for this module is a written outline proposal of the project you intend to undertake. Using the form provided below, and in no more than 500 words, please provide the information as indicated. Formative work should be submitted no later than 11:59AM (UK time) on Friday 26 November 2021 by email to your Group Supervisor. You will receive written feedback on a) content and b) writing style and level within 2 to 3 weeks post submission. There will be opportunity to discuss feedback with your supervisor as required. Please ensure you use the correct form for the type of project you are undertaking and refer to the relevant Project Type description as you complete the form. Outline for a Case Study Project Topic Hearing the Unheard: A Case Study of Women’s Experiences of Hearing Voices (Auditory Verbal Hallucinations). Rationale for choice of topic Why is this topic important to explore? Think about any relevant changes to policies, public health, or explain if a personal interest, for example. Hearing a voice with a compelling sense of reality, yet in the absence of a corresponding external stimulus, is part of our heritage (McCarthy, 2012). While termed auditory verbal hallucinations by contemporary science, referring to such experiences as “hearing voices” has been argued to be less colonizing of people’s experience. (Dillon et al.., 2012). In the mid-seventies, 60% to 70% voice-hearing was most associated with schizophrenia, Hearing voices is now recognised as occurring trans-diagnostically, including in people diagnosed with post-traumatic stress disorder (PTSD), dissociative disorders, and borderline personality disorder (Larøi et al.., 2012). Everyone can hear voices, too, as hearing voices is not limited to women. As research has established, there are critical limitations of pharmacological interventions, unconventional psychosocial methods such as adaptation of CBT for psychosis, coping strategy development therapy, delusion intensive integrative therapy, family mediations and mindfulness, and self-compassion-based approaches (Joubert & Bhagwan, 2018). The shortage of research prompted this Case study dissertation topic to explores the experiences of women who “hear voices” (auditory verbal hallucinations). Some research has provided evidence on a variety of issues affecting women’ hearing voices by documenting the relation between environmental trauma/abuse/neglects, relationship problems, physical illness and voice-hearing is now extensive, distressing, hostile, critical, and angry voices at times (Bentall et al.., 2012). Some voices are sometimes sounding like family member. There is an urgent need to understand the biological nature of auditory hallucinations and stigmatisation of women in general experienced hearing voices (Baumeister et al., 2017). Instead of providing existing psychosocial and psychodynamic interventions in line with talking therapy, women usually seek the help of psychologists or some women may prefer not to seek any help. For many voice hearers, social action is a key part of recovery process. This topic is of personal interest too, for example, my 89 years-old mother in-laws hear voices and even respond to the male voice. This is because of her childhood sexual abuse by her uncle. Who or what is the central focus of your case study? The central focus of the case study will be on women’s Experiences of Hearing Voices (Auditory Verbal Hallucinations) in the last three years, aged 18–90 with personal experience of voice-hearing. Exclusion criteria were being non-English speakers or deemed too acutely unwell by keyworkers. This approach will include multiple stakeholders for example Nurses, psychologists, Doctors, families, volunteers, and social workers. From what perspectives will you critically evaluate your case? This perspective will analyse and evaluate all the women heard (or had heard) voice‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍s which were critical, controlling, angry, and used abusive language, encouraging distressing voices, some conceptualised voice-hearing as a sign of illness, at least initially or at some level. This case study will evaluate the impact their environmental factors such abuse and neglects has caused. In consistent with previous research (Birchwood et al.., 2000), the voice-hearer’s relationship with their voices reflected and affects their relationships with other people in their social world. What lessons and policies or safety measured has been put in place by Government authorities? Research shows that voices were experienced much like long-standing figures from early life, family members (mothers), and partners, who the women felt were implacably critical, blaming, controlling, and pressing for achievements. Undermining, abusive talk by voices sometimes echoed the very same words women had previously heard from others (Birchwood et al.., 2000). Explain how the various perspectives you described above will provide insight into your case. This case study will explain and explores voice-hearing from a gender perspective, which has always been, regrettably, marginal to mental health research (Boyle, 1997). We approach this in three ways – historically, qualitatively, and quantitatively – all of which bear on the roles of sexism, sexist exploitation, and oppression (Hooks, 1984), in the causes, content, and consequences of women’s voice-hearing. There is a research gap on evaluating the content and denotation of auditory hallucinations, and this study will try to fill a part of that gap. Women hearing and response to these voices are restricted by their perception of skills as their traditional responses to voice-hearing have been branded titrated. The growing awareness of the prevalence of childhood sexual abuse and adult rape, largely by men, was a crucial step in illuminating the link between such violations and women’s experiences of madness and distress, as well as making visible the structural barriers to acknowledging and responding appropriately to such transgressions. Today there are various perspective of nursing Interventions targeting various health domains of women’s hearing voices, such as talking therapy (CBT MBT or DBT), physical health exercise, medication management (Dopamine D2 Blocker) and explanations, such as a biomedical model, that prove satisfactory and helpful to some women who hear voices, recovery, and social inclusion in society. Specify at least two areas of literature/evidence/sources of information you will need to explore. References: There are abundant opportunities for sharing new information. The results can be printed in journals articles or books, or the researcher can arrange for conferences and meetings in mental healthcare settings to communicate outcomes of victims of women hearing voices. In line with previous literature (Weisstein, 1993), the women’s resistance was evident in many ways, for example, while some women appeared at first glance to respond to the experience with helplessness and hopelessness (Honing, 1998). The sources of information collection required to address this case study are as follows: Journal Articles: (Frontiers in Psychiatry/Schizophrenia, December 2015). This journal article would look at qualitative and systematic reviews on three stages: the phenomenological phase; the interpretative phase; and the integrative phase. Finally, themes from each interview will be consolidated to produce commonalities and controversies. NICE guidance, to ensure this case study addresses all relevant information pathway. NHS website, charities website and official Government statistics to enable comparison of helps, relapses, treatments. This study would also look at focus group and group interviews and questionnaires. Furthermore, this case study would also look at population (patients and their daily problems of cares); intervention to help these women recovery process (medication vs Exercise); and comparison in context to their male counterpart‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍s hearing voices. References:

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