Hearing voices that others do not hear: adolescents’ experiences in a large city in Midwest Brazil
DOI:
https://doi.org/10.5216/ree.v27.77236Keywords:
Hallucinations, Hearing, Adolescent, Mental Health, Education, Primary and SecondaryAbstract
Objectives: to analyze the experience of adolescents hearing voices that others do not hear. Methods: a qualitative documentary analysis study involving a database of interviews with school-age adolescents in Cuiabá, Brazil. Data collection took place in July 2022 and involved 49 interviews. Content analysis was used for data analysis. Results: adolescents described experiences of hearing voices accompanied by sensory manifestations, voices calling out names, non-vocal sounds, sounds of known and unknown people, sometimes with negative content. In these experiences’ contexts, feelings such as confusion, fear, threat, affection, and friendship are awakened, as well as coping strategies such as ignoring the voice and spirituality. Conclusion: hearing voices is an experience present in adolescence and requires nursing to reframe the understanding of the phenomenon to (re)construct new care practices, mitigating the medicalization and pathologization of the experience.
Downloads
References
Sousa PF, Maciel SC, Medeiros KT. Paradigma biomédico x psicossocial: onde são ancoradas as representações sociais acerca do sofrimento psíquico? Trends Psychol. 2018 June; 26(2):883-95. https://doi.org/10.9788/TP2018.2-13Pt
Sampaio ML, Bispo Júnior JP. Entre o enclausuramento e a desinstitucionalização: a trajetória da saúde mental no Brasil. Trab Educ Saúde. 2020;19:e00313145. https://doi.org/10.1590/1981-7746-sol00313
Amarante P, Torre EHG. Loucura e diversidade cultural: inovação e ruptura nas experiências de arte e cultura da Reforma Psiquiátrica e do campo da Saúde Mental no Brasil. Interface (Botucatu). 2017 Oct-Dec;21(63):763-74. https://doi.org/10.1590/1807-57622016.0881
World Health Organization (WHO). Guidance on community mental health services: promoting person-centred and rights-based approaches [Internet]. Geneva: World Health Organization (WHO); 2021 [cited 2022 June 14]. 293 p. Available from: https://apps.who.int/iris/bitstream/handle/10665/341648/9789240025707-eng.pdf
The International Hearing Voices Network (INTERVOICE). What we do [Internet]. 2022 [cited 2022 Apr 12]. Available from: https://www.intervoiceonline.org/about-us/what-we-do#content
Cardano M. O movimento internacional de ouvidores de Vozes: as origens de uma tenaz prática de resistência. J Nurs Health. 2018;8(n.esp.):e188405. https://doi.org/10.15210/jonah.v8i0.13981
Couto MLO, Kantorski LP. Ouvidores de vozes: uma revisão sobre o sentido e a relação com as vozes. Psicol USP. 2018 Sept-Dec;29(3):418-31. https://doi.org/10.1590/0103-656420180077
Rammou A, Berry C, Fowler D, Hayward M. Distress factors of voice-hearing in young people and social relating: exploring a cognitive-interpersonal voice-hearing model. Psychol Psychother. 2022 Dec;95(4):939-57. https://doi.org/10.1111/papt.12411
Evrard R, Beauvais B, Essadek A, Lighezzolo-Alnot J, Clesse C. Neither saintly nor psychotic: a narrative systematic review of the evolving Western perception of voice hearing. Hist Psychiatry. 2024 June;35(2):177-95. https://doi.org/10.1177/0957154X241231690
Cardoso CS, Pereira VR, Oliveira NA, Coimbra VCC. A escuta de vozes na infância: uma revisão integrativa. J Nurs Health. 2018;8(n.esp.):e188413. https://doi.org/10.15210/jonah.v8i0.14043
Borges LR, Kantorski LP, Duro SMS, Couto MLO, Souza TT, Ubessi LD. Audição de vozes em população adulta não psiquiátrica: revisão integrativa da literatura. Mudanças: Psicologia da Saúde [Internet]. 2024 July 25 [cited 2022 Apr 03];29(2):81-96. Available from: https://revistas.metodista.br/index.php/mudancas/article/view/640
Maijer K, Begemann MJH, Palmen SJMC, Leucht S, Sommer IEC. Auditory hallucinations across the lifespan: a systematic review and meta-analysis. Psychol Med. 2018 Apr;48(6):879-88. https://doi.org/10.1017/S0033291717002367
Organização Pan-Americana da Saúde (OPAS). Saúde mental dos adolescentes [Internet]. 2022 [cited 2022 Apr 10]. Available from: https://www.paho.org/pt/topicos/saude-mental-dos-adolescentes
Bartels-Velthuis AA, Wigman JTW, Jenner JA, Bruggeman R, van Os J. Course of auditory vocal hallucinations in childhood: 11-year follow-up study. Acta Psychiatr Scand. 2016 July;134(1):6-15. https://doi.org/10.1111/acps.12571
Maijer K, Hayward M, Fernyhough C, Calkins ME, Debbané M, Jardri R, et al. Hallucinations in children and adolescents: an updated review and practical recommendations for clinicians. Schizophr Bull. 2019 Feb 1;45(45 Suppl 1):S5-S23. https://doi.org/10.1093/schbul/sby119
Volpato E, Cavalera C, Castelnuovo G, Molinari E, Pagnini F. The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review. BMC Psychiatry. 2022 Apr 20;22(1):281. https://doi.org/10.1186/s12888-022-03902-6
Centro de Informação das Nações Unidades para o Brasil (UNIC Rio). Transformando nosso mundo: a agenda 2030 para o Desenvolvimento Sustentável [Internet]. 2015 [cited 2024 Feb 16]. Available from: https://brasil.un.org/sites/default/files/2020-09/agenda2030-pt-br.pdf
World Health Organization (WHO). Global strategy for women’s, children’s and adolescents’ health 2016–2030: early childhood development [Internet]. Geneva: World Health Organization (WHO); 2018 [cited 2024 Feb 16]. 9 p. Available from: https://iris.who.int/bitstream/handle/10665/276423/A71_19Rev1-en.pdf
Fernandes HCD. Alucinação auditiva: sintoma de doença ou possibilidade de ser do-ente? Polémos. 2018;6(12):48-68. https://doi.org/10.26512/pl.v6i12.11763
Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa nacional de saúde do escolar: 2019 [Internet]. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística (IBGE); 2021 [cited 2024 Feb 15]. 162 p. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101852.pdf
Parry S, Varese F. Whispers, echoes, friends and fears: forms and functions of voice-hearing in adolescence. Child Adolesc Ment Health. 2021 Sept;26(3):195-203. https://doi.org/10.1111/camh.12403
Câmara dos Deputados. Comissão de Educação aprova política nacional de atenção psicossocial nas escolas [Internet]. 2023 Mar 29 [cited 2023 Apr 8]. Available from: https://www.camara.leg.br/noticias/949353-comissao-de-educacao-aprova-politica-nacional-de-atencao-psicossocial-nas-escolas
Presidência da República (BR), Casa Civil, Subchefia para Assuntos Jurídicos. Decreto no 6.286, de 5 de dezembro de 2007 [Internet]. Institui o Programa Saúde na Escola – PSE, e dá outras providências. Diário Oficial da União; 2007 [cited 2022 Apr 22]. Available from: https://www.planalto.gov.br/ccivil_03/_ato2007-2010/2007/decreto/d6286.htm
Conselho Federal de Enfermagem (COFEN). Resolução COFEN no 67/2021 (BR) [Internet]. Aprova a atuação da Equipe de Enfermagem em Saúde Mental e em Enfermagem Psiquiátrica. Conselho Federal de Enfermagem; 2021 [cited 2022 June 6]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-678-2021_90358.html
25. Rocha MM. Evidências de validade do “Inventário de autoavaliação para adolescentes” (YRS/2001) para a população brasileira [thesis on the Internet]. [São Paulo]: Universidade de São Paulo; 2012 Mar 7 [cited 2023 Apr 8]. Available from: https://www.teses.usp.br/teses/disponiveis/47/47133/tde-12062012-153735/pt-br.php
Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Revista Pesquisa Qualitativa [Internet]. 2017 Apr 1 [cited 2022 July 01]. 5(7):1-12. Available from: https://editora.sepq.org.br/index.php/rpq/article/view/8
Paiva AB, Oliveira GS, Hillesheim MCP. Análise de conteúdo: uma técnica de pesquisa qualitativa. Revista Prisma [Internet]. 2021 Dec 25 [cited 2022 Nov 15];2(1):16-33. Available from: https://revistaprisma.emnuvens.com.br/prisma/article/view/40
Larøi F, Thomas N, Aleman A, Fernyhough C, Wilkinson S, Deamer F, et al. The ice in voices: understanding negative content in auditory-verbal hallucinations. Clin Psychol Rev. 2019 Feb;67:1-10. https://doi.org/10.1016/j.cpr.2018.11.001
Parry S, Loren E, Varese F. Young people’s narratives of hearing voices: systemic influences and conceptual challenges. Clin Psychol Psychother. 2021 May;28(3):715-26. https://doi.org/10.1002/cpp.2532
Correa GS, Araujo KHS, Puchivailo MC. A polissemia da vivência e da significação do fenômeno de ouvir vozes. Caderno PAIC [Internet]. 2021 Dec 9 [cited 2022 Nov 18];22(1):599-622. Available from: https://cadernopaic.fae.emnuvens.com.br/cadernopaic/article/view/441
Fernandes HCD, Zanello V. A topografia da audição de vozes: uma possibilidade de interpretação da linguagem da subjetividade. Saud Pesq. 2018 Nov 13;11(3):555-65. https://doi.org/10.17765/1983-1870.2018v11n3p555-565
Kantorski LP, Antonacci MH, Andrade APM, Cardano M, Minelli M. Grupos de ouvidores de vozes: estratégias e enfrentamentos. Saúde Debate. 2017 Oct-Dec;41(115):1143-55. https://doi.org/10.1590/0103-1104201711512
DeVylder J, Yamasaki S, Ando S, Miyashita M, Endo K, Baba K, et al. Attributes of auditory hallucinations that are associated with self-harm: a prospective cohort study. Schizophr Res. 2023 Jan;251:30-6. https://doi.org/10.1016/j.schres.2022.12.008
Fernandes HCD, Zanello V. Hearing voices: from the experience qualification to the possibility of care. Psic Teor e Pesq. 2020;36:e3643. https://doi.org/10.1590/0102.3772e3643
Aggarwal A, Seth S. Understanding Voice-Hearing Experiences in Non-Clinical Populations: A Literature Review. Psychiatr Q. 2025 Apr 25;96:463–80. https://doi.org/10.1007/s11126-025-10139-5
Brett J, Read J. Social sense-making and explanatory models for voice-hearing within hearing voices network groups. Community Ment Health J. 2025 Feb;61(2):372-81. https://doi.org/10.1007/s10597-024-01391-3
Machado RA. Mulheres que ouvem vozes: tecendo rede de saberes e experiências acerca da audição de vozes [thesis]. Pelotas: Universidade Federal de Pelotas; 2021.
Alencastro LCS, Silva JL, Komatsu AV, Bernardino FBS, Mello FCM, Silva MAI. Theater of the Oppressed and bullying: nursing performance in school adolescent health. Rev Bras Enferm. 2020 Feb 10;73(1):e20170910. https://doi.org/10.1590/0034-7167-2017-0910
Trevisan JVS, Baroni DPM. Uma análise de um grupo de ouvidores de vozes enquanto movimento social e potência política. Saúde Debate. 2021 Aug 13;44(spe 3):70-81. https://doi.org/10.1590/0103-11042020E308
Presidência da República (BR), Casa Civil, Secretaria Especial para Assuntos Jurídicos. Lei no 14.819, de 16 de janeiro de 2024 [Internet]. Institui a Política Nacional de Atenção Psicossocial nas Comunidades Escolares. Diário Oficial da União; 2024 [cited 2024 Feb 15]. Available from: https://www.planalto.gov.br/ccivil_03/_ato2023-2026/2024/lei/L14819.htm
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Revista Eletrônica de Enfermagem
This work is licensed under a Creative Commons Attribution 4.0 International License.
