chapter  3
Changing attitudes in clinical settings: From auditory hallucinations to hearing voices: Monika Hoffmann
ByMONIKA HOFFMANN
Pages 10

As a psychologist and a true child of the zeitgeist I was professionally socialized in, I started my work in psychiatry from an anti-psychiatric point of view, formed by the books of Foucault (1967) and Szasz (1974). I nevertheless managed to ®nd no fault in adopting the psychiatric de®nition of auditory hallucinations into my repertoire of symptoms. Although using the term `hearing voices' while talking to patients even at that time I meant hallucinations, i.e. acoustic perceptions without physical origin, `fables of imagination' (Maudsley cited in Leudar and Thomas, 2000) and I was convinced, that these phenomena would disappear if the individually correct dose and/or brand of medication was applied. Generally only very inexperienced or very desperate patients talk to psychiatric staff members about their voices. This is because experienced patients will frequently advise newcomers to the system not to do so if they want to avoid an increase in medication or if they want an early discharge. What I was told by patients nonetheless forced me to reconsider what I had learnt.