Hearing VoicesHow schizophrenia can teach us to listen

when i was writing that yesterday

i remember feeling very on edge agitated

and excited

i think i was thinking about things i

wouldn’t normally think about

i have control over everyone and can

manipulate people for my own benefit

i don’t need to eat ever again

this morning i’m in a low

the only thing i want to do today is die

my body is completely drained of all

energy

like an empty shell that’s being

unkindly forced to exist in suffering

i don’t want to compose i don’t want to

eat

i just want to die if i had a gun right

now

i’d shoot myself

i’ve just eaten and i’m too drained to

even pull a trigger

i wrote that down in 2017 on day 32 of

my

five-month admission into a psychiatric

unit

after a completely uneventful childhood

a wash of psychosis

mania and depression engulfed my life

for about a year

after being discharged and receiving a

myriad of medical opinions

i finally received the news matthew

you’ve got schizophrenia

specifically diagnosed with

schizoaffective disorder

the condition encompasses both elements

of bipolar disorder or depression

and schizophrenia where the sufferer may

both have mania and depression

as well as psychotic symptoms such as

hearing voices seeing things

or holding delusional beliefs

now i’ve been hearing voices on and off

since i was about 14 years old

but it was only at university when these

started to impact my day-to-day life

they would shout at me when i was trying

to listen talk over me when i was trying

to speak

or just tell me that today is going to

be a bad day

at the end of my hospital diaries though

i wrote a short note to myself

it said you’ve got no choice other than

to hear voices

but you can choose how you listen to

them

over the few years of psychological

treatment that followed

many therapists seem to echo the same

thing

there’s nothing that you can do to stop

the voices in the moment

but you can change how you react to them

now there’s a parallel here between

mental health and physical pain

treatment

if you suffer from an excruciating pain

in your elbow

you can become increasingly frustrated

by the pain

or you can focus deeply on the pain

noticing and being mindful of every

element of the pain

how the pain may pulsate or ache or

radiate up the arm

focusing on the elements that make up

the pain can often help you in

dismantling the internal structures

that cause your initial frustration and

anger towards that pain

now for me it’s the same with hearing

voices

i might be hearing a voice telling me

that you’re worthless

it might be repeating that short phrase

over and over again like a mantra

or a fire alarm but

instead of getting increasingly

frustrated with the voice

i try and dismantle the individual

elements of that

sound i won’t hear the words as words

i’ll listen to the pitch the speed

the texture how it’s articulated and

pronounced

as someone with schizophrenia i feel

that i could deal with voices better

but as a composer and musician more

importantly

i still found listening to music really

difficult

so maybe if i listen to music in the

same way i listen to the voices

i might hear sound in a new way

so i tried it and i did

i began listening to music i never

thought i’d listening to

focusing intensely on dismantling the

specific qualities of each sound

i heard the more i listened

the more self-aware i became and

subsequently

the better my mood was this doesn’t have

to just apply to music you don’t like

or music you do like so an exercise

find a piece of sound it might be a

soundscape

or some ambient sound or it might be

some music

make it a mission to invest every bone

in your body

to listen to that sound notice the

different layers the textures

how it might even interact with your

surrounding environment

now this doesn’t have to just relate to

a more formal listening experience

though

it might be the sounds around you when

you’re walking through a woodland

waiting in a queue or sitting on a bus

try walking slower when you can take

time out and allow your mind to wander

between what is

the consuming whole and the intricate

parts

of your environment because you never

know what you might hear

growing up my only real exposure to the

word schizophrenia

was through the media and specifically

criminality

i’ve experienced firsthand the

stigmatization of people suffering with

conditions from psychosis

perhaps though by listening to people

who suffer from these conditions

we can not only understand better what

it means to live with schizophrenia

and psychosis but we also may take away

coping mechanisms that can be brought

into our own lives

because after all it’s not just about

hearing

our voices it’s about listening

当我昨天写这篇文章时,

我记得我非常激动

和激动

今天早上我又一次处于

低谷我今天唯一想做的就是死

我的身体完全耗尽了所有

能量

就像一个空壳被

无情地强迫存在于痛苦中

我不想作曲我不想 想吃

,如果我现在有枪,我就想死

在一个完全平静的童年之后进入

精神科 精神病

躁狂症和抑郁症在出院后吞噬了我

大约一年的生活

并接受了

无数的医疗意见

我终于收到了消息,马修

你得了精神分裂症,

专门诊断出患有

精神分裂症 izoaffective disorder

该病症包括

双相情感障碍或抑郁症

和精神分裂症的两种元素,其中患者可能

同时患有躁狂症和抑郁症

以及精神病症状,例如

听到声音看到事物

或持有妄想信念

现在我一直听到声音时断时续

大约 14 岁,

但只有在大学时,这些

才开始影响我的日常生活

在我的医院日记结束时将是糟糕的一天虽然

我给自己写了一个简短的笔记

它说

除了听到声音

你别无选择但你可以选择

在这几年的心理

治疗中如何倾听它们 跟随

许多治疗师似乎都在呼应同样的

事情

,您目前无能为力来

阻止声音,

但是您可以改变对它们的反应方式,

现在这里有一个相似之处 n

心理健康和身体疼痛

治疗

如果您的肘部出现难以忍受的疼痛

您可能会

因疼痛而变得越来越沮丧,

或者您可以深入关注疼痛,

注意并注意疼痛的每一个

元素,

疼痛如何搏动或疼痛 或

向上辐射手臂,

专注于构成疼痛的元素,

通常可以帮助您

拆除

导致您最初对疼痛感到沮丧和愤怒的内部结构,

现在对我来说,与听到声音相同,

我可能听到一个声音告诉我

你一文不值,

它可能会

像咒语或火警一样一遍又一遍地重复那个短语,

但我并没有

对声音越来越沮丧,而是

尝试分解那个声音的各个

元素,

我不会听到这些词 单词

我会听音高

速度 质地 它是如何表达和

发音的

作为精神分裂症患者 我

觉得我可以更好地处理声音 r

但更重要的是,作为作曲家和音乐家,

我仍然发现听音乐真的很

困难,

所以也许如果我以

同样的方式听音乐,

我可能会以一种新的方式听到声音,

所以我尝试了一下,我做到了,

我开始了 听音乐 我从没

想过我会

专注于分解我听到

的每一种声音的特定品质

你不喜欢的

音乐或者你喜欢的音乐 所以一个练习

找到一段声音 它可能是一个

音景

或一些环境声音 或者它可能是

一些音乐

把你身体的每一块骨头都投入

到聆听那个声音中 注意

纹理的不同层次,

它甚至可能与

周围环境相互作用 dland

排队等候或坐在公共汽车上,

当你可以抽出

时间时,试着走慢一点,让你的思绪在环境的

整体和错综复杂的

部分之间徘徊,因为你永远不

知道

长大后会听到什么 真正接触到

精神分裂症这个词

是通过媒体,特别是

犯罪行为

精神分裂症

和精神病,但我们也可能会带走

可以带入我们生活的应对机制,

因为毕竟这不仅仅是听到

我们的声音,而是倾听