Theoretical unerpinnings of the Ah interview guide
Peplau’s Theory of interpersomal Relations. Comprehending the voice hearing experience requires genuine desire and interactive skill to learn the voice hearer’s story. The interview method for understanding the AH experience is grounded in Peplau’s interpersonal theory, which supports the use of communication skills that foster the therapeutic relationship between nurse and patient and specific roles of the nurse to create trust and foster growth. By using skills such as empathy,listening,and attentive and focused interest in a safe and comfortable environment , the nurse can conduct a comprehensive assessment with and individual who experiences AH. Using the AHIG ,the individual’s story can be elicited and includes the following (a) the name he or she gives what he or she hears (b) circumstances about when the voice began ; (c) whether voices have continued and when ; (d) how many he or she hears ; (e) what makes them better or worse ; (f) whether the voice are familiar ; (g) characteristics of the voices ; (h) amount of distress or pleasure ; (i) whether voices command him or her to harm him or others . Whether conducted all at one time or even multiple sessions,the assessment includes the identification of the individual’s needs relating to current symptoms.
Some research purport that a voice hearer’s understanding and meaning about his or her own voices are key to recovery . Describing experiences with voices to a caring clinician promotes comfort in feeling heard and a beginning understanding of oneself ; these elements are critical for a therapeutic relationship . The nurse helps clarify content to enable the patient to understand and interpret his or her own experience . Nurses use these multiple interpersonal skills to help patients attain their most optimal level of wellness.
Symptom Management theory. The theory of symptom management was developed by the symptom management Faculty group at the University of California , San Francisco . The purpose of the theory is to provide a framework foe researchers and clinicians to collaborate in improving symptom assessment ,symptom treatment ,and the outcome of treatment . The main concepts of symptom management theory are the symptom experience,symptom management strategies, and symptom status outcomes. The theory describs the interaction of these three concepts and stresses the importance of examining these concepts within the context of the individual ,his or her environment , and his or her health and illness .