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Journal of the American Psychiatric Nurses Association
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Exploring the Experience of Hallucinations From a Perspective of Self: Surviving and Persevering

Judith M. Jarosinski

University of North Carolina Wilmington, Wilmington, NC, jarosinskij{at}uncw.edu

BACKGROUND: Despite improved treatment, little is understood about how clients view their hallucinations from a perspective of self, and few studies address the meaning of hallucinations or the relationship of hallucinations to the individual sense of being. OBJECTIVE: To understand hallucinations from an individual perspective of self. STUDY DESIGN: Heideggerian and hermeneutics-guided thematic analysis. Twelve individuals described their experiences of hallucinations. All interviews were recorded (with consent) and transcribed verbatim. RESULTS: Four themes described surviving and persevering: (a) Are they who they are? (b) a not-so-certain life; (c) finding strength in the broken places; and (d) I am still me. Although experiencing hallucinations was analogous to living with loss, participants recalled hallucinations as providing something positive in how they cared for and related to others. CONCLUSIONS: Practitioners can incorporate a language of caring that meets the needs of their clients, rather than the language of empowerment, which proved overwhelming for participants already overwhelmed by the "business of getting better." J Am Psychiatr Nurses Assoc, 2008; 14(5), 353-362.

Key Words: hallucinations • schizophrenia • Heidegger • caring • qualitative research

Journal of the American Psychiatric Nurses Association, Vol. 14, No. 5, 353-362 (2008)
DOI: 10.1177/1078390308325417
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