幻聽的評估與處理

The Assessment and Management of Auditory Hallucinations

對於有幻聽經驗的個案而言，除了生活上的困擾，其所造成的影響還包括遭受辱罵、從事不利於己的事，甚至傷害自己或他人，因此幻聽的評估與處理相當的重要。幻聽評估的項目包括聲音的內容、頻率、來源，以及其對個案的影響等；處理方式則包括運用治療性的溝通技巧，給予同理的支持，以誠懇的態度協助個案渡過幻聽困擾，藉由團體分享與行為控制的運用，例如自我監控、大聲閱讀、與人談天、以耳機聽音樂等方法，幫助個案找出合適且可有效控制幻聽的方法。本文可提供臨床護理人員協助個案在其發生幻聽狀況時，能夠進行有效的評估以及合適的處理，幫助個案渡過幻聽的困境。

The clients who experience persistent auditory hallucinations were often distressing in their life. And the effects of auditory hallucination experience included slander, criticism, doing things not good for themselves, and even hurting themselves or others.It is necessary to assess and manage auditory hallucinations. The assessment of auditory hallucinations included contents of auditory hallucinations sound, frequency, source and the effects in clients` life. The ways of assessment included applying therapeutic communication skills, giving empathic support, helping clients with kindly attitude to cope the suffering. Besides, we want to help clients find the adaptative. and effectively controlling ways by group sharing behavior control such as self monitoring, reading loudly, talking to others and listening to music by earphone. This article could help clients having auditory hallucinations assess and manage effectively, and help them cope with the trouble of auditory hallucinations.