Psychology and psychotherapy · 2025
Relational work with distressing voices mirroring experiences of discrimination and marginalisation: Three illustrative cases of an extended form of AVATAR therapy (AV-EXT).
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Ward Thomas, Ball Hannah, Montague Alice, Xanidis Nikos, Myrie Chanelle, Murcutt Isobel, Oshodi Edward, Edwards Clementine, Hardy Amy, Clancy Moya, McDonnell Jeffrey, Rus-Calafell Mar, McLeod Hamish, Garety Philippa, Craig Thomas
Аннотация
BACKGROUND: For voice-hearers from minoritised communities, voices may reflect interpersonal and societal discrimination, including experiences of feeling silenced or 'voiceless'. AVATAR therapy is a relational approach involving facilitated dialogues between a voice-hearer and a digital embodiment of their main distressing voice (the avatar). The aim is for the voice hearer to gain understanding, acceptance and empowerment.
AIMS: This paper illustrates an extended form of AVATAR therapy (AV-EXT), which seeks to understand a person's voices within their developmental and relational context.
METHODS: We present three therapy narratives in which voices mirrored experiences of discrimination and marginalisation based on aspects of the person's identity. Personalised avatars were used during dialogues to re-enact the lived experience of voice-hearing.
RESULTS: Avatar dialogues offered opportunities to rescript disempowering experiences, target associated meanings and connect individuals with the power of their own identity.
CONCLUSIONS: Implications for the continued refinement of AVATAR therapy and other relational approaches are considered. This paper aims to support wider reflection on the impact of discrimination on distressing voices.
AIMS: This paper illustrates an extended form of AVATAR therapy (AV-EXT), which seeks to understand a person's voices within their developmental and relational context.
METHODS: We present three therapy narratives in which voices mirrored experiences of discrimination and marginalisation based on aspects of the person's identity. Personalised avatars were used during dialogues to re-enact the lived experience of voice-hearing.
RESULTS: Avatar dialogues offered opportunities to rescript disempowering experiences, target associated meanings and connect individuals with the power of their own identity.
CONCLUSIONS: Implications for the continued refinement of AVATAR therapy and other relational approaches are considered. This paper aims to support wider reflection on the impact of discrimination on distressing voices.