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74 = USING INTERPRETATIVE PHENOMENOLOGICAL ANALYSIS 5.5. CLINICAL IMPLICATIONS This study emphasises the changes as a result of the voice hearing method that is connected with the change in hearers’ relationship with their voices (Figure 1) and that affected the development in hearers’ social relationships (Figure 2). In the initial phase of voice hearing, social relationships decline as the voice hearer intentionally avoids those situations where they are uncomfortable. Mawson and colleagues’ (2011) study showed that voice hearers thought their voice hearing was a burden for others and therefore avoided social interaction. In the case of smaller social networks, there is a bigger emphasis on the voice, as the voice can replace the role of a friend. This relationship is considered asymmetric because the voice makes the voice hearer believe that they do not deserve the relationship. Thus, the voice hearer refuses social relationships and believes that they would be refused by others. This study shows an opening to the outside world parallel to the change in the relationship with the voice. SYMMETRIC, SUPPORTIVE POSITIVE OUTSIDE INSIDE NEGATIVE ASYMMETRIC, DIRECTIVE 1. Figure Relation with voices ASYMMETRIC, SUBORDINATING, DOCTOR-PATIENT RELATIONSHIP STIGMA DISTANCE, (SELF-HELP) ISOLATION GROUP INVOLVEMENT DESTIGMATIZATION SYMMETRIC, (SELF-HELP) GROUP MEMBERSHIP, RECOVERING HELPER-GROUP MEMBER RELATIONSHIP 2. Figure Relation with voices and social others
