"When I go over my talks or writings from my time as a researcher, I realize that I took great confidence from the data I presented. When I gave the talk as a clinician, actually seeing young people who experienced voices, I felt a niggling sense that there was more to the story-I didn't understand all the reasons my patients heard voices."
"I hadn't yet been exposed to a vocabulary for their experiences. Now in private practice, I have the luxury to spend more time with people than just 20-minute medication management appointments, and with the added insights of analytic training, I am more open to the richness of the voice-hearing experience, and that niggling sense I had a few years ago has blossomed into a full awareness; the more I learn, the less I know."
Children can hear voices for many and varied reasons, such as trauma, dissociation, psychosis, normal developmental phenomena, and complex family dynamics. Clinical encounters reveal that clinical data alone may oversimplify causes and that lived presentations often increase uncertainty about origins. Greater time in evaluation and psychoanalytic perspectives can expose richer phenomenology and multiple explanatory frameworks. Some cases reflect developmental extremes, such as very high intelligence producing social isolation and atypical experiences. Voice-hearing in children therefore requires individualized assessment, attention to context, and openness to multiple interacting factors rather than single diagnostic assumptions.
Read at Psychology Today
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