Hi JT
I discovered this thread this morning and was captivated by it.
Of course there are clinical defintions of voices. This doe'nt include the compltely clinically normal experience of ego, super ego and id discussion that everyone has rolling around in their noodles.
The ones you hear in your head - Dissociative
The ones you hear in your ears - psychotic.
Seems to me me that it is not nearly so cut and dried. From responses to this post it seems that some folk appear to deal with a combination of both.
I think that some of the voices that I experince are the normal everyday experiences that everybody has.
But I also have a voice which comes through my ears when I'm experiencing suicidal psychotic depression. It's a harsh voice and very insistent and appears to be unengageable.
Then there are the voices in my head. These happen most often when I get upset. I get upset when I'm dissociative. Immersive memories/ flashbacks appear to be the trigger.
Sometimes it's like the transcription of the words from my mother when she was torturing me. Non interactive but very clear and very disturbing.
Like so many who have expeienced extended trauma I also have hypervigilance.
This stuff is different again. It's confusing, a little baffled sound wise, often negative and self destructive.
The first type falls into - psychosis.
The following three are dissociative.
They have different effects but impact equally.
The reason clinicians ask about the voices is because the psychotic ones can often be treated with medication or ECT.
The dissociative ones on the other hand are for the most part a bit of a mystery to modern neuro psychiatry.
They can be classified but treatment is often hit and miss. And of course treatments because of this are wide and varied. So not every clinician with be aware of alternative approaches.
My two cents
Having said all that, I still believe regardless of what voices may say
Hope endures
Rick