Honors Theses and Capstones

Date Completed

Spring 2026

Abstract

Anomalous Perceptual Experiences (APEs), which include auditory and visual hallucinations, occur in the general population to varying degrees, but are often stigmatized in media and healthcare settings. However, there is an increasing focus on those who report APEs to be positive and meaningful. This study explored the lived experiences of individuals who report APEs that are interpreted meaningfully. Using a concurrent mixed methods approach, interviews and questionnaires were conducted with 3 adults who identify their APEs as meaningful. Participants described their experiences as sources of guidance, connection, and personal transformation that positively influenced their relationships, spirituality, and daily occupations. They also reported encountering social stigma which negatively impacted their self-concept and well-being. However, moments of social acceptance and cultural contextualization facilitated a shift toward curiosity, reduced fear, and greater integration of experiences within frameworks that gave APEs a place and purpose. These findings align with literature on healthy voice hearers and positive experiences of psychosis, and results highlight the importance of culturally humble, non-pathologizing approaches in occupational therapy. Occupational therapy practitioners should avoid stigmatizing behaviors which may interfere with the therapeutic relationship, instead remaining open to potentially positive aspects of client’s APEs.

Document Type

Undergraduate Thesis

First Advisor

Sarah Smith

College or School

CHHS

Department or Program

Occupational Therapy

Degree Name

Bachelor of Science

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