Abstract
It is now widely recognised that some people hear voices in the absence of distress or a need for psychiatric care. Although there have been reports of such individuals throughout history, until relatively recently there was little empirical research on this population. The consensus from interview and questionnaire-based research is that non-clinical voice-hearers hear voices that are more positive in content, less frequent, less disruptive, and less distressing. Influenced by cognitive models of psychosis, the literature has focused on the appraisals that voice-hearers make of their voices, to the exclusion of other variables such as content. There is growing evidence that clinical voice-hearers have more negative beliefs about their voices and that these are influenced by their more negative beliefs about people in general, formed in the context of negative life experiences. Initial fMRI data suggests that non-clinical voices are underpinned by similar neural mechanisms as clinical voices but as yet it is unclear from these studies why they are experienced so differently. The current chapter reviews these findings and suggest avenues for future research.
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Abbreviations
- AVH:
-
Auditory verbal hallucinations
- fMRI:
-
Functional magnetic resonance imaging
- IFG:
-
Inferior frontal gyrus
- IPA:
-
Interpretative phenomenological analysis
- MTG:
-
Middle temporal gyrus
- SMA:
-
Supplementary motor area
- STS:
-
Superior temporal sulcus
References
Allen, P., Larøi, F., McGuire, P. K., & Aleman, A. (2008). The hallucinating brain: A review of structural and functional neuroimaging studies of hallucinations. Neuroscience and Biobehavioral Reviews, 32, 175–191.
Andrew, E. M., Gray, N. S., & Snowden, R. J. (2008). The relationship between trauma and beliefs about hearing voices: A study of psychiatric and non-psychiatric voice-hearers. Psychological Medicine, 38, 1409–1417.
Baker, C. A., & Morrison, A. P. (1998). Cognitive processes in auditory hallucinations: Attributional biases and metacognition. Psychological Medicine, 28, 1199–1208.
Barkus, E., Stirling, J., Hopkins, R., McKie, S., & Lewis, S. (2007). Cognitive and neural Âprocesses in non-clinical auditory hallucinations. The British Journal of Psychiatry, 191(Suppl 51), s76–s81.
Belin, P., Zatorre, R. J., Lafaille, P., Ahad, P., & Pike, B. (2000). Voice-selective areas in human auditory cortex. Nature, 403(6767), 309–312.
Bentall, R. P., Baker, G. A., & Havers, S. (1991). Reality monitoring and psychotic hallucinations. The British Journal of Clinical Psychology, 30, 213–222.
Bhugra, D. (1996). Psychiatry and religion. London: Routledge.
Birchwood, M., & Chadwick, P. D. (1997). The omnipotence of voices: Testing the validity of a cognitive model. Psychological Medicine, 27, 1345–1353.
Birchwood, M., Gilbert, P., Gilbert, J., Trower, P., Meaden, A., Hay, J., et al. (2004). Interpersonal and role-related schema influence the relationship with the dominant ‘voice’ in schizophrenia: A comparison of three models. Psychological Medicine, 34, 1571–1580.
Birtchnell, J. (1996). How humans relate: A new interpersonal theory. Hove: Psychology Press.
Birtchnell, J. (2002). Relating in psychotherapy: The application of a new theory. Hove: Brunner-Routledge.
Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.
Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York: Basic Books.
Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss. New York: Basic Books.
Brasić, J. R. (1998). Hallucinations. Perceptual and Motor Skills, 86, 851–877.
Brebion, G., Amador, X., David, A., Malaspina, D., Sharif, Z., & Gorman, J. M. (2000). Positive symptomatology and source-monitoring failure in schizophrenia—an analysis of symptom-specific effects. Psychiatry Research, 95, 119–131.
Brugger, P., Regard, M., Landis, T., & Oelz, O. (1999). Hallucinatory experiences in extreme-altitude climbers. Neuropsychiatry Neuropsychology and Behavioral Neurology, 12, 67–71.
Carter, D. M., Mackinnon, A., Howard, S., Zeegers, T., & Copolov, D. L. (1995). The development and reliability of the mental health research institute perceptions schedule (MUPS): An instrument to record auditory hallucinatory experience. Schizophrenia Research, 16, 157–165.
Chadwick, P. D., & Birchwood, M. (1994). The omnipotence of voices. A cognitive approach to auditory hallucinations. British Journal of Psychiatry, 39, 839–844.
Daalman, K., Boks, M. P. M., Diederen, K. M. J., de Weijer, A. D., Blom, J. D., Kahn, R. S., et al. (2011). Same or different? Auditory verbal hallucinations in healthy and psychotic individuals. The Journal of Clinical Psychiatry, 72(3), 320–325.
Davies, M. F., Griffin, M., & Vice, S. (2001). Affective reactions to auditory hallucinations in psychotic, evangelical and control groups. The British Journal of Clinical Psychology, 40, 361–370.
Diederen, K. M., Daalman, K., de Weijer, A. D., Neggers, S. F., van Gastel, W., Blom, J. D., et al. (2011). Auditory hallucinations elicit similar brain activation in psychotic and nonpsychotic individuals. Schizophrenia Bulletin. doi: 10.1093/schbul/sbr033.
Dierks, T., Linden, D. E. J., Jandl, M., Formisano, E., Goebel, R., Lanfermann, H., et al. (1999). Activation of Heschl’s gyrus during auditory hallucinations. Neuron, 22, 615–621.
Feelgood, S. R., & Rantzen, A. J. (1994). Auditory and visual hallucinations in university students. Personality and Individual Differences, 17(2), 293–296.
Garety, P. A., Kuipers, E., Fowler, D., Freeman, D., & Bebbington, P. E. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31, 189–195.
Haddock, G., McCarron, J., Tarrier, N., & Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptoms rating scale (PSYRATS). Psychological Medicine, 29, 879–889.
Haywood, M. (2003). Interpersonal relating and voice hearing: To what extent does relating to the voice reflect social relating? Psychology and Psychotherapy: Theory Research and Practice, 76, 369–383.
Hill, K., Jackson, M.C., & Linden, D.E.J. (in preparation). Early adversity, beliefs about voices and distress: A comparison of clinical and non-clinical voice-hearers.
Hill, K., Jackson, M.C., & Linden, D.E.J. (in preparation). An interpersonal phenomenological analysis of clinical and non-clinical voice-hearers’ beliefs and experiences.
Hoffman, R. E., Anderson, A. W., Varanko, M., Gore, J. C., & Hampson, M. (2008). Time course of regional brain activation associated with onset of auditory/verbal hallucinations. The British Journal of Psychiatry, 193, 424–425.
Honig, A., Romme, M. A., Ensink, B. J., Escher, S. D., Pennings, M. H., & Devries, M. W. (1998). Auditory hallucinations a comparison between patients and non-patients. The Journal of Nervous and Mental Disease, 186, 646–651.
Jardri, R., Lucas, B., Delevoye-Turrell, Y., Delmaire, C., Delion, P., Thomas, P., et al. (2007). An 11-year-old boy with drug-resistant schizophrenia treated with temporo-parietal rTMS. Molecular Psychiatry, 12(4), 320.
Jaynes, J. (1976). The origin of consciousness in the breakdown of the bicameral mind. Boston: Houghton Mifflin.
Johns, L. C., Hemsley, D., & Kuipers, E. (2002a). A comparison of auditory hallucinations in a psychiatric and non-psychiatric group. The British Journal of Clinical Psychology, 41, 81–86.
Johns, L. C., Nazroo, J. Y., Bebbington, P., & Kuipers, E. (2002b). Occurrence of hallucinatory experiences in a community sample and ethnic variations. The British Journal of Psychiatry, 180, 174–178.
Jones, S., Guy, A., & Ormrod, J. A. (2003). A Q-methodological study of hearing voices: A preliminary exploration of voice-hearers’ understanding of their experiences. Psychology and Psychotherapy: Theory Research and Practice, 76, 189–209.
Launay, G., & Slade, P. (1981). The measurement of hallucinatory predisposition in male and female prisoners. Personality and Individual Differences, 2, 221–234.
Leudar, I., & Thomas, P. (2000). Voices of reason, voices of insanity: Studies of verbal hallucinations. London: Routledge.
Leudar, I., Thomas, P., McNally, D., & Glinski, A. (1997). What voices can do with words: Pragmatics of verbal hallucinations. Psychological Medicine, 27, 885–898.
Linden, D. E. J. (2012). The biology of psychological disorders. Palgrave Macmillan.
Linden, D. E. J., Thornton, K., Kuswanto, C. N., Johnston, S. J., & Jackson, M. C. (2011). The brain’s voices: Comparing nonclinical auditory hallucinations and imagery. Cerebral Cortex, 21, 330–337.
Mason, O., Claridge, G., & Jackson, M. (1995). New scales for the assessment of schizotypy. Personality and Individual Differences, 18, 7–13.
Mintz, S., & Alpert, M. (1972). Imagery vividness, reality testing and schizophrenic hallucinations. Journal of Abnormal Psychology, 79, 310–316.
Morrison, A. P. (2001). The interpretation of intrusions in psychosis: An integrative cognitive approach to hallucinations and delusions. Behavioural and Cognitive Psychotherapy, 29, 257–276.
Oertel, V., Rotarska-Jagiela, A., van de Ven, V., Haenschel, C., Grube, M., Stangier, U., et al. (2009). Mental imagery vividness as a trait marker across the schizophrenia spectrum. Psychiatry Research, 167, 1–11.
Penfield, W., & Perot, P. (1963). The Brain’s record of auditory and visual experience: A final summary and discussion. Brain, 86, 595–696.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods Instruments & Computers, 36, 717–731.
Prince, R. H. (1992). Religious experience and psychopathology: Cross-cultural perspectives. In J. F. Schumaker (Ed.), Religion and mental health. New York: Oxford University Press.
Romme, M. A., & Escher, A. D. (1989). Hearing voices. Schizophrenia Bulletin, 15, 209–216.
Sack, A. T., van de Ven, V. G., Etschenberg, S., Schatz, D., & Linden, D. E. J. (2005). Enhanced vividness of mental imagery as a trait marker of schizophrenia? Schizophrenia Bulletin, 31, 97–104.
Sartorius, N., Shapiro, R., & Jablensky, A. (1974). The international pilot study of schizophrenia. Schizophrenia Bulletin, 1, 21–25.
Sayer, J., Ritter, S., & Gournay, K. (2000). Beliefs about voices and their effects on coping strategies. Journal of Advanced Nursing, 31, 1199–1205.
Schneider, K. (1959). Clinical psychopathology. New York: Grune and Stratton.
Sidgwick, H., Johnson, A., Myers, F. W. H., Podmore, F., & Sidgwick, E. M. (1894). Report on the census of hallucinations. Proceedings of the Society for Psychical Research, 10, 25–422.
Simpson, J. (2004). Touching the void. London: Vintage.
Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory method and research. London: Sage.
Sodi, T. (1995). A call to become an indigenous healer: An integrative or disintergrative experience. Paper presented at Hearing Voices Conference, Discourse Unit, Manchester Metropolitan University, July 8th 1995. Cited in Thomas, P., & Leudar, I. (1996). Verbal hallucinations or hearing voices: What does the experience signify? Journal of Mental Health, 5(3), 215–218.
Sommer, I. E. C., Daalman, K. Rietkerk, T., Diederen, K. M., Bakker, S., Wijkstra, J., et al. (2010). Healthy individuals with auditory verbal hallucinations: who are they? Schizophrenia Bulletin, 36(3), 633–41.
Soppitt, R. W., & Birchwood, M. (1997). Depression, beliefs, voice content and topography: A cross-sectional study of schizophrenic patients with auditory verbal hallucinations. Journal of Mental Health, 6(5), 525–532.
Sorrell, E., Hayward, M., & Meddings, S. (2010). Interpersonal processes and hearing voices: A study of the association between relating to voices and distress in clinical and non-clinical hearers. Behavioural and Cognitive Psychotherapy, 38(2), 127–140.
Stephenson, W. (1953). The study of behaviour: Q-technique and its methodology. Chicago: University of Chicago Press.
Thornton, K. (2009). Clinical and non-clinical auditory verbal hallucinations: A psychological and functional imaging study of the psychosis continuum. Unpublished PhD thesis, Bangor University.
Tien, A. Y. (1991). Distributions of hallucinations in the population. Social Psychiatry and Psychiatric Epidemiology, 26, 287–292.
van de Ven, V., & Merckelbach, H. (2003). The role of schizotypy, mental imagery, and fantasy proneness in hallucinatory reports of undergraduate students. Personality and Individual Differences, 35(4), 889–896.
van de Ven, V. G., van de Ven, V. G., Formisano, E., Röder, C. H., Prvulovic, D., Bittner, R. A., et al. (2005). The spatiotemporal pattern of auditory cortical responses during verbal hallucinations. NeuroImage, 27, 644–655.
van der Gaag, M., Hageman, M. C., & Birchwood, M. (2003). Evidence for a cognitive model of auditory hallucinations. The Journal of Nervous and Mental Disease, 191, 542–545.
van Os, J., Linscott, R. J., Myin-Germeys, I., Delespaul, P., & Krabbendam, L. (2009). A systematic review and meta-analysis of the psychosis continuum: Evidence for a psychosis proneness-persistence-impairment model of psychotic disorder. Psychological Medicine, 39, 179–195.
Vaughan, S., & Fowler, D. (2004). The distress experienced by voice hearers is associated with the perceived relationship between the voice hearer and the voice. The British Journal of Clinical Psychology, 43, 143–153.
Wilson, R. S., Gilley, D. W., Bennett, D. A., Beckett, L. A., & Evans, D. A. (2000). Hallucinations, delusions, and cognitive decline in Alzheimer’s disease. Journal of Neurology Neurosurgery and Psychiatry, 69, 172–177.
Winawer, M. R., Ottman, R., Hauser, W. A., & Pedley, T. A. (2000). Autosomal dominant partial epilepsy with auditory features: Defining the phenotype. Neurology, 54, 2173–2176.
Young, H. F., Bentall, R. P., Slade, P. D., & Dewey, B. A. (1987). The role of brief instructions and suggestibility in the elicitation of auditory and visual hallucinations in normal and psychiatric subjects. The Journal of Nervous and Mental Disease, 175, 41–48.
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Hill, K., Linden, D.E.J. (2013). Hallucinatory Experiences in Non-clinical Populations. In: Jardri, R., Cachia, A., Thomas, P., Pins, D. (eds) The Neuroscience of Hallucinations. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4121-2_2
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