Skip to main content

Hallucinatory Experiences in Non-clinical Populations

  • Chapter
  • First Online:
The Neuroscience of Hallucinations

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Baker, C. A., & Morrison, A. P. (1998). Cognitive processes in auditory hallucinations: Attributional biases and metacognition. Psychological Medicine, 28, 1199–1208.

    Article  PubMed  CAS  Google Scholar 

  • Barkus, E., Stirling, J., Hopkins, R., McKie, S., & Lewis, S. (2007). Cognitive and neural ­processes in non-clinical auditory hallucinations. The British Journal of Psychiatry, 191(Suppl 51), s76–s81.

    Article  Google Scholar 

  • Belin, P., Zatorre, R. J., Lafaille, P., Ahad, P., & Pike, B. (2000). Voice-selective areas in human auditory cortex. Nature, 403(6767), 309–312.

    Article  PubMed  CAS  Google Scholar 

  • Bentall, R. P., Baker, G. A., & Havers, S. (1991). Reality monitoring and psychotic hallucinations. The British Journal of Clinical Psychology, 30, 213–222.

    Article  PubMed  Google Scholar 

  • Bhugra, D. (1996). Psychiatry and religion. London: Routledge.

    Book  Google Scholar 

  • Birchwood, M., & Chadwick, P. D. (1997). The omnipotence of voices: Testing the validity of a cognitive model. Psychological Medicine, 27, 1345–1353.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Birtchnell, J. (1996). How humans relate: A new interpersonal theory. Hove: Psychology Press.

    Google Scholar 

  • Birtchnell, J. (2002). Relating in psychotherapy: The application of a new theory. Hove: Brunner-Routledge.

    Google Scholar 

  • Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation. New York: Basic Books.

    Google Scholar 

  • Bowlby, J. (1980). Attachment and loss: Vol. 3. Loss. New York: Basic Books.

    Google Scholar 

  • Brasić, J. R. (1998). Hallucinations. Perceptual and Motor Skills, 86, 851–877.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Brugger, P., Regard, M., Landis, T., & Oelz, O. (1999). Hallucinatory experiences in extreme-altitude climbers. Neuropsychiatry Neuropsychology and Behavioral Neurology, 12, 67–71.

    CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Chadwick, P. D., & Birchwood, M. (1994). The omnipotence of voices. A cognitive approach to auditory hallucinations. British Journal of Psychiatry, 39, 839–844.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Feelgood, S. R., & Rantzen, A. J. (1994). Auditory and visual hallucinations in university students. Personality and Individual Differences, 17(2), 293–296.

    Article  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • Jaynes, J. (1976). The origin of consciousness in the breakdown of the bicameral mind. Boston: Houghton Mifflin.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • Launay, G., & Slade, P. (1981). The measurement of hallucinatory predisposition in male and female prisoners. Personality and Individual Differences, 2, 221–234.

    Article  Google Scholar 

  • Leudar, I., & Thomas, P. (2000). Voices of reason, voices of insanity: Studies of verbal hallucinations. London: Routledge.

    Google Scholar 

  • Leudar, I., Thomas, P., McNally, D., & Glinski, A. (1997). What voices can do with words: Pragmatics of verbal hallucinations. Psychological Medicine, 27, 885–898.

    Article  PubMed  CAS  Google Scholar 

  • Linden, D. E. J. (2012). The biology of psychological disorders. Palgrave Macmillan.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Mason, O., Claridge, G., & Jackson, M. (1995). New scales for the assessment of schizotypy. Personality and Individual Differences, 18, 7–13.

    Article  Google Scholar 

  • Mintz, S., & Alpert, M. (1972). Imagery vividness, reality testing and schizophrenic hallucinations. Journal of Abnormal Psychology, 79, 310–316.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Penfield, W., & Perot, P. (1963). The Brain’s record of auditory and visual experience: A final summary and discussion. Brain, 86, 595–696.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Romme, M. A., & Escher, A. D. (1989). Hearing voices. Schizophrenia Bulletin, 15, 209–216.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Sartorius, N., Shapiro, R., & Jablensky, A. (1974). The international pilot study of schizophrenia. Schizophrenia Bulletin, 1, 21–25.

    Article  Google Scholar 

  • Sayer, J., Ritter, S., & Gournay, K. (2000). Beliefs about voices and their effects on coping strategies. Journal of Advanced Nursing, 31, 1199–1205.

    Article  PubMed  CAS  Google Scholar 

  • Schneider, K. (1959). Clinical psychopathology. New York: Grune and Stratton.

    Google Scholar 

  • 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.

    Google Scholar 

  • Simpson, J. (2004). Touching the void. London: Vintage.

    Google Scholar 

  • Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory method and research. London: Sage.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Stephenson, W. (1953). The study of behaviour: Q-technique and its methodology. Chicago: University of Chicago Press.

    Google Scholar 

  • 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.

    Google Scholar 

  • Tien, A. Y. (1991). Distributions of hallucinations in the population. Social Psychiatry and Psychiatric Epidemiology, 26, 287–292.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

  • 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.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katy Hill .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-4121-2_2

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4120-5

  • Online ISBN: 978-1-4614-4121-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics