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Relation between command hallucinations and dangerous behavior.

A Rudnick1

  • 1Tel Aviv Community Mental Center, Department of Behavioral Sciences, Tel Aviv University School of Medicine, Israel.

The Journal of the American Academy of Psychiatry and the Law
|July 10, 1999
PubMed
Summary
This summary is machine-generated.

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This review found limited evidence directly linking command hallucinations to dangerous behavior. Future research should explore mediating factors influencing compliance with such commands.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Command hallucinations are a symptom of various psychiatric disorders.
  • The relationship between experiencing command hallucinations and engaging in dangerous behavior is a significant clinical concern.

Purpose of the Study:

  • To conduct an updated review of studies examining the link between command hallucinations and dangerous behavior.
  • To synthesize findings on violent and suicidal behaviors associated with command hallucinations.

Main Methods:

  • Systematic review of studies indexed in MEDLINE (1966-1997) and PsycINFO (1974-1997).
  • Analysis of 41 relevant studies, categorizing them by focus: violent behavior, suicidal behavior, and mediating variables.
  • Assessment of study methodologies, including controlled versus uncontrolled designs.

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Main Results:

  • Most studies found no immediate direct relationship between command hallucinations and dangerous (violent or suicidal) behavior.
  • Findings were divided on whether the severity of command content predicts compliance.
  • Compliance with commands was associated with the perceived benevolence and familiarity of the commanding voice.

Conclusions:

  • Current research on command hallucinations and dangerous behavior is limited and methodologically weak.
  • Future research should focus on mediating factors, including cognitive appraisal and coping strategies.
  • Understanding these mediating factors is crucial for effective clinical intervention.