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Pleasurable auditory hallucinations.

J Sanjuan1, J C Gonzalez, E J Aguilar

  • 1Department of Medicine, Psychiatric Unit, Valencia University, Valencia, Spain. julio.sanjuan@uv.es

Acta Psychiatrica Scandinavica
|September 9, 2004
PubMed
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Auditory hallucinations (AHs) can be pleasurable for some patients with psychosis. This study found that 26% of patients reported pleasurable voices, which were linked to less distress and more perceived control.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Auditory hallucinations (AHs) research predominantly focuses on negative experiences.
  • Limited understanding exists regarding the potential for pleasurable auditory experiences in psychosis.

Purpose of the Study:

  • To investigate the frequency of pleasurable auditory hallucinations in a psychotic patient population.
  • To explore the characteristics associated with pleasurable AHs.

Main Methods:

  • 160 patients with AHs (89 schizophrenia, 17 other psychoses) were assessed.
  • The Psychotic Symptom Rating Scale (PSYRATS) was used, with an added item on the pleasurable nature of AHs.

Main Results:

  • 26% of patients (28 out of 160) reported pleasurable auditory hallucinations.

Related Experiment Videos

  • Pleasurable hallucinations were associated with lower distress, less negative content, and reduced loudness.
  • Positive correlations were found with chronicity of psychosis and perceived control over the voices.

    • Conclusions:

    • Pleasurable auditory hallucinations are experienced by a significant proportion of patients with psychosis.
    • Findings suggest a need to consider the positive aspects of AHs in clinical assessment and treatment.
    • The study provides cross-validated data on pleasurable hallucinations using existing instruments.