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Beliefs about hearing voices.

Michael H Connors1, Serje Robidoux1, Robyn Langdon1

  • 1ARC Centre of Excellence in Cognition and its Disorders, Australia; Department of Cognitive Science, Macquarie University, Australia.

Consciousness and Cognition
|June 4, 2016
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Summary
This summary is machine-generated.

Beliefs about the cause of auditory verbal hallucinations (AVHs) in schizophrenia are not explained by the intensity or phenomenology of the voices. Research suggests other factors influence these beliefs.

Keywords:
Auditory verbal hallucinationBeliefDelusionHallucinationInsightPhenomenologyPsychosis

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Individuals experiencing auditory verbal hallucinations (AVHs) differ in attributing their voices to internal (self-generated) or external sources.
  • The relationship between AVH characteristics (intensity, phenomenology) and causal beliefs remains poorly understood.

Purpose of the Study:

  • To investigate whether the intensity or phenomenology of AVHs influences patients' beliefs about their cause.
  • To examine the association between AVH characteristics and attribution of AVH origin in schizophrenia spectrum disorders.

Main Methods:

  • A cohort of 35 patients diagnosed with schizophrenia or schizoaffective disorder who experience AVHs were interviewed.
  • A structured interview assessed patients' beliefs regarding the cause of their AVHs (self-generated vs. external agents).
  • AVH intensity (frequency, volume) and phenomenology were evaluated.

Main Results:

  • A majority of patients (57.1%) believed their AVHs were self-generated, while a smaller proportion attributed them to external agents (17.1%), with 25.7% uncertain.
  • Statistical analyses found minimal to no evidence supporting an association between AVH intensity or phenomenology and beliefs about the AVH's cause.
  • The findings suggest that phenomenological qualities alone do not solely explain beliefs about the origin of AVHs.

Conclusions:

  • Beliefs about the cause of auditory verbal hallucinations are unlikely to be determined solely by the subjective experience or intensity of the voices.
  • Further research is needed to explore other potential factors influencing causal attribution in AVHs.