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Related Experiment Video

Updated: Feb 17, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
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Auditory verbal hallucinations: Social, but how?

Ben Alderson-Day1, Charles Fernyhough1

  • 1Department of Psychology, Durham University, South Road, Durham, DH1 3LE.

Journal of Consciousness Studies : Controversies in Science & the Humanities
|December 15, 2017
PubMed
Summary

Auditory verbal hallucinations (AVH) are hearing voices without external speakers. This review explains AVH

Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Psychiatry

Background:

  • Auditory verbal hallucinations (AVH) are complex auditory experiences often lacking clear explanations for their perceived persona and agency.
  • Current models primarily focus on misattributed inner speech, inadequately addressing the social and agentic qualities of AVH.

Purpose of the Study:

  • To review neurocognitive approaches to AVH, focusing on inner speech, memory, and predictive processing.
  • To evaluate the role of social-cognitive processes in AVH development.
  • To propose an integrated model explaining the social characteristics of AVH.

Main Methods:

  • Literature review of neurocognitive and social-cognitive theories of AVH.
  • Analysis of how inner speech, memory, and predictive processing models account for AVH features.

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  • Examination of social-cognitive processes in speech and language.
  • Main Results:

    • Standard models struggle to explain the distinct persona and agency in AVH.
    • Speech and language processes inherently involve socially relevant information.
    • AVH's social characteristics can be explained by existing speech/language processes without separate social-cognitive systems.

    Conclusions:

    • AVH's social and agentic properties are not necessarily indicative of separate social-cognitive systems.
    • Integrating neurocognitive models with the social functions of language offers a more comprehensive explanation for AVH.
    • This perspective reframes the understanding of auditory verbal hallucinations.