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Patients' attitudes toward hallucinations

L J Miller¹, E O'Connor, T DiPasquale

¹Department of Psychiatry, University of Illinois, Chicago 60612.

The American Journal of Psychiatry

|April 1, 1993

Summary

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Patients

Area of Science:

Psychiatry
Psychology

Background:

Hallucinations are a common symptom in psychiatric disorders.
Understanding patient attitudes towards hallucinations is crucial for effective treatment.

Purpose of the Study:

To examine patients' attitudes toward their hallucinations, including perceived purposes and adverse effects.
To investigate the relationship between these attitudes and hallucination characteristics or patient factors.
To determine if attitudes change with treatment and predict post-treatment hallucination presence.

Main Methods:

Semistructured interviews were conducted with 50 psychiatric inpatients experiencing hallucinations.
Interviews were administered twice: upon hospital admission and before discharge.
Detailed descriptions of 12 phenomenologic characteristics and 11 attitude variables were collected.

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Main Results:

Most patients reported positive effects from hallucinations.
Olfactory hallucinations and predictability were linked to valuing hallucinations.
Attitudes generally remained stable or became more positive post-treatment.
Higher pre-treatment valuation of hallucinations predicted continued hallucination presence.

Conclusions:

Psychological factors appear to influence hallucination expression.
Assessing the adaptive functions of hallucinations can inform treatment response prediction.
Identifying these functions may reveal targets for psychosocial interventions.