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Acting on command hallucinations: a cognitive approach

A Beck-Sander1, M Birchwood, P Chadwick

  • 1Pathfinder Mental Health Trust, UK.

The British Journal of Clinical Psychology
|February 1, 1997
PubMed
Summary
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Individuals' beliefs about their auditory hallucinations significantly impact compliance. Believing voices are benevolent increases compliance, while feeling in control reduces it, influencing responses to command hallucinations.

Area of Science:

  • Psychiatry
  • Cognitive Psychology

Background:

  • Auditory hallucinations are common in psychotic disorders.
  • Compliance with command hallucinations is a critical clinical concern.

Purpose of the Study:

  • To investigate cognitive factors, specifically beliefs about voices, influencing compliance with command hallucinations.
  • To explore the relationship between voice beliefs, command content, and compliance behavior.

Main Methods:

  • Cognitive approach examining individuals' beliefs about their auditory hallucinations.
  • Categorization of command content (innocuous, severe, self-harm).
  • Qualitative exploration of additional influencing beliefs.

Main Results:

  • Belief in a benevolent voice correlated with compliance to both innocuous and severe commands.

Related Experiment Videos

  • Belief in subjective control over voices was associated with decreased compliance across all command types.
  • Beliefs about transgression, commander's authority, social acceptability, and goal achievement also suggested influence.

    • Conclusions:

    • Cognitive beliefs about auditory hallucinations play a crucial role in compliance with commands.
    • Beliefs regarding voice benevolence and subjective control are key determinants of compliance.
    • Further research is needed to fully elucidate the complex interplay of various beliefs influencing command hallucination compliance.