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Related Experiment Videos

Command hallucinations, compliance, and risk assessment

K Hersh1, R Borum

  • 1Department of Psychology, University of North Carolina, Chapel Hill 27599-3270, USA.

The Journal of the American Academy of Psychiatry and the Law
|October 24, 1998
PubMed
Summary

Individuals experiencing command hallucinations, which are voices telling them to act, show varying compliance rates. Recognition of the voice and connection to delusions increase likelihood of compliance, impacting risk assessment.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Background:

  • Command hallucinations are auditory hallucinations directing specific actions.
  • These commands vary in severity, from benign to life-threatening.
  • Understanding compliance is crucial for patient safety and risk assessment.

Purpose of the Study:

  • To summarize research on compliance rates with command hallucinations.
  • To identify factors influencing compliance with these commands.
  • To discuss implications for clinical risk assessment.

Main Methods:

  • Literature review of studies on command hallucinations.
  • Analysis of reported compliance rates.
  • Examination of factors correlated with compliance behavior.

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Main Results:

  • Reported compliance rates range widely from 39.2% to 88.5%.
  • Compliance is not consistently linked to the dangerousness of the command.
  • Factors increasing compliance include voice recognition and association with delusions.

Conclusions:

  • Compliance with command hallucinations is complex and influenced by specific patient-related factors.
  • Voice recognition and delusional connections are key predictors of compliance.
  • Findings necessitate nuanced approaches to risk assessment in individuals with command hallucinations.