无声的声音,沉默的自我:精神分裂症的听觉语言幻觉是真的感知吗?
Clara S Humpston1, Todd S Woodward2
1Department of Psychology, University of York, York, UK; School of Psychology, University of Birmingham, Birmingham, UK.
The lancet. Psychiatry
|April 17, 2024
概括
精神分裂症谱系精神病中的听觉语言幻觉源于第一人称权威的丧失,不一定是听觉感知. 重新定义这些经验对于准确的临床实践和研究至关重要.
科学领域:
- 精神病学是一个精神病学.
- 认知神经科学 认知神经科学
- 临床心理学 临床心理学
背景情况:
- 当代精神病学实践过度强调听觉语言幻觉的感知质量.
- 标准的临床评估经常质疑这些经验的可听性和外部性.
研究的目的:
- 认为听觉语言幻觉的核心特征是失去第一人称权威.
- 提出这种感知质量不是这些幻觉的先决条件.
主要方法:
- 审查认知神经科学证据在听觉口头幻觉期间大脑网络激活.
- 对精神分裂症的历史和当前诊断标准的分析.
主要成果:
- 幻觉期间的大脑网络的激活不总是与听觉感知网络相匹配.
- 诊断标准的演变越来越强调感知方面,影响临床和研究的观点.
结论:
- 听觉语言幻觉应该被理解为由于失去第一人称权威而对感知的信念,而不是需要真正的听觉感知.
- 需要修订定义,以提高临床实践,患者自我报告和认知神经科学研究的准确性.
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