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Beliefs about hearing voices.

Michael H Connors, Serje Robidoux, Robyn Langdon, Max Coltheart

Consciousness and Cognition July 2016 DOI: 10.1016/j.concog.2016.05.001 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Sample size 35
Population Patients with schizophrenia or schizoaffective disorder who experience auditory verbal hallucinations
Topics Philosophy of mind
Keywords Auditory verbal hallucination Belief Delusion Insight Psychosis
Key findings Among 35 patients with schizophrenia or schizoaffective disorder who hear voices, 20 (57.1%) believed their voices were self-generated, 9 (25.7%) were uncertain, and 6 (17.1%) attributed them to external agents. Analyses found little or no evidence that voice intensity or phenomenology was associated with these beliefs, with the evidence favoring the absence of such associations. The authors argue that beliefs about the cause of auditory verbal hallucinations are unlikely to be explained solely by the phenomenological qualities of the voices.

Abstract

People who experience auditory verbal hallucinations (AVHs) vary in whether they believe their AVHs are self-generated or caused by external agents. It remains unclear whether these differences are influenced by the "intensity" of the voices, such as their frequency or volume, or other aspects of their phenomenology. We examined 35 patients with schizophrenia or schizoaffective disorder who experienced AVHs. Patients completed a detailed structured interview about their AVHs, including beliefs about their cause. In response, 20 (57.1%) reported that their AVHs were self-generated, 9 (25.7%) were uncertain, and 6 (17.1%) reported that their AVHs were caused by external agents. Several analytical approaches revealed little or no evidence for associations between either AVH intensity or phenomenology and beliefs about the AVH's cause; the evidence instead favoured the absence of these associations. Beliefs about the cause of AVHs are thus unlikely to be explained solely by the phenomenological qualities of the AVHs.

Comparable studies

Other observational and cohort studies on philosophy of mind, most cited first.

Study Year Design Participants
The phenomenology of near-death experiences Subjects who reported near-death experiences 1980 Retrospective study n = 78
Visual Phenomenology of the LSD Flashback Persons with a history of LSD use 1983 Observational cohort n = 123
The neurophenomenology of neutral hypnosis. Individuals of high, medium, and low hypnotizability 2013 Observational cohort n = 37
The Phenomenology of Acute Organic Psychosis Patients with acute organic psychosis and acute schizophrenics 1987 Observational cohort n = 148
EEG oscillatory states as neuro-phenomenology of consciousness as revealed from patients in vegetative and minimally conscious states. Brain-damaged patients with disorders of consciousness and healthy-conscious subjects 2012 Observational cohort

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