The auditory hallucination: A phenomenological survey

Author(s): David, A. S.

Journal/Book: Psychol Med. 1996; 26: 40 West 20TH Street, New York, NY 10011-4211. Cambridge Univ Press. 177-189.

Abstract: A comprehensive semi-structured questionnaire was administered to 100 psychotic patients who had experienced auditory hallucinations. The aim was to extend the phenomenology of the hallucination into areas of both form and content and also to guide future theoretical development. All subjects heard 'voices' talking to or about them. The location of the voice, its characteristics and the nature of address were described. Precipitants and alleviating factors plus the effect of the hallucinations on the sufferer were identified. Other hallucinatory experiences, thought insertion and insight were examined for their inter-relationships. A pattern emerged of increasing complexity of the auditory-verbal hallucination over time by a process of accretion, with the addition of more voices and extended dialogues, and more intimacy between subject and voice. Such evolution seemed to relate to the lessening of distress and improved coping. These findings should inform both neurological and cognitive accounts of the pathogenesis of auditory hallucinations in psychotic disorders.

Note: Article AS David, Inst Psychiat, Dept Psychol Med, London SE5 8AF, England

Keyword(s): SCHIZOPHRENIC-PATIENTS; VERBAL HALLUCINATIONS; NEGATIVE SYMPTOMS; HEARING VOICES; PSYCHOSIS; LATERALIZATION; INSIGHT

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