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Better than mermaids and stray dogs? Subtyping auditory verbal hallucinations and its implications for research and practice

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posted on 2023-06-09, 02:34 authored by Simon McCarthy-Jones, Neil Thomas, Clara StraussClara Strauss, Guy Dodgson, Nev Jones, Angela Woods, Chris R Brewin, Mark HaywardMark Hayward, Massoud Stephane, Jack Barton, David Kingdon, Iris E Sommer
The phenomenological diversity of auditory verbal hallucinations (AVH) is not currently accounted for by any model based around a single mechanism. This has led to the proposal that there may be distinct AVH subtypes, which each possess unique (as well as shared) underpinning mechanisms. This could have important implications both for research design and clinical interventions because different subtypes may be responsive to different types of treatment. This article explores how AVH subtypes may be identified at the levels of phenomenology, cognition, neurology, etiology, treatment response, diagnosis, and voice hearer’s own interpretations. Five subtypes are proposed; hypervigilance, autobiographical memory (subdivided into dissociative and nondissociative), inner speech (subdivided into obsessional, own thought, and novel), epileptic and deafferentation. We suggest other facets of AVH, including negative content and form (eg, commands), may be best treated as dimensional constructs that vary across subtypes. After considering the limitations and challenges of AVH subtyping, we highlight future research directions, including the need for a subtype assessment tool.

History

Publication status

  • Published

File Version

  • Published version

Journal

Schizophrenia Bulletin

ISSN

0586-7614

Publisher

Oxford University Press

Issue

Supp 4

Volume

40

Page range

S275-S284

Department affiliated with

  • Psychology Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-08-17

First Open Access (FOA) Date

2016-08-17

First Compliant Deposit (FCD) Date

2016-08-16

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