McCarthy-Jones et al (2014).pdf (287.23 kB)
Better than mermaids and stray dogs? Subtyping auditory verbal hallucinations and its implications for research and practice
journal contribution
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 SommerThe 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 BulletinISSN
0586-7614Publisher
Oxford University PressExternal DOI
Issue
Supp 4Volume
40Page range
S275-S284Department affiliated with
- Psychology Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2016-08-17First Open Access (FOA) Date
2016-08-17First Compliant Deposit (FCD) Date
2016-08-16Usage metrics
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