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A Preliminary Investigation into the Existence of a Hypervigilance Subtype of Auditory Hallucination in People with Psychosis

Published online by Cambridge University Press:  20 August 2013

Lucy Garwood ,
Guy Dodgson ,
Vicki Bruce  and
Simon McCarthy-Jones
Lucy Garwood
Affiliation:
Tees, Esk and Wear Valley NHS Foundation Trust, UK
Guy Dodgson
Affiliation:
Northumberland, Tyne & Wear NHS Foundation Trust, UK
Vicki Bruce
Affiliation:
Newcastle University, UK
Simon McCarthy-Jones*
Affiliation:
Macquarie University, Sydney, Australia
*
Reprint requests to Simon McCarthy-Jones, ARC Centre of Excellence in Cognition and its Disorders, Department of Cognitive Science, Macquarie University, North Ryde, NSW 2109, Australia. E-mail: s.mccarthyjones@gmail.com
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Abstract

Background: The phenomenological heterogeneity of auditory hallucinations (AHs) means individual models struggle to account for all aspects of the experience. One alternative is that distinct subtypes of AHs exist, with each requiring their own unique explanatory model and tailored cognitive behavioural intervention strategies. Aims: This exploratory study tested for the presence of one specific potential AH-subtype, hypervigilance hallucinations (HV-AHs). Method: Four specific aspects of the phenomenology of AHs (chosen on the basis of the predicted phenomenology of HV-AHs) were assessed using a semi-structured interview in 32 individual AHs taken from reports from 15 patients with psychosis. Results: Cluster analysis (at the level of the individual AH-experience) offered support for the existence of a distinct HV-AH subtype, characterized by hearing threatening, externally-located voices when attention was externally-focused. Other clusters identified all shared the contrasting properties of occurring in quiet contexts when patients’ attention was internally focused. Conclusions: The results offered tentative support for the existence of an HV-AH subcategorization and justifies future research in larger samples. Potential implications for models of AHs are also considered.

Keywords

Auditory verbal hallucinationpsychosiscategorizationhearing voices.

Information

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 52 - 62
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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References

Aleman, A., Böcker, K. B. E., Hijman, R., de Haan, E. H. F. and Kahn, R. S. (2003). Cognitive basis of hallucinations in schizophrenia: role of top-down information processing. Schizophrenia Research, 46, 175–185.CrossRefGoogle Scholar
Baethge, C., Baldessarini, R. J, Freudenthal, K., Streeruwitz, A., Bauer, M. and Bschor, T. (2005). Hallucinations in bipolar disorder: characteristics and comparison to unipolar depression and schizophrenia. Bipolar Disorders, 7, 136–145.CrossRefGoogle ScholarPubMed
Bentall, R. P., Wickham, S., Shevlin, M. and Varese, F. (2012). Do specific early-life adversities lead to specific symptoms of psychosis? A study from the 2007 The Adult Psychiatric Morbidity Survey. Schizophrenia Bulletin. doi: 10.1093/schbul/sbs049 CrossRefGoogle ScholarPubMed
Bolas, H., Dodgson, G. and Dudley, R. (2010). Better Safe than Sorry: the effects of arousal on auditory threat detection. Paper presented at the 38th Annual British Association for Behavioural and Cognitive Psychotherapies Conference, Manchester, England.Google Scholar
Brookwell, M. L., Bentall, R. P. and Varese, F. (2012). Externalizing biases and hallucinations in source-monitoring, self-monitoring and signal detection studies: a meta-analytic review. Psychological Medicine. doi:10.1017/S0033291712002760 Google Scholar
Carter, D. M., Mackinnon, A., Howard, S., Zeegers, T. and Copolov, D. L. (1995). The development and reliability of the Mental Health Research Institute Unusual Perceptions Schedule (MUPS): an instrument to record auditory hallucinatory experience. Schizophrenia Research, 16, 157–165.CrossRefGoogle ScholarPubMed
Dodgson, G. and Gordon, S. (2009). Avoiding false negatives: are some auditory hallucinations an evolved design flaw? Behavioural and Cognitive Psychotherapy, 37, 325–334.CrossRefGoogle ScholarPubMed
Dolgov, I. and McBeath, M. K. (2005). A signal-detection-theory representation of normal and hallucinatory perception. Behavioral and Brain Sciences, 28, 761–762.CrossRefGoogle Scholar
Dudley, R., Dodgson, G., Sarll, G., Halhead, R. and McCarthy-Jones, S. (2013). The effect of arousal on auditory threat detection. Manuscript submitted for publication.Google Scholar
Garety, P. A., Kuipers, E., Fowler, D., Freeman, D. and Bebbington, P.E. (2001). A cognitive model of the positive symptoms of psychosis. Psychological Medicine, 31, 189–195.CrossRefGoogle ScholarPubMed
Jones, S.R. (2010). Do we need multiple models of auditory verbal hallucinations? Examining the phenomenological fit of cognitive and neurological models. Schizophrenia Bulletin, 36, 566–575.CrossRefGoogle ScholarPubMed
Jones, S. R. and Fernyhough, C. (2007). Neural correlates of inner speech and auditory verbal hallucinations: a critical review and theoretical integration. Clinical Psychology Review, 27, 140–154.CrossRefGoogle ScholarPubMed
Larøi, F. (2006). The phenomenological diversity of hallucinations: some theoretical and clinical implications. Psychologica Belgica, 46, 163–183.CrossRefGoogle Scholar
Leudar, I., Thomas, P., McNally, D. and Glinski, A. (1997). What voices can do with words: pragmatics of verbal hallucinations. Psychological Medicine, 27, 885–898.CrossRefGoogle Scholar
McCarthy-Jones, S. (2012). Hearing Voices: the histories, causes and meanings of auditory verbal hallucinations. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
McCarthy-Jones, S., Trauer, T., Mackinnon, A., Sims, E., Thomas, N. and Copolov, D. (2012). A new phenomenological survey of auditory hallucinations: evidence for subtypes and implications for theory and practice. Schizophrenia Bulletin. doi:10.1093/schbul/sbs156 [Epub ahead of print Dec 23].Google ScholarPubMed
Nayani, T. H. and David, A. S. (1996). The auditory hallucination: a phenomenological survey. Psychological Medicine, 26, 177–189.CrossRefGoogle ScholarPubMed
Read, J., Agar, K., Argyle, N. and Aderhold, V. (2003). Sexual and physical abuse during childhood and adulthood as predictors of hallucinations, delusions and thought disorder. Psychology and Psychotherapy: Theory, Research and Practice, 76, 1–22.CrossRefGoogle ScholarPubMed
Sass, L. (1992). Madness and Modernism: insanity in the light of modern art, literature and thought. New York: Basic Books.Google Scholar
Seal, M. L., Aleman, A. and McGuire, P. K. (2004). Compelling imagery, unanticipated speech and deceptive memory: neurocognitive models of auditory verbal hallucinations in schizophrenia. Cognitive Neuropsychiatry, 9, 43–72.CrossRefGoogle ScholarPubMed
Shergill, S. S., Murray, R. M. and McGuire, P. K. (1998). Auditory hallucinations: a review of psychological treatments. Schizophrenia Research, 32, 137–150.CrossRefGoogle ScholarPubMed
Slade, P. and Bentall, R. (1988). Sensory Deception: a scientific analysis of hallucination. London: Croom Helm.Google Scholar
Sommer, I. E. C., Slotema, C. W., Daskalakis, Z. J., Derks, E. M., Blom, J. D. and van der Gaag, M. (2012). The treatment of hallucinations in schizophrenia spectrum disorders. Schizophrenia Bulletin, 38, 704–714.CrossRefGoogle ScholarPubMed
Stephane, M., Thuras, P., Nasrallah, H. and Georgopoulos, A. P. (2003). The internal structure of the phenomenology of auditory verbal hallucinations. Schizophrenia Research, 61, 185–193.CrossRefGoogle ScholarPubMed
Vercammen, A., de Haan, E. H. F. and Aleman, A. (2008). Hearing a voice in the noise: auditory hallucinations and speech perception. Psychological Medicine, 38, 1177–1184.CrossRefGoogle ScholarPubMed
Waters, F., Allen, P., Aleman, A., Fernyhough, C., Woodward, T., Badcock, J., et al. (2012). Auditory hallucinations in schizophrenia and non-schizophrenia populations: a review and integrated model of cognitive mechanisms. Schizophrenia Bulletin, 38, 683–693.CrossRefGoogle Scholar
Wegner, D. M. and Wenzlaff, R. M. (1996). Mental control. In Higgins, E. T. and Kruglanski, A. W. (Eds.), Social Psychology: handbook of basic principles (pp. 466–492). New York: Guilford Google Scholar
Wishart, D. (2006). ClustanGraphics (4th edn). Edinburgh: Clustan Limited.Google Scholar
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