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The Spectra of Soundless Voices and Audible Thoughts: Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion

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The Spectra of Soundless Voices and Audible Thoughts : Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion. / Humpston, Clara S.; Broome, Matthew R.

In: Review of Philosophy and Psychology, Vol. 7, No. 3, 01.09.2016, p. 611-629.

Research output: Contribution to journalArticlepeer-review

Harvard

Humpston, CS & Broome, MR 2016, 'The Spectra of Soundless Voices and Audible Thoughts: Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion', Review of Philosophy and Psychology, vol. 7, no. 3, pp. 611-629. https://doi.org/10.1007/s13164-015-0232-9

APA

Humpston, C. S., & Broome, M. R. (2016). The Spectra of Soundless Voices and Audible Thoughts: Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion. Review of Philosophy and Psychology, 7(3), 611-629. https://doi.org/10.1007/s13164-015-0232-9

Vancouver

Humpston CS, Broome MR. The Spectra of Soundless Voices and Audible Thoughts: Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion. Review of Philosophy and Psychology. 2016 Sep 1;7(3):611-629. https://doi.org/10.1007/s13164-015-0232-9

Author

Humpston, Clara S. ; Broome, Matthew R. / The Spectra of Soundless Voices and Audible Thoughts : Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion. In: Review of Philosophy and Psychology. 2016 ; Vol. 7, No. 3. pp. 611-629.

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@article{4d5ed4e4670c42679893b219246b0ae2,
title = "The Spectra of Soundless Voices and Audible Thoughts: Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion",
abstract = "Patients with psychotic disorders experience a range of reality distortions. These often include auditory-verbal hallucinations (AVHs), and thought insertion (TI) to a lesser degree; however, their mechanisms and relationships between each other remain largely elusive. Here we attempt to establish a integrative model drawing from the phenomenology of both AVHs and TI and argue that they in fact can be seen as {\textquoteleft}spectra{\textquoteright} of experiences with varying degrees of agency and ownership, with {\textquoteleft}silent and internal own thoughts{\textquoteright} on one extreme and {\textquoteleft}fully external and clearly audible voices{\textquoteright} in the absence of a speaker on the other. We believe a spectral model will add emphasis to the continuity of experience and help to better understand how one type of psychotic symptom may interact with another, and put forward the argument that the experience of TI itself is not sufficient to classify as a delusion. In addition we aim to discuss some of the conceptual issues surrounding AVHs and TI with first-person accounts and current philosophical and neuropsychological theories in mind. We propose that the mechanisms behind AVHs and TI are more complex than source-monitoring deficits; indeed, to understand such phenomena one must appreciate that their very {\textquoteleft}existence{\textquoteright} and {\textquoteleft}reality{\textquoteright} as experienced by the individual have much deeper implications and meaning, both philosophically and clinically.",
author = "Humpston, {Clara S.} and Broome, {Matthew R.}",
note = "Publisher Copyright: {\textcopyright} 2015, Springer Science+Business Media Dordrecht.",
year = "2016",
month = sep,
day = "1",
doi = "10.1007/s13164-015-0232-9",
language = "English",
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pages = "611--629",
journal = "Review of Philosophy and Psychology",
issn = "1878-5158",
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RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - The Spectra of Soundless Voices and Audible Thoughts

T2 - Towards an Integrative Model of Auditory Verbal Hallucinations and Thought Insertion

AU - Humpston, Clara S.

AU - Broome, Matthew R.

N1 - Publisher Copyright: © 2015, Springer Science+Business Media Dordrecht.

PY - 2016/9/1

Y1 - 2016/9/1

N2 - Patients with psychotic disorders experience a range of reality distortions. These often include auditory-verbal hallucinations (AVHs), and thought insertion (TI) to a lesser degree; however, their mechanisms and relationships between each other remain largely elusive. Here we attempt to establish a integrative model drawing from the phenomenology of both AVHs and TI and argue that they in fact can be seen as ‘spectra’ of experiences with varying degrees of agency and ownership, with ‘silent and internal own thoughts’ on one extreme and ‘fully external and clearly audible voices’ in the absence of a speaker on the other. We believe a spectral model will add emphasis to the continuity of experience and help to better understand how one type of psychotic symptom may interact with another, and put forward the argument that the experience of TI itself is not sufficient to classify as a delusion. In addition we aim to discuss some of the conceptual issues surrounding AVHs and TI with first-person accounts and current philosophical and neuropsychological theories in mind. We propose that the mechanisms behind AVHs and TI are more complex than source-monitoring deficits; indeed, to understand such phenomena one must appreciate that their very ‘existence’ and ‘reality’ as experienced by the individual have much deeper implications and meaning, both philosophically and clinically.

AB - Patients with psychotic disorders experience a range of reality distortions. These often include auditory-verbal hallucinations (AVHs), and thought insertion (TI) to a lesser degree; however, their mechanisms and relationships between each other remain largely elusive. Here we attempt to establish a integrative model drawing from the phenomenology of both AVHs and TI and argue that they in fact can be seen as ‘spectra’ of experiences with varying degrees of agency and ownership, with ‘silent and internal own thoughts’ on one extreme and ‘fully external and clearly audible voices’ in the absence of a speaker on the other. We believe a spectral model will add emphasis to the continuity of experience and help to better understand how one type of psychotic symptom may interact with another, and put forward the argument that the experience of TI itself is not sufficient to classify as a delusion. In addition we aim to discuss some of the conceptual issues surrounding AVHs and TI with first-person accounts and current philosophical and neuropsychological theories in mind. We propose that the mechanisms behind AVHs and TI are more complex than source-monitoring deficits; indeed, to understand such phenomena one must appreciate that their very ‘existence’ and ‘reality’ as experienced by the individual have much deeper implications and meaning, both philosophically and clinically.

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U2 - 10.1007/s13164-015-0232-9

DO - 10.1007/s13164-015-0232-9

M3 - Article

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VL - 7

SP - 611

EP - 629

JO - Review of Philosophy and Psychology

JF - Review of Philosophy and Psychology

SN - 1878-5158

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