Aziz Victor
Cwm Taff NHS Trust, Mental Health, St Tydfil's Hospital, Merthyr Tydfill, CF47 0SJ, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2008.0023. Epub 2009 Feb 2.
A descriptive account of musical hallucinations of a series of 19 people is presented. Five people reported the onset of hallucination before adulthood. In this paper we demonstrate that musical hallucinations are not necessarily pathological and can occur as a normal experience in people (children and adults) who have no contact with mental health services and no concurrent mental disorder. This is also the first paper to recognise that children can experience musical hallucinations. Also, we show that musical hallucinations are more common than previously thought, but people do not report their occurrence. It seems plausible that in musical hallucinations there is an insult to the ear or brain that produces a change in quality of these images, converting them to a psychotic experience. Musical hallucinations should be regarded as a continuum with normal experiences and clinical syndromes.
本文对19例患者的音乐幻觉进行了描述性报告。5例患者报告在成年前就出现了幻觉。在本文中，我们证明音乐幻觉不一定是病理性的，在未接触过心理健康服务且无并发精神障碍的人群（儿童和成人）中，它也可能作为一种正常体验出现。这也是第一篇认识到儿童也会经历音乐幻觉的论文。此外，我们还表明，音乐幻觉比之前认为的更为常见，但人们并未报告其发生情况。在音乐幻觉中，耳部或脑部受到损伤，导致这些意象的性质发生改变，进而转化为一种精神病性体验，这似乎是合理的。音乐幻觉应被视为一种介于正常体验和临床综合征之间的连续体。
