Macquarie Centre for Cognitive Science, Institute of Human Cognition and Brain Science, Macquarie University, Balaclava Road, North Ryde, Sydney, New South Wales 2109, Australia.
Schizophr Bull. 2012 Jun;38(4):678-82. doi: 10.1093/schbul/sbs006. Epub 2012 Feb 9.
Progress in identifying the neural correlates of auditory verbal hallucinations (AVHs) experienced by patients with schizophrenia has not fulfilled its promise to lead to new methods of treatments. Given the existence of a large number of such patients who have AVHs that are refractory to traditional treatments, there is the urgent need for the development of new effective interventions. This article proposes that the technique of neurofeedback may be an appropriate method to allow the translation of pure research findings from AVH-research into a clinical intervention. Neurofeedback is a method through which individuals can self-regulate their neural activity in specific neural regions/frequencies, following operant conditioning of their intentional manipulation of visually presented real-time feedback of their neural activity. Four empirically testable hypotheses are proposed as to how neurofeedback may be employed to therapeutic effect in patients with AVHs.
在确定精神分裂症患者所经历的听觉言语幻觉(AVH)的神经相关性方面,虽然已经取得了一些进展,但并未如预期的那样为治疗方法带来新的突破。鉴于存在大量的此类患者,他们的 AVH 对传统治疗方法具有抗性,因此迫切需要开发新的有效干预措施。本文提出,神经反馈技术可能是一种合适的方法,可以将 AVH 研究中的纯研究成果转化为临床干预措施。神经反馈是一种通过操作条件作用,对个体进行视觉呈现的实时反馈,从而对其有意操纵的神经活动进行训练,以此来实现对特定神经区域/频率的神经活动进行自我调节的方法。本文提出了四个可以进行实证检验的假设,探讨了如何将神经反馈技术应用于治疗 AVH 患者的方法。