McCarthy-Jones Simon, Trauer Tom, Mackinnon Andrew, Sims Eliza, Thomas Neil, Copolov David L
To whom correspondence should be addressed; ARC Centre of Excellence in Cognition and Its Disorders, Department of Cognitive Science, Macquarie University, Balaclava Road, North Ryde, NSW 2109, Australia; tel: +61 2 9850 8669, fax: +61 2 9850 6059, e-mail:
Schizophr Bull. 2014 Jan;40(1):231-5. doi: 10.1093/schbul/sbs156. Epub 2012 Dec 23.
A comprehensive understanding of the phenomenology of auditory hallucinations (AHs) is essential for developing accurate models of their causes. Yet, only 1 detailed study of the phenomenology of AHs with a sample size of N ≥ 100 has been published. The potential for overreliance on these findings, coupled with a lack of phenomenological research into many aspects of AHs relevant to contemporary neurocognitive models and the proposed (but largely untested) existence of AH subtypes, necessitates further research in this area. We undertook the most comprehensive phenomenological study of AHs to date in a psychiatric population (N = 199; 81% people diagnosed with schizophrenia), using a structured interview schedule. Previous phenomenological findings were only partially replicated. New findings included that 39% of participants reported that their voices seemed in some way to be replays of memories of previous conversations they had experienced; 45% reported that the general theme or content of what the voices said was always the same; and 55% said new voices had the same content/theme as previous voices. Cluster analysis, by variable, suggested the existence of 4 AH subtypes. We propose that there are likely to be different neurocognitive processes underpinning these experiences, necessitating revised AH models.
全面理解幻听（AHs）的现象学对于建立其成因的准确模型至关重要。然而，目前仅发表了一项样本量N≥100的关于AHs现象学的详细研究。过度依赖这些研究结果的可能性，再加上对与当代神经认知模型相关的AHs诸多方面缺乏现象学研究，以及AHs亚型的存在（但大多未经检验），使得该领域有必要进一步开展研究。我们采用结构化访谈提纲，对一个精神科群体（N = 199；81%被诊断为精神分裂症）进行了迄今为止最全面的AHs现象学研究。之前的现象学研究结果仅得到部分重现。新发现包括，39%的参与者报告称，他们听到的声音在某种程度上似乎是他们之前经历过的对话记忆的回放；45%的参与者报告称，声音所说内容的总体主题或内容总是相同的；55%的参与者表示，新出现的声音与之前的声音具有相同的内容/主题。通过变量进行聚类分析，结果表明存在4种AHs亚型。我们认为，这些体验背后可能存在不同的神经认知过程，因此有必要对AHs模型进行修订。
