Hersh K, Borum R
Department of Psychology, University of North Carolina, Chapel Hill 27599-3270, USA.
J Am Acad Psychiatry Law. 1998;26(3):353-9.
Command hallucinations are auditory hallucinations that instruct a patient to act in specific ways; these commands can range in seriousness from innocuous to life-threatening. This article summarizes two areas of research regarding command hallucinations: rates of compliance with command hallucinations; and factors associated with compliance. Researchers have reported rates of compliance ranging from 39.2 percent to 88.5 percent. Compliance has not been consistently related to dangerousness of commands. Instead, research suggests that Individuals are more likely to comply with commands if they recognize the hallucinated voice and if their hallucinations are related to a delusion. Implications for risk assessment are discussed in light of the research.
命令性幻听是指指导患者以特定方式行事的幻听；这些命令的严重程度从无害到危及生命不等。本文总结了关于命令性幻听的两个研究领域：对命令性幻听的依从率；以及与依从性相关的因素。研究人员报告的依从率在39.2%至88.5%之间。依从性与命令的危险性之间并没有始终如一的关联。相反，研究表明，如果个体能够识别幻听的声音，并且其幻听与妄想有关，那么他们更有可能依从命令。本文根据该研究讨论了对风险评估的影响。
