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The phenomenology of inner speech: comparison of schizophrenia patients with auditory verbal hallucinations and healthy controls

Published online by Cambridge University Press:  30 July 2008

R. Langdon ,
S. R. Jones ,
E. Connaughton  and
C. Fernyhough
R. Langdon
Affiliation:
Macquarie Centre for Cognitive Science, Macquarie University, Sydney, Australia Cognition and Connectivity Panel, Schizophrenia Research Institute, Australia Schizophrenia Research Unit, Sydney South West Area Health Service, Australia
S. R. Jones*
Affiliation:
Department of Psychology, Durham University, UK
E. Connaughton
Affiliation:
Macquarie Centre for Cognitive Science, Macquarie University, Sydney, Australia
C. Fernyhough
Affiliation:
Department of Psychology, Durham University, UK
*
*Address for correspondence: S. R. Jones, Department of Psychology, Durham University, South Road, Durham DH1 3LE, UK. (Email: [email protected])
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Abstract

Background

Despite the popularity of inner-speech theories of auditory verbal hallucinations (AVHs), little is known about the phenomenological qualities of inner speech in patients with schizophrenia who experience AVHs (Sz-AVHs), or how this compares to inner speech in the non-voice-hearing general population.

Method

We asked Sz-AVHs (n=29) and a non-voice-hearing general population sample (n=42) a series of questions about their experiences of hearing voices, if present, and their inner speech.

Results

The inner speech reported by patients and controls was found to be almost identical in all respects. Furthermore, phenomenological qualities of AVHs (e.g. second- or third-person voices) did not relate to corresponding qualities in inner speech.

Conclusions

No discernable differences were found between the inner speech reported by Sz-AVHs and healthy controls. Implications for inner-speech theories of AVHs are discussed.

Keywords

Auditory verbal hallucinationsinner speechphenomenologyschizophreniaVygotsky
Type
Original Articles
Information
Psychological Medicine , Volume 39 , Issue 4 , April 2009 , pp. 655 - 663
Copyright
Copyright © 2008 Cambridge University Press

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References

Allen, P, Freeman, D, Johns, L, McGuire, P (2006). Misattribution of self-generated speech in relation to hallucinatory proneness and delusional ideation in healthy volunteers. Schizophrenia Research 84, 281–288.CrossRefGoogle ScholarPubMed
Andreasen, NC (1984 a). Scale for the Assessment of Positive Symptoms (SAPS). The University of Iowa: Iowa.Google Scholar
Andreasen, NC (1984 b). Scale for the Assessment of Negative Symptoms (SANS). The University of Iowa: Iowa.Google Scholar
Clark-Carter, D (1997). Doing Qualitative Psychological Research: From Design to Report. Psychological Press: East Sussex.Google Scholar
Fernyhough, C (2004). Alien voices and inner dialogue: towards a developmental account of auditory verbal hallucinations. New Ideas in Psychology 22, 49–68.CrossRefGoogle Scholar
Frith, CD, Rees, G, Friston, K (1999). Psychosis and the experience of self: brain systems underlying self-monitoring. Annals of New York Academy of Sciences 843, 170–177.CrossRefGoogle Scholar
Hurlburt, R (1990). Sampling Normal and Schizophrenic Experience. Plenum: New York.CrossRefGoogle Scholar
Hurlburt, RT, Heavey, CL (2001). Telling what we know: describing inner experience. Trends in Cognitive Sciences 5, 400–403.CrossRefGoogle ScholarPubMed
Jones, SR, Fernyhough, C (2007 a). Neural correlates of inner speech and auditory verbal hallucinations: a critical review and theoretical integration. Clinical Psychology Review 27, 140–154.CrossRefGoogle ScholarPubMed
Jones, SR, Fernyhough, C (2007 b). Thought as action: inner speech, self-monitoring, and auditory verbal hallucinations. Consciousness and Cognition 16, 391–399.CrossRefGoogle ScholarPubMed
Leudar, I, Thomas, P, McNally, D, Glinski, A (1997). What voices can do with words: pragmatics of verbal hallucinations. Psychological Medicine 27, 885–898.CrossRefGoogle Scholar
Lysaker, J, Lysaker, P (2005). Being interrupted: the self and schizophrenia. Journal of Speculative Philosophy 19, 1–21.CrossRefGoogle Scholar
McGuire, PK, Silbersweig, DA, Wright, I, Murray, RM, David, AS, Frackowiak, RS, Frith, CD (1995). Abnormal monitoring of inner speech: a physiological basis for auditory hallucinations. Lancet 346, 596–600.CrossRefGoogle ScholarPubMed
Nayani, TH, David, AS (1996). The auditory hallucination: a phenomenological survey. Psychological Medicine 26, 177–189.CrossRefGoogle ScholarPubMed
Nelson, H, Willison, J (1991). The Revised National Adult Reading Test (NART) – Test Manual, 2nd edn. NFER-Nelson: Windsor.Google Scholar
Nisbett, R, Wilson, T (1977). Telling more than we can know: verbal reports on mental processes. Psychological Review 84, 231–259.CrossRefGoogle Scholar
Seal, ML, Aleman, A, McGuire, PK (2004). Compelling imagery, unanticipated speech and deceptive memory: neurocognitive models of auditory verbal hallucinations in schizophrenia. Cognitive Neuropsychiatry 9, 43–72.CrossRefGoogle ScholarPubMed
Vygotsky, LS (1987). Thinking and Speech. The Collected Works of L. S. Vygotsky, vol. 1. Plenum: New York. Original work published 1934.Google Scholar
Waters, FAV, Badcock, JC, Michie, PT, Maybery, MT (2006). Auditory hallucinations in schizophrenia: intrusive thoughts and forgotten memories. Cognitive Neuropsychiatry 11, 65–83.CrossRefGoogle ScholarPubMed
Wiley, N (2006). Inner speech as a language: a Saussurean inquiry. Journal for the Theory of Social Behaviour 36, 319–341.CrossRefGoogle Scholar