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Clinical practice of rTMS reveals a functional dissociation between agency and hallucinations in schizophrenia
Abstract
We report here the case of a hospitalized 11 year-old boy (YP) with a positive diagnosis of 'Childhood Onset Schizophrenia'. YP experienced verbal-auditory hallucinations, a delusion of alien control and hetero-aggressive behaviour. Antipsychotic drugs were unsuccessful and furthermore provoked severe acute dystonia. fMRI-guided rTMS applied over several cortical regions provided the means to reveal for the first time a functional dissociation between auditory-verbal hallucinations and agency. These results demonstrate the efficacy of rTMS for young patients suffering from drug-resistant hallucinations but they furthermore question the physiopathology of the hallucinatory process by suggesting that agency and hallucinations may be sub-served by different neural networks.
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“Jardri et al. (2009) showed that low-frequency stimulation of the right TPJ could improve performance on both types of task, but not decrease frequency of AVHs; meanwhile, left TPJ stimulation achieved both.”
From Auditory verbal hallucinations as atypical inner speech monitoring, and the potential of neurostimulation as a treatment option (2013) · cites this paper as Jardri et al., 2009
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Metadata
- Authors
- Jardri, R., Delevoye-Turrell, Y., Lucas, B., Pins, D., Bulot, V., Delmaire, C., Thomas, P., Delion, P., & Goeb, J.-L.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Centre Hospitalier Universitaire de Lille (FR)
- Corresponding author
- Jardri, Renaud
- Venue
- Neuropsychologia
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 47
- Issue
- 1
- Pages
- 132-138
- ISSN
- 0028-3932 (ISSN-L)
- OpenAlex
- W2155906408
- Cited by
- 51
- References
- 34
- Citations by year
- 2025: 1 · 2024: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 3 · 2017: 2 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 5
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychologia (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- LillOA (Université de Lille (University Of Lille)) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Keywords
- repetitive transcranial magnetic stimulation, childhood schizophrenia, auditory verbal hallucinations, agency, functional dissociation
- MeSH terms
- Brain Mapping, Child, Dissociative Disorders, Electric Stimulation, Hallucinations, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Oxygen, Schizophrenia, Childhood, Schizophrenic Psychology, Transcranial Magnetic Stimulation
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