Cited by 349Hallucinations in medical conditionsSchizophrenia research and treatmentMental Health and Psychiatry

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Abnormal monitoring of inner speech: a physiological basis for auditory hallucinations

McGuire, P.K., David, A.S., Murray, R.M., Frackowiak, R.S.J., Frith, C.D., Wright, I., Silbersweig, D.A.·1995·The Lancet

DOI 10.1016/s0140-6736(95)91435-8

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Abstract

Auditory verbal hallucinations ("voices") are thought to arise from a disorder of inner speech (thinking in words). We examined the neural correlates of tasks which involve inner speech in subjects with schizophrenia who hear voices (hallucinators), subjects with schizophrenia who do not (nonhallucinators), and normal controls. There were no differences between hallucinators and controls in regional cerebral blood flow during thinking in sentences. However, when imagining sentences being spoken in another person's voice--which entails both the generation and monitoring of inner speech--hallucinators had a normal left frontal response, but reduced activation in the left middle temporal gyrus and the rostral supplementary motor area, regions which were activated by both normal subjects and nonhallucinators (p < 0.001). These findings suggest that a predisposition to verbal hallucinations is associated with a failure to activate areas concerned with the monitoring of inner speech.

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Authors: McGuire, P. K., David, A. S., Murray, R. M., Frackowiak, R. S. J., Frith, C. D., Wright, I., & Silbersweig, D. A.
Affiliations: Hammersmith Hospital (GB)
Weill Cornell Medical Center (US)
ORCID: McGuire, P.K.
David, A.S.
Murray, R.M.
Frackowiak, R.S.J.
Frith, C.D.
Venue: The Lancet
Publisher: Elsevier BV
Published: 1995-09
Volume: 346
Issue: 8975
Pages: 596-600
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(95)91435-8
OpenAlex: W1994899805
Cited by: 349
References: 32
Citations by year: 2026: 6 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 8 · 2021: 11 · 2020: 9 · 2019: 23 · 2018: 8 · 2017: 8 · 2016: 9 · 2015: 12 · 2014: 12 · 2013: 12 · 2012: 19
FWCI: 7.47
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Research Portal (King's College London) (submittedVersion)
Funders: Wellcome Trust
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: auditory verbal hallucinations, inner speech, schizophrenia, neural correlates, regional cerebral blood flow, left middle temporal gyrus, supplementary motor area, sentence generation, frontal lobe activation
MeSH terms: Adult, Auditory Perceptual Disorders, Cerebrovascular Circulation, Hallucinations, Humans, Male, Schizophrenia, Speech Perception, Tomography, Emission-Computed

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Abnormal monitoring of inner speech: a physiological basis for auditory hallucinations

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