Cited by 710Hallucinations in medical conditionsSchizophrenia research and treatmentMental Health and Psychiatry

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The auditory hallucination: a phenomenological survey

Nayani, Tony H., David, Anthony S.·1996·Psychological Medicine

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Abstract

A comprehensive semi-structured questionnaire was administered to 100 psychotic patients who had experienced auditory hallucinations. The aim was to extend the phenomenology of the hallucination into areas of both form and content and also to guide future theoretical development. All subjects heard 'voices' talking to or about them. The location of the voice, its characteristics and the nature of address were described. Precipitants and alleviating factors plus the effect of the hallucinations on the sufferer were identified. Other hallucinatory experiences, thought insertion and insight were examined for their inter-relationships. A pattern emerged of increasing complexity of the auditory-verbal hallucination over time by a process of accretion, with the addition of more voices and extended dialogues, and more intimacy between subject and voice. Such evolution seemed to relate to the lessening of distress and improved coping. These findings should inform both neurological and cognitive accounts of the pathogenesis of auditory hallucinations in psychotic disorders.

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Authors: Nayani, T. H., & David, A. S.
Affiliations: King's College Hospital (GB)
Corresponding author: David, Anthony S.
ORCID: David, Anthony S.
Venue: Psychological Medicine
Publisher: Cambridge University Press (CUP)
Published: 1996-01
Volume: 26
Issue: 1
Pages: 177-189
ISSN: 0033-2917 (ISSN-L)
1469-8978
DOI: 10.1017/s003329170003381x
OpenAlex: W2052683850
Cited by: 710
References: 71
Citations by year: 2026: 14 · 2025: 16 · 2024: 14 · 2023: 19 · 2022: 22 · 2021: 31 · 2020: 39 · 2019: 30 · 2018: 21 · 2017: 30 · 2016: 37 · 2015: 35 · 2014: 25 · 2013: 44 · 2012: 43
FWCI: 7.58
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified, 4938 d)
Locations: Psychological Medicine (publishedVersion)
PubMed (publishedVersion)
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 hallucinations, voice, psychosis, phenomenology of hallucinations, thought insertion, insight, coping, distress
MeSH terms: Adaptation, Psychological, Adult, Awareness, Delusions, Female, Follow-Up Studies, Hallucinations, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Reality Testing, Social Environment, Sound Localization, Speech Perception

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The auditory hallucination: a phenomenological survey

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