Compelling imagery, unanticipated speech and deceptive memory: neurocognitive models of auditory verbal hallucinations in schizophrenia

Seal, Marc; Aleman, Andre; McGuire, Philip

doi:10.1080/13546800344000156

Cited by 178Schizophrenia research and treatmentHallucinations in medical conditionsMental Health and Psychiatry

Compelling imagery, unanticipated speech and deceptive memory: neurocognitive models of auditory verbal hallucinations in schizophrenia

Seal, Marc, Aleman, Andre, McGuire, Philip·2004·Cognitive Neuropsychiatry

DOI 10.1080/13546800344000156

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Abstract

INTRODUCTION: The application of neurocognitive models to study schizophrenia has been influential in understanding the nature of this complex and heterogeneous disorder. However, a comprehensive and empirically validated account of auditory hallucinations remains elusive. The aim of this review was to critically assess the current evidence for specific neurocognitive deficits associated with auditory verbal hallucinations (AVHs) in schizophrenia. METHODS: A systematic literature search was conducted of research involving three influential cognitive models of auditory hallucinations: those implicating dysfunction in auditory imagery, verbal self-monitoring, and episodic memory. RESULTS: The findings of the review suggested that AVHs have been associated with impaired verbal self-monitoring, impaired memory for self-generated speech, heightened influence of top-down processing on perception, and an externalising response bias. CONCLUSIONS: On the basis of the findings of the review a multidimensional model of AVHs is proposed incorporating the identified cognitive deficits and biases.

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If the planned action occurs and appropriate sensory information is received as reafference, the event is labelled as self-generated.
“If the planned action then occurs (and appropriate sensory information is received as reafference), the event is labelled as self-generated (Seal et al., 2004; Wolpert et al., 1995).”
From Auditory verbal hallucinations as atypical inner speech monitoring, and the potential of neurostimulation as a treatment option (2013) · cites this paper as Seal et al., 2004
There is evidence supporting the theory that voice-hearing results from inner speech being misattributed to an external source, that is, a problem of source monitoring.
“There is evidence supporting the theory that voice-hearing results from inner speech being misattributed to an external source, that is, a problem of source monitoring. 23-25”
From Towards an Integrative Account of Potential Mechanisms Mediating the Path From Sleep Dysfunction to Hallucinations (2025) · cites this paper as [25]

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Authors: Seal, M., Aleman, A., & McGuire, P.
Affiliations: Institute of Psychiatry, UK,
ORCID: Seal, Marc
McGuire, Philip
Venue: Cognitive Neuropsychiatry
Publisher: Informa UK Limited
Published: 2004-02
Volume: 9
Issue: 1-2
Pages: 43-72
ISSN: 1354-6805 (ISSN-L)
1464-0619
DOI: 10.1080/13546800344000156
OpenAlex: W2006493150
Cited by: 178
References: 116
Citations by year: 2026: 1 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 6 · 2019: 4 · 2018: 7 · 2017: 6 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 13 · 2012: 19
FWCI: 8.09
Type: journal article
Language: en
Open access: closed
Locations: Cognitive Neuropsychiatry (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: auditory verbal hallucinations, schizophrenia, neurocognitive model, auditory imagery, verbal self-monitoring, episodic memory, top-down processing, cognitive impairment

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Compelling imagery, unanticipated speech and deceptive memory: neurocognitive models of auditory verbal hallucinations in schizophrenia

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