Auditory hallucinations: Failure to inhibit irrelevant memories
Abstract
INTRODUCTION: The frequency of auditory hallucinations (AH) is associated with efficiency in inhibiting irrelevant memories, suggesting that the presence of AH may be related to the intrusion of strongly activated representations in memory. Therefore, we hypothesised that the inability to suppress irrelevant memories would be found only in patients currently experiencing AH. METHOD: Performance on a repeated, continuous recognition task was examined in 23 schizophrenia patients with AH present, 20 schizophrenia patients with AH absent, and 24 healthy controls. RESULTS: Patients with current AH made significantly more inappropriate responses (false alarms) to distractors seen on previous runs of the task than nonhallucinating patients. The ability to detect targets (hits) was significantly better in healthy controls than schizophrenia patients, however, there was no significant difference between the two patient subgroups. CONCLUSIONS: The findings confirm that the presence of AH involves a failure to suppress memories that are not relevant to ongoing reality. We propose that a combination of deficits in inhibition and (episodic) memory provides a useful model of AH, which can accommodate many of the characteristic features of the symptom and fits well with the neuroanatomical circuitry that is believed to underlie the occurrence of AH.
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AVHs likely take multiple forms, with only some forms explicable in terms of misattributed inner speech.
“A further development has been the recognition that AVHs likely take multiple forms (Jones, 2010), with only some forms of the phenomenon being explicable in terms of misattributed inner speech: others may be better understood in terms of a “hypervigilant” attention to external threat (Dodgson & Gordon, 2009), or intrusions from memory (Michie, Badcock, Waters, & Maybery, 2005).”
From Inner Speech: Development, Cognitive Functions, Phenomenology, and Neurobiology (2015) · cites this paper as Michie, Badcock, Waters, & Maybery, 2005
Hallucination frequency in schizophrenia is associated with difficulties on tasks requiring suppression of irrelevant and distracting information, pointing to deficits in intentional inhibition.
“In support, studies have showed that hallucination frequency in SCZ was associated with difficulties on tasks requiring the suppression of irrelevant information and distracting information, like the ICIM and HSCT tasks, 98,99 a Directed Forgetting (DF) task, 100 and the Dichotic Listening task, 101 all pointing to deficits in intentional inhibition.”
From Are hallucinations due to an imbalance between excitatory and inhibitory influences on the brain? (2016) · cites this paper as [99]
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Unsolicited reports of voice hearing in the general population: a study using a novel method
Vilhauer, R. P., & Sharma, H. (2018) · Psychosis · doi:10.1080/17522439.2018.1485727 · Cited by 3 · see citing works
Deep brain stimulation and psychosis: A case series and two candidate causal brain circuitsPreprint
Meyer, G. M., Pines, A. R., Roldán, A., Aracil‐Bolaños, I., Settle, E. G., Sahin, I. A., Schaper, F. L. W. V. J., Neudorfer, C., Järvenpää, S., Kamo, H., et al. (2025) · medRxiv · doi:10.1101/2025.11.18.25340443 · Cited by 3 · see citing works
Phenomenology of Voice-Hearing in Psychosis Spectrum Disorders: a Review of Neural Mechanisms
Cruz, L. N., Pozzo, J. D., Zar, T., & Hansen, M. C. (2019) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-019-00196-z · Cited by 2 · see citing works
Neurocognitive Models of Auditory Verbal Hallucinations in Schizophrenia: A Review.
Panikratova, Y. R., & Лебедева, И. С. (2022) · Clinical Psychology and Special Education · doi:10.17759/cpse.2022110105 · Cited by 2 · see citing works
Reduced susceptibility to experimentally-induced complex visual hallucinations with age
Shenyan, O., Haye, L., Milne, G. A., Lisi, M., Greenwood, J. A., Skipper, J. I., & Dekker, T. M. (2025) · Cortex · doi:10.1016/j.cortex.2025.08.001 · Cited by 2 · see citing works
Flowers in the Attic: Lateralization of the detection of meaning in visual noise
Cropper, S. J., McCauley, A., Gwinn, O. S., Bartlett, M. L., & Nicholls, M. E. R. (2020) · Journal of Vision · doi:10.1167/jov.20.10.11 · Cited by 2 · see citing works
Bere, M., Rossell, S. L., Tan, E. J., Carruthers, S. P., Gurvich, C., Neill, E., Sumner, P. J., Rheenen, T. E. V., & Toh, W. L. (2024) · Cognitive Neuropsychiatry · doi:10.1080/13546805.2024.2314941 · Cited by 1 · see citing works
A life in academia: My career in brief
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Role of prefrontal cortex in auditory-verbal hallucinations: Actor or passive bystander?
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A neuroanatomical investigation of belief and doubt
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Cognitive processing associated with hallucinations for At Risk Mental State
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Auditory verbal hallucinations and the brain
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Treatment of patients with therapy-resistant auditory verbal hallucinations
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An investigation into the amphetamine model of psychosis in healthy volunteers
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Cognitive and perceptual mechanisms in clinical and non-clinical auditory hallucinations
Chhabra, S. (2012) · UWA Profiles and Research Repository (University of Western Australia)
Schizotypy: Consideration of neurological soft signs, language and affective factors
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Inhibition, anxiety and the development of auditory hallucinations
Paulik, G. (2008) · UWA Profiles and Research Repository (University of Western Australia)
Orbitofrontal reality filtering
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Phenomenological Psychiatry of Schizophrenia
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The role of sleep health and cognitive control in the occurrence of hallucinatory experiencesPreprint
Punton, G., Smailes, D., McCarty, K., Ellis, J. G., & Moseley, P. (2024) · doi:10.31234/osf.io/erqh4
- Authors
- Michie, P. T., Badcock, J. C., Waters, F. A. V., & Maybery, M. T.
- Affiliations
- The University of Western Australia (AU)
- Corresponding author
- Waters, Flavie A. V.
- Venue
- Cognitive Neuropsychiatry
- Publisher
- Informa UK Limited
- Published
- 2005-05
- Volume
- 10
- Issue
- 2
- Pages
- 125-136
- ISSN
- 1354-6805 (ISSN-L)
- 1464-0619
- OpenAlex
- W2003119826
- Cited by
- 104
- References
- 33
- Citations by year
- 2025: 6 · 2024: 5 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 9 · 2016: 6 · 2015: 6 · 2014: 5 · 2013: 6 · 2012: 11
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Neuropsychiatry (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Keywords
- auditory hallucinations, memory inhibition, schizophrenia, episodic memory, distractor suppression, recognition memory, memory intrusion
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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