Subjective Loudness and Reality of Auditory Verbal Hallucinations and Activation of the Inner Speech Processing Network
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BACKGROUND: One of the most influential cognitive models of auditory verbal hallucinations (AVH) suggests that a failure to adequately monitor the production of one's own inner speech leads to verbal thought being misidentified as an alien voice. However, it is unclear whether this theory can explain the phenomenological complexity of AVH. We aimed to assess whether subjective perceptual and experiential characteristics may be linked to neural activation in the inner speech processing network. METHODS: Twenty-two patients with schizophrenia and AVH underwent a 3-T functional magnetic resonance imaging scan, while performing a metrical stress evaluation task, which has been shown to activate both inner speech production and perception regions. Regions of interest (ROIs) comprising the putative inner speech network were defined using the Anatomical Automatic Labeling system. Correlations were calculated between scores on the "loudness" and "reality" subscales of the Auditory Hallucination Rating Scale (AHRS) and activation in these ROIs. Second, the AHRS subscales, and general AVH severity, indexed by the Positive and Negative Syndrome Scale, were correlated with a language lateralization index. RESULTS: Louder AVH were associated with reduced task-related activity in bilateral angular gyrus, anterior cingulate gyrus, left inferior frontal gyrus, left insula, and left temporal cortex. This could potentially be due to a competition for shared neural resources. Reality on the other hand was found to be associated with reduced language lateralization. CONCLUSION: Strong activation of the inner speech processing network may contribute to the subjective loudness of AVH. However, a relatively increased contribution from right hemisphere language areas may be responsible for the more complex experiential characteristics, such as the nonself source or how real AVH are.
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In resting-state networks, the role of the amygdala tends to decrease, and its connectivity with the left temporoparietal region is reduced, which is generally overactive during AVHs.
“Moreover, Van Lutterveld and colleagues found that, in resting-state networks, the role of the amygdala tends to decrease, and Vercammen found its reduced connectivity with the left temporoparietal region, which is recognised to be generally overactive during AVHs [76, 77].”
From The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review (2022) · cites this paper as [77]
The Abstract and fMRI Results report task-related activation in inner-speech regions and its association with hallucination loudness, not amygdala connectivity. Searches for amygdala–temporoparietal connectivity and resting-state networks found no passage supporting the finding attributed to Vercammen; the Discussion also does not establish that the left temporoparietal region is generally overactive during AVHs. (LLM, conf=0.76)
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Marzloff, V., Alary, M., Razafimandimby, A., & Dollfus, S. (2012) · L information psychiatrique · doi:10.3917/inpsy.8810.0823
Imagerie cérébrale fonctionnelle de l'hallucination ou comment voir ce que les hallucinés entendent
Jardri, R., & Thomas, P. (2012) · L information psychiatrique · doi:10.3917/inpsy.8810.0815
A systematic review of fMRI lateralization indicesPreprint
Day, T. K. M. (2022) · doi:10.31234/osf.io/af7x6
Dysfunction of the motivational brain
Xu, P. (2022) · doi:10.33612/diss.219070985
Zheng, Z., Zou, K., Huang, J., Yang, J., Zhou, J., Xiong, R., & Li, Y. (2023) · Springer eBooks · doi:10.1007/978-981-99-4538-2_20
Thomas, F. (2020) · theses.fr (ABES) · doi:10.70675/984ec26az65fbz4764z9c32zf9e18cb6d5f7
Talking about hearing voices : a narrative analysis of experience
O’Halloran, L. (2014) · Figshare
- Authors
- Vercammen, A., Knegtering, H., Bruggeman, R., & Aleman, A.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Vercammen, A.
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-02-17
- Volume
- 37
- Issue
- 5
- Pages
- 1009-1016
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC3160225
- OpenAlex
- W2131801225
- Cited by
- 63
- References
- 38
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 7 · 2021: 2 · 2020: 2 · 2019: 11 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 10
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Funders
- Alexander von Humboldt-Stiftung
- 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
- MeSH terms
- Adolescent, Adult, Cerebral Cortex, Female, Hallucinations, Humans, Language, Functional Laterality, Loudness Perception, Magnetic Resonance Imaging, Male, Middle Aged, Nerve Net, Neuropsychological Tests, Speech, Young Adult
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