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Varieties of Voice-Hearing: Psychics and the Psychosis Continuum
Open accessAbstract
Hearing voices that are not present is a prominent symptom of serious mental illness. However, these experiences may be common in the non-help-seeking population, leading some to propose the existence of a continuum of psychosis from health to disease. Thus far, research on this continuum has focused on what is impaired in help-seeking groups. Here we focus on protective factors in non-help-seeking voice-hearers. We introduce a new study population: clairaudient psychics who receive daily auditory messages. We conducted phenomenological interviews with these subjects, as well as with patients diagnosed with a psychotic disorder who hear voices, people with a diagnosis of a psychotic disorder who do not hear voices, and matched control subjects (without voices or a diagnosis). We found the hallucinatory experiences of psychic voice-hearers to be very similar to those of patients who were diagnosed. We employed techniques from forensic psychiatry to conclude that the psychics were not malingering. Critically, we found that this sample of non-help-seeking voice hearers were able to control the onset and offset of their voices, that they were less distressed by their voice-hearing experiences and that, the first time they admitted to voice-hearing, the reception by others was much more likely to be positive. Patients had much more negative voice-hearing experiences, were more likely to receive a negative reaction when sharing their voices with others for the first time, and this was subsequently more disruptive to their social relationships. We predict that this sub-population of healthy voice-hearers may have much to teach us about the neurobiology, cognitive psychology and ultimately the treatment of voices that are distressing.
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“Voice-hearing embedded in an agreeable social world may become more manageable [68].”
From The “common” experience of voice-hearing and its relationship with shame and guilt: a systematic review (2022) · cites this paper as [68]
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Metadata
- Authors
- Powers, A. R., Kelley, M. S., & Corlett, P. R.
- Affiliations
- Yale University (US)
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-10-07
- Volume
- 43
- Issue
- 1
- Pages
- 84-98
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC5216860
- OpenAlex
- W2528212221
- Cited by
- 124
- References
- 60
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 13 · 2022: 19 · 2021: 11 · 2020: 28 · 2019: 9 · 2018: 15 · 2017: 8
- FWCI
- 6.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Schizophrenia Bulletin (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Connecticut Mental Health Center
- Connecticut State Department of Mental Health and Addiction Services (R01MH067073)
- NCPTSD
- IMHRO/ Janssen Rising Star Translational Research Award (UL1 TR000142)
- National Center for Research Resources
- National Center for Advancing Translational Science
- National Institutes of Health
- Integrated Mentored Patient-Oriented Research Training (5R25MH071584-07)
- Clinical Neuroscience Research Training in Psychiatry (5T32MH19961-14)
- Yale Detre Fellowship for Translational Neuroscience
- Brain and Behavior Research Foundation
- 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
- voice hearing, clairaudience
- MeSH terms
- Adult, Auditory Perception, Borderline Personality Disorder, Female, Hallucinations, Humans, Male, Middle Aged, Psychotic Disorders, Schizotypal Personality Disorder
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