The role of the primary auditory cortex in the neural mechanism of auditory verbal hallucinations
Open accessAbstract
Auditory verbal hallucinations (AVHs) are a subjective experience of "hearing voices" in the absence of corresponding physical stimulation in the environment. The most remarkable feature of AVHs is their perceptual quality, that is, the experience is subjectively often as vivid as hearing an actual voice, as opposed to mental imagery or auditory memories. This has lead to propositions that dysregulation of the primary auditory cortex (PAC) is a crucial component of the neural mechanism of AVHs. One possible mechanism by which the PAC could give rise to the experience of hallucinations is aberrant patterns of neuronal activity whereby the PAC is overly sensitive to activation arising from internal processing, while being less responsive to external stimulation. In this paper, we review recent research relevant to the role of the PAC in the generation of AVHs. We present new data from a functional magnetic resonance imaging (fMRI) study, examining the responsivity of the left and right PAC to parametrical modulation of the intensity of auditory verbal stimulation, and corresponding attentional top-down control in non-clinical participants with AVHs, and non-clinical participants with no AVHs. Non-clinical hallucinators showed reduced activation to speech sounds but intact attentional modulation in the right PAC. Additionally, we present data from a group of schizophrenia patients with AVHs, who do not show attentional modulation of left or right PAC. The context-appropriate modulation of the PAC may be a protective factor in non-clinical hallucinations.
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To our knowledge, this is the first NCVH study to have successfully combined a complex behavioural paradigm with imaging data to examine a potential mechanism underlying hallucination, while maintaining conservative whole-brain corrections.
“To our knowledge, this is the first NCVH study to have successfully combined a complex behavioural paradigm with imaging data to examine a potential mechanism underlying hallucination, and while maintaining conservative whole-brain corrections.”
From Distinct processing of ambiguous speech in people with non-clinical auditory verbal hallucinations (2017) · cites this paper as Kompus et al., 2013
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van Lutterveld, R., Oranje, B., Kemner, C., Abramovic, L., Willems, A. E., Boks, M. P., Glenthoj, B. Y., Kahn, R. S., & Sommer, I. E. (2010) · Schizophrenia Research · doi:10.1016/j.schres.2010.04.017 · Cited by 36 · see citing works
Koenig, T. W., van Swam, C., Dierks, T., & Hubl, D. (2012) · Schizophrenia Research · doi:10.1016/j.schres.2012.07.016 · Cited by 35 · see citing works
Mathew, V. M., Gruzelier, J. H., & Liddle, P. F. (1993) · Psychiatry Research · doi:10.1016/0165-1781(93)90015-9 · Cited by 31 · see citing works
Neuropathology of Schizophrenia
Harrison, P. J., & Lewis, D. (2003) · doi:10.1002/9780470987353.ch17 · Cited by 28 · see citing works
Cognitive Control of Auditory Laterality
Westerhausen, R., & Hugdahl, K. (2010) · The MIT Press eBooks · doi:10.7551/mitpress/9780262014137.003.0350 · Cited by 24 · see citing works
Self-citationLewis-Hanna, L. L., Hunter, M. D., Farrow, T. F. D., Wilkinson, I. D., & Woodruff, P. W. R. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2011.04.058 · Cited by 21 · see citing works
AUDITORY HALLUCINATIONS ELICIT SIMILAR BRAIN ACTIVATION IN PSYCHOTIC AND NON-PSYCHOTIC INDIVIDUALS
Sommer, I. E. (2012) · Schizophrenia Research · doi:10.1016/s0920-9964(12)70250-5 · Cited by 10 · see citing works
Modinos, G., Costafreda, S. G., van Tol, M., et al. (2012) · Schizophrenia Research · doi:10.1016/s0920-9964(12)70882-4 · Cited by 9 · see citing works
A Functional Magnetic Resonance Imaging Study of Auditory Mismatch in Schizophrenia
Wible, C. G. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.987.938 · Cited by 4 · see citing works
Cognitive Control of Auditory Laterality
Westerhausen, R., & Hugdahl, K. (2010) · The MIT Press eBooks · doi:10.7551/mitpress/8137.003.0024 · Cited by 2 · see citing works
Self-citation
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Auditory Verbal Hallucinations in Persons With and Without a Need for Care
Johns, L. C., Kompus, K., Connell, M., Humpston, C., Lincoln, T. M., Longden, E., Preti, A., Alderson-Day, B., Badcock, J. C., Cella, M., et al. (2014) · Schizophrenia Bulletin · doi:10.1093/schbul/sbu005 · Cited by 311 · see citing works
Self-citationBaumeister, D., Sedgwick, O., Howes, O., & Peters, E. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2016.10.010 · Cited by 220 · see citing works
Distinct processing of ambiguous speech in people with non-clinical auditory verbal hallucinations
Alderson-Day, B., Lima, C. F., Evans, S., Krishnan, S., Shanmugalingam, P., Fernyhough, C., & Scott, S. K. (2017) · Brain · doi:10.1093/brain/awx206 · Cited by 108 · see citing works
- Authors
- Kompus, K., Falkenberg, L. E., Bless, J. J., Johnsen, E., Kroken, R. A., Kråkvik, B., Larøi, F., Løberg, E.-M., Vedul-Kjelsås, E., Westerhausen, R., & Hugdahl, K.
- Affiliations
- University of Bergen (NO)
- Haukeland University Hospital (NO)
- St Olav's University Hospital (NO)
- University of Liège (BE)
- Corresponding author
- Kompus, Kristiina
- ORCID
- Venue
- Frontiers in Human Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2013
- Volume
- 7
- Pages
- 144-144
- ISSN
- 1662-5161 (ISSN-L)
- PMC
- PMC3633947
- OpenAlex
- W2164097772
- Cited by
- 91
- References
- 101
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 4 · 2023: 40 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 8 · 2014: 3 · 2013: 2
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Human Neuroscience (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- BIBSYS Brage (BIBSYS (Norway)) (acceptedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neuroscience and Music Perception
- Keywords
- auditory verbal hallucinations, primary auditory cortex, speech perception, schizophrenia, hemispheric lateralization
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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