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Inner speech and clarity of self-concept in thought disorder and auditory-verbal hallucinations

de Sousa, P.; Sellwood, W.; Spray, A.; Fernyhough, C.; Bentall, R.P.

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Authors

P. de Sousa

W. Sellwood

A. Spray

R.P. Bentall



Abstract

Eighty patients and thirty controls were interviewed using one interview that promoted personal disclosure and another about everyday topics. Speech was scored using the Thought, Language and Communication scale (TLC). All participants completed the Self-Concept Clarity Scale (SCCS) and the Varieties of Inner Speech Questionnaire (VISQ). Patients scored lower than comparisons on the SCCS. Low scores were associated the disorganized dimension of TD. Patients also scored significantly higher on condensed and other people in inner speech, but not on dialogical or evaluative inner speech. The poverty of speech dimension of TD was associated with less dialogical inner speech, other people in inner speech, and less evaluative inner speech. Hallucinations were significantly associated with more other people in inner speech and evaluative inner speech. Clarity of self-concept and qualities of inner speech are differentially associated with dimensions of TD. The findings also support inner speech models of hallucinations.

Citation

de Sousa, P., Sellwood, W., Spray, A., Fernyhough, C., & Bentall, R. (2016). Inner speech and clarity of self-concept in thought disorder and auditory-verbal hallucinations. Journal of Nervous and Mental Disease, 204(12), 885-893. https://doi.org/10.1097/nmd.0000000000000584

Journal Article Type Article
Acceptance Date Jul 6, 2016
Online Publication Date Dec 1, 2016
Publication Date Dec 1, 2016
Deposit Date Nov 18, 2016
Publicly Available Date Nov 24, 2016
Journal Journal of Nervous and Mental Disease
Print ISSN 0022-3018
Electronic ISSN 1539-736X
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 204
Issue 12
Pages 885-893
DOI https://doi.org/10.1097/nmd.0000000000000584

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Accepted Journal Article (474 Kb)
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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.






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