We use cookies to ensure that we give you the best experience on our website. By continuing to browse this repository, you give consent for essential cookies to be used. You can read more about our Privacy and Cookie Policy.

Durham Research Online
You are in:

Auditory hallucinations in schizophrenia and nonschizophrenia populations : a review and integrated model of cognitive mechanisms.

Waters, F. and Allen, P. and Aleman, A. and Fernyhough, C. and Woodward, T. and Badcock, J. C. and Barkus, E. and Johns, L. and Varese, F. and Menon, M. and Vercammen, A. and Larøi, F. (2012) 'Auditory hallucinations in schizophrenia and nonschizophrenia populations : a review and integrated model of cognitive mechanisms.', Schizophrenia bulletin., 38 (4). pp. 683-693.


While the majority of cognitive studies on auditory hallucinations (AHs) have been conducted in schizophrenia (SZ), an increasing number of researchers are turning their attention to different clinical and nonclinical populations, often using SZ findings as a model for research. Recent advances derived from SZ studies can therefore be utilized to make substantial progress on AH research in other groups. The objectives of this article were to (1) present an up-to-date review regarding the cognitive mechanisms of AHs in SZ, (2) review findings from cognitive research conducted in other clinical and nonclinical groups, and (3) integrate these recent findings into a cohesive framework. First, SZ studies show that the cognitive underpinnings of AHs include self-source-monitoring deficits and executive and inhibitory control dysfunctions as well as distortions in top-down mechanisms, perceptual and linguistic processes, and emotional factors. Second, consistent with SZ studies, findings in other population groups point to the role of top-down processing, abnormalities in executive inhibition, and negative emotions. Finally, we put forward an integrated model of AHs that incorporates the above findings. We suggest that AHs arise from an interaction between abnormal neural activation patterns that produce salient auditory signals and top-down mechanisms that include signal detection errors, executive and inhibition deficits, a tapestry of expectations and memories, and state characteristics that influence how these experiences are interpreted. Emotional factors play a particular prominent role at all levels of this hierarchy. Our model is distinctively powerful in explaining a range of phenomenological characteristics of AH across a spectrum of disorders.

Item Type:Article
Additional Information:
Keywords:Symptoms, Psychosis, Hallucinosis, Research, Domain, Criteria, Auditory network, Model.
Full text:Full text not available from this repository.
Publisher Web site: 10.1093/schbul/sbs045
Date accepted:No date available
Date deposited:No date available
Date of first online publication:July 2012
Date first made open access:No date available

Save or Share this output

Look up in GoogleScholar