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Shot through with voices : dissociation mediates the relationship between varieties of inner speech and auditory hallucination proneness.

Alderson-Day, B. and McCarthy-Jones, S. and Bedford, S. and Collins, H. and Dunne, H. and Rooke, C. and Fernyhough, C. (2014) 'Shot through with voices : dissociation mediates the relationship between varieties of inner speech and auditory hallucination proneness.', Consciousness and cognition., 27 . pp. 288-296.

Abstract

Inner speech is a commonly experienced but poorly understood phenomenon. The Varieties of Inner Speech Questionnaire (VISQ; McCarthy-Jones & Fernyhough, 2011) assesses four characteristics of inner speech: dialogicality, evaluative/motivational content, condensation, and the presence of other people. Prior findings have linked anxiety and proneness to auditory hallucinations (AH) to these types of inner speech. This study extends that work by examining how inner speech relates to self-esteem and dissociation, and their combined impact upon AH-proneness. 156 students completed the VISQ and measures of self-esteem, dissociation and AH-proneness. Correlational analyses indicated that evaluative inner speech and other people in inner speech were associated with lower self-esteem and greater frequency of dissociative experiences. Dissociation and VISQ scores, but not self-esteem, predicted AH-proneness. Structural equation modelling supported a mediating role for dissociation between specific components of inner speech (evaluative and other people) and AH-proneness. Implications for the development of “hearing voices” are discussed.

Item Type:Article
Keywords:Inner speech, Dissociation, Self-esteem; Hallucination, Psychosis, Dialogicality.
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Status:Peer-reviewed
Publisher Web site:http://dx.doi.org/10.1016/j.concog.2014.05.010
Publisher statement:© 2014 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).
Date accepted:25 May 2014
Date deposited:20 August 2015
Date of first online publication:28 June 2014
Date first made open access:No date available

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