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Beyond trauma : a multiple pathways approach to auditory hallucinations in clinical and nonclinical populations.

Luhrmann, Tanya Marie and Alderson-Day, Ben and Bell, Vaughan and Bless, Josef J. and Corlett, Philip and Hugdahl, Kenneth and Jones, Nev and Larøi, Frank and Moseley, Peter and Padmavati, Ramachandran and Peters, Emmanuelle and Powers, Albert R. and Waters, Flavie (2019) 'Beyond trauma : a multiple pathways approach to auditory hallucinations in clinical and nonclinical populations.', Schizophrenia bulletin., 45 (Supplement_1). S24-S31.


That trauma can play a significant role in the onset and maintenance of voice-hearing is one of the most striking and important developments in the recent study of psychosis. Yet the finding that trauma increases the risk for hallucination and for psychosis is quite different from the claim that trauma is necessary for either to occur. Trauma is often but not always associated with voice-hearing in populations with psychosis; voice-hearing is sometimes associated with willful training and cultivation in nonclinical populations. This article uses ethnographic data among other data to explore the possibility of multiple pathways to voice-hearing for clinical and nonclinical individuals whose voices are not due to known etiological factors such as drugs, sensory deprivation, epilepsy, and so forth. We suggest that trauma sometimes plays a major role in hallucinations, sometimes a minor role, and sometimes no role at all. Our work also finds seemingly distinct phenomenological patterns for voice-hearing, which may reflect the different salience of trauma for those who hear voices.

Item Type:Article
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Publisher statement:© The Author(s) 2019. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Date accepted:No date available
Date deposited:13 February 2019
Date of first online publication:01 February 2019
Date first made open access:13 February 2019

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