open access publication

Article, 2023

Phenomenology of auditory verbal hallucination in schizophrenia: An erroneous perception or something else?

Schizophrenia Research, ISSN 1573-2509, 0920-9964, Volume 265, Pages 83-88, 10.1016/j.schres.2023.03.045

Contributors

Parnas, Josef S [1] [2] Yttri, Janne-Elin [3] Urfer-Parnas, Annick (Corresponding author) [2] [3]

Affiliations

  1. [1] Glostrup Hospital
    2. [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
  2. [2] University of Copenhagen
    3. [NORA names: KU University of Copenhagen; University; Denmark; Europe, EU; Nordic; OECD];
  3. [3] Copenhagen University Hospital
    4. [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD]

Abstract

This study presents phenomenological features of auditory verbal hallucinations (AVH) in schizophrenia and associated anomalies of experience. The purpose is to compare the lived experience of AVH to the official definition of hallucinations as a perception without object. Furthermore, we wish to explore the clinical and research implication of the phenomenological approach to AVH. Our exposition is based on classic texts on AVH, recent phenomenological studies and our clinical experience. AVH differ on several dimensions from ordinary perception. Only a minority of schizophrenia patients experiences AVH localized externally. Thus, the official definition of hallucinations does not fit the AVH in schizophrenia. AVH are associated with several anomalies of subjective experiences (self-disorders) and the AVH must be considered as a product of self-fragmentation. We discuss the implications with respect to the definition of hallucination, clinical interview, conceptualization of a psychotic state and potential target of pathogenetic research.

Keywords

anomalies, anomalies of experience, approach, associated with several anomalies, auditory verbal hallucinations, clinical experience, clinical interview, conceptualization, definition, definition of hallucinations, dimensions, erroneous perception, experience of auditory verbal hallucinations, experiments, exposition, features of auditory verbal hallucinations, hallucinations, implications, interviews, lived experience, minority, objective, official definition, pathogenetic research, perception, phenomenological approach, phenomenological features, phenomenological study, phenomenology, phenomenology of auditory verbal hallucinations, potential target, production, psychotic states, research, research implications, schizophrenia, self-disorders, self-fragmentation, severe anomalies, state, study, text, verbal hallucinations

Data Provider: Digital Science

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