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The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations

In trying to make sense of the extensive phenomenological variation of first-personal reports on auditory verbal hallucinations, the concept of pseudohallucination is originally introduced to designate any hallucinatory-like phenomena not exhibiting some of the paradigmatic features of “genuine” hal...

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Autores principales: López-Silva, Pablo, Cavieres, Álvaro, Humpston, Clara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424625/
https://www.ncbi.nlm.nih.gov/pubmed/36051554
http://dx.doi.org/10.3389/fpsyt.2022.826654
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author López-Silva, Pablo
Cavieres, Álvaro
Humpston, Clara
author_facet López-Silva, Pablo
Cavieres, Álvaro
Humpston, Clara
author_sort López-Silva, Pablo
collection PubMed
description In trying to make sense of the extensive phenomenological variation of first-personal reports on auditory verbal hallucinations, the concept of pseudohallucination is originally introduced to designate any hallucinatory-like phenomena not exhibiting some of the paradigmatic features of “genuine” hallucinations. After its introduction, Karl Jaspers locates the notion of pseudohallucinations into the auditory domain, appealing to a distinction between hallucinatory voices heard within the subjective inner space (pseudohallucination) and voices heard in the outer external space (real hallucinations) with differences in their sensory richness. Jaspers' characterization of the term has been the target of a number of phenomenological, conceptual and empirically-based criticisms. From this latter point of view, it has been claimed that the concept cannot capture distinct phenomena at the neurobiological level. Over the last years, the notion of pseudohallucination seems to be falling into disuse as no major diagnostic system seems to refer to it. In this paper, we propose that even if the concept of pseudohallucination is not helpful to differentiate distinct phenomena at the neurobiological level, the inner/outer distinction highlighted by Jaspers' characterization of the term still remains an open explanatory challenge for dominant theories about the neurocognitive origin of auditory verbal hallucinations. We call this, “the challenge from pseudohallucinations”. After exploring this issue in detail, we propose some phenomenological, conceptual, and empirical paths for future research that might help to build up a more contextualized and dynamic view of auditory verbal hallucinatory phenomena.
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spelling pubmed-94246252022-08-31 The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations López-Silva, Pablo Cavieres, Álvaro Humpston, Clara Front Psychiatry Psychiatry In trying to make sense of the extensive phenomenological variation of first-personal reports on auditory verbal hallucinations, the concept of pseudohallucination is originally introduced to designate any hallucinatory-like phenomena not exhibiting some of the paradigmatic features of “genuine” hallucinations. After its introduction, Karl Jaspers locates the notion of pseudohallucinations into the auditory domain, appealing to a distinction between hallucinatory voices heard within the subjective inner space (pseudohallucination) and voices heard in the outer external space (real hallucinations) with differences in their sensory richness. Jaspers' characterization of the term has been the target of a number of phenomenological, conceptual and empirically-based criticisms. From this latter point of view, it has been claimed that the concept cannot capture distinct phenomena at the neurobiological level. Over the last years, the notion of pseudohallucination seems to be falling into disuse as no major diagnostic system seems to refer to it. In this paper, we propose that even if the concept of pseudohallucination is not helpful to differentiate distinct phenomena at the neurobiological level, the inner/outer distinction highlighted by Jaspers' characterization of the term still remains an open explanatory challenge for dominant theories about the neurocognitive origin of auditory verbal hallucinations. We call this, “the challenge from pseudohallucinations”. After exploring this issue in detail, we propose some phenomenological, conceptual, and empirical paths for future research that might help to build up a more contextualized and dynamic view of auditory verbal hallucinatory phenomena. Frontiers Media S.A. 2022-08-16 /pmc/articles/PMC9424625/ /pubmed/36051554 http://dx.doi.org/10.3389/fpsyt.2022.826654 Text en Copyright © 2022 López-Silva, Cavieres and Humpston. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
López-Silva, Pablo
Cavieres, Álvaro
Humpston, Clara
The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
title The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
title_full The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
title_fullStr The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
title_full_unstemmed The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
title_short The phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
title_sort phenomenology of auditory verbal hallucinations in schizophrenia and the challenge from pseudohallucinations
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424625/
https://www.ncbi.nlm.nih.gov/pubmed/36051554
http://dx.doi.org/10.3389/fpsyt.2022.826654
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