Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus

Auditory verbal hallucinations (AVH) are a common phenomenon, occurring in the “healthy” population as well as in several mental illnesses, most notably schizophrenia. Current thinking supports a spectrum conceptualisation of AVH: several neurocognitive hypotheses of AVH have been proposed, includin...

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Main Authors: Tracy, Derek K., Shergill, Sukhwinder S.
Format: Online
Language:English
Published: MDPI 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061847/
id pubmed-4061847
recordtype oai_dc
spelling pubmed-40618472014-06-19 Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus Tracy, Derek K. Shergill, Sukhwinder S. Review Auditory verbal hallucinations (AVH) are a common phenomenon, occurring in the “healthy” population as well as in several mental illnesses, most notably schizophrenia. Current thinking supports a spectrum conceptualisation of AVH: several neurocognitive hypotheses of AVH have been proposed, including the “feed-forward” model of failure to provide appropriate information to somatosensory cortices so that stimuli appear unbidden, and an “aberrant memory model” implicating deficient memory processes. Neuroimaging and connectivity studies are in broad agreement with these with a general dysconnectivity between frontotemporal regions involved in language, memory and salience properties. Disappointingly many AVH remain resistant to standard treatments and persist for many years. There is a need to develop novel therapies to augment existing pharmacological and psychological therapies: transcranial magnetic stimulation has emerged as a potential treatment, though more recent clinical data has been less encouraging. Our understanding of AVH remains incomplete though much progress has been made in recent years. We herein provide a broad overview and review of this. MDPI 2013-04-26 /pmc/articles/PMC4061847/ /pubmed/24961419 http://dx.doi.org/10.3390/brainsci3020642 Text en © 2013 by the authors; licensee MDPI, Basel, Switzerland. http://creativecommons.org/licenses/by/3.0/ This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Tracy, Derek K.
Shergill, Sukhwinder S.
spellingShingle Tracy, Derek K.
Shergill, Sukhwinder S.
Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus
author_facet Tracy, Derek K.
Shergill, Sukhwinder S.
author_sort Tracy, Derek K.
title Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus
title_short Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus
title_full Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus
title_fullStr Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus
title_full_unstemmed Mechanisms Underlying Auditory Hallucinations—Understanding Perception without Stimulus
title_sort mechanisms underlying auditory hallucinations—understanding perception without stimulus
description Auditory verbal hallucinations (AVH) are a common phenomenon, occurring in the “healthy” population as well as in several mental illnesses, most notably schizophrenia. Current thinking supports a spectrum conceptualisation of AVH: several neurocognitive hypotheses of AVH have been proposed, including the “feed-forward” model of failure to provide appropriate information to somatosensory cortices so that stimuli appear unbidden, and an “aberrant memory model” implicating deficient memory processes. Neuroimaging and connectivity studies are in broad agreement with these with a general dysconnectivity between frontotemporal regions involved in language, memory and salience properties. Disappointingly many AVH remain resistant to standard treatments and persist for many years. There is a need to develop novel therapies to augment existing pharmacological and psychological therapies: transcranial magnetic stimulation has emerged as a potential treatment, though more recent clinical data has been less encouraging. Our understanding of AVH remains incomplete though much progress has been made in recent years. We herein provide a broad overview and review of this.
publisher MDPI
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061847/
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