Mechanisms of auditory verbal hallucination in schizophrenia

Recent work on the mechanisms underlying auditory verbal hallucination (AVH) has been heavily informed by self-monitoring accounts that postulate defects in an internal monitoring mechanism as the basis of AVH. A more neglected alternative is an account focusing on defects in auditory processing, na...

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Main Authors: Raymond eCho, Wayne eWu
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00155/full
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author Raymond eCho
Raymond eCho
Wayne eWu
author_facet Raymond eCho
Raymond eCho
Wayne eWu
author_sort Raymond eCho
collection DOAJ
description Recent work on the mechanisms underlying auditory verbal hallucination (AVH) has been heavily informed by self-monitoring accounts that postulate defects in an internal monitoring mechanism as the basis of AVH. A more neglected alternative is an account focusing on defects in auditory processing, namely a spontaneous activation account of auditory activity underlying AVH. Science is often aided by putting theories in competition. Accordingly, a discussion that systematically contrasts the two models of AVH can generate sharper questions that will lead to new avenues of investigation. In this paper, we provide such a theoretical discussion of the two models, drawing strong contrasts between them. We identify a set of challenges for the self-monitoring account and argue that the spontaneous activation account has much in favor of it and should be the default account. Our theoretical overview leads to new questions and issues regarding the explanation of AVH as a subjective phenomenon and its neural basis. Accordingly, we suggest a set of experimental strategies to dissect the underlying mechanisms of AVH in light of the two competing models.
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spelling doaj.art-35c66722191149cd8e50fa33a6f973392022-12-21T20:18:50ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402013-11-01410.3389/fpsyt.2013.0015563672Mechanisms of auditory verbal hallucination in schizophreniaRaymond eCho0Raymond eCho1Wayne eWu2University of PittsburghCarnegie Mellon UniversityCarnegie Mellon UniversityRecent work on the mechanisms underlying auditory verbal hallucination (AVH) has been heavily informed by self-monitoring accounts that postulate defects in an internal monitoring mechanism as the basis of AVH. A more neglected alternative is an account focusing on defects in auditory processing, namely a spontaneous activation account of auditory activity underlying AVH. Science is often aided by putting theories in competition. Accordingly, a discussion that systematically contrasts the two models of AVH can generate sharper questions that will lead to new avenues of investigation. In this paper, we provide such a theoretical discussion of the two models, drawing strong contrasts between them. We identify a set of challenges for the self-monitoring account and argue that the spontaneous activation account has much in favor of it and should be the default account. Our theoretical overview leads to new questions and issues regarding the explanation of AVH as a subjective phenomenon and its neural basis. Accordingly, we suggest a set of experimental strategies to dissect the underlying mechanisms of AVH in light of the two competing models.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00155/fullSchizophreniaauditory hallucinationssource monitoringself monitoringspontaneous activation
spellingShingle Raymond eCho
Raymond eCho
Wayne eWu
Mechanisms of auditory verbal hallucination in schizophrenia
Frontiers in Psychiatry
Schizophrenia
auditory hallucinations
source monitoring
self monitoring
spontaneous activation
title Mechanisms of auditory verbal hallucination in schizophrenia
title_full Mechanisms of auditory verbal hallucination in schizophrenia
title_fullStr Mechanisms of auditory verbal hallucination in schizophrenia
title_full_unstemmed Mechanisms of auditory verbal hallucination in schizophrenia
title_short Mechanisms of auditory verbal hallucination in schizophrenia
title_sort mechanisms of auditory verbal hallucination in schizophrenia
topic Schizophrenia
auditory hallucinations
source monitoring
self monitoring
spontaneous activation
url http://journal.frontiersin.org/Journal/10.3389/fpsyt.2013.00155/full
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