On the non-significance of internal versus external auditory hallucinations
On the non-significance of internal versus external auditory hallucinations
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DOI：
10.1016/s0920-9964(03)00092-6
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发表时间：
2004-07-01
影响因子：
4.5
通讯作者：
Mackinnon, A
中科院分区：
文献类型：
--
作者：
Copolov, D;Trauer, T;Mackinnon, A
传统上，人们认为在大脑外部听到的幻听比在大脑内部听到的幻听更病态，部分原因是内部幻听在概念上比外部幻听更接近正常思维。我们的数据显示，许多患者同时听到内部和外部的AHs，并且患者的地理位置、人口统计学和临床特征以及AHs本身的其他特征之间几乎没有关联。有证据表明，内部听到的AHs比外部听到的AHs具有更好的洞察力。在那些AHs包含命令的患者中，从外部听到命令的患者比从内部或两处同时听到命令的患者更能抵抗。内部AHs和外部AHs的影响和效果似乎没有一致的差异，内部AHs更良性的历史观点也没有得到支持。(C) 2003 Elsevier B.V.版权所有
Traditionally, auditory hallucinations (AHs) heard outside the head have been regarded as more pathological than those heard inside, partly on the basis that internal AHs are conceptually closer to normal thinking than external AHs. Our data show that many patients hear AHs both internally and externally, and there were very few associations between location and demographic and clinical characteristics of the patients or with other characteristics of the AHs themselves. There was evidence that AHs heard internally were associated with better insight than those heard externally. Of those patients whose AHs included commands, greater proportions of those who heard them externally said they could resist than those who heard them internally or in both locations. There appears to be no consistent differential impact and effect of internal and external AHs, and there was no support for the historical view that internal AHs are more benign. (C) 2003 Elsevier B.V. All rights reserved.