VERBAL HALLUCINATIONS AS AUTOMATIC SPEECH - THE REACTIVATION OF DORMANT SPEECH HABIT
VERBAL HALLUCINATIONS AS AUTOMATIC SPEECH - THE REACTIVATION OF DORMANT SPEECH HABIT
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DOI：
10.1176/ajp.107.2.110
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发表时间：
1950-01-01
影响因子：
17.7
通讯作者：
GOULD, LN
中科院分区：
文献类型：
--
作者：
GOULD, LN
言语幻觉可以根据已知的生理学和心理学原理来解释。这主要是一种语言障碍，而不是知觉障碍。言语神经肌肉机制的过度活跃和对先前言语表达习惯的逆转产生了一种患者无力影响的自主性，而且他未能认识到这是属于他的自我的。声音和人类声音的特有效果，注意力、专注力和自我中心的因素，对“异类”言论的反应，对“他人”影响的反应，解释和抵消的需要--所有这些都加剧了已经存在的发声高血压，并使言语自主权永久化。言语幻觉的某些特征可以根据以前的其他言语表达习惯和不成熟的行为来解释。初步研究表明，在想象的说话和听力过程中，幻觉患者自己的语言机制可以很容易地参与其中。治疗的基础应该是减少局部和普遍的紧张，恢复言语的社会功能，并在社会生活中进行教育。
The verbal hallucination can be explained on the basis of known physiologic and psychologic principles. It is primarily a disorder of speech and not one of perception. Hyperactivity of the neuromuscular mechanism of speech and reversal to a former habit of speech expression produce an autonomy which the patient is powerless to influence and which he fails to recognize as belonging to his ego. The characteristic effects of sound and of the human voice, the factors of attention, preoccupation, and egocentricity, the reactions to "alien" speech, and to influence by "others," the need to explain and counteract —all augment an already existent vocal hypertension and perpetuate speech autonomy. Certain characteristics of the verbal hallucination can be explained on the basis of other former habits of speech expression and immature behavior. Preliminary research indicates facile participation of the hallucinating patient's own speech mechanism during imagined speaking and hearing. Therapy should be based on reduction of focal and general tension and on restoration of the social function of speech along with education in social living.