VERBAL HALLUCINATIONS AND ACTIVITY OF VOCAL MUSCULATURE - AN ELECTROMYOGRAPHIC STUDY
VERBAL HALLUCINATIONS AND ACTIVITY OF VOCAL MUSCULATURE - AN ELECTROMYOGRAPHIC STUDY
复制标题
DOI：
10.1176/ajp.105.5.367
复制
发表时间：
1948-01-01
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
1.在一例精神分裂症患者出现言语幻觉时，发声器官的肌电位增加，这一现象值得进一步研究。据此，用脑电图仪对100例患者和100例正常人的声带肌进行了肌电图检测.一组48名经历言语幻觉的患者中有40名（83%）的潜力增加。在一组64名有或可能有幻听的患者中，53名（82%）有增加的潜力。在33名没有出现幻觉的患者中，30名（90%）没有肌肉电位增加。在36名未经历或可能未经历幻觉的合并组中，31名（86%）未显示肌肉电位增加。在56例有幻觉或可能有幻觉的精神分裂症患者中，45例（85%）有肌电位增加。在正常人群的抽样中，28%的人存在“喉咙”紧张，而在精神病院的病人抽样中，58%的人存在这种紧张。在精神病患者中，发声肌肉组织的过度活跃似乎与言语幻觉的存在有关。发声肌肉的肌电图提供了一种实验室方法，用于确定言语幻觉的存在，并用于治疗后张力变化的图形描述。一个理论的口头幻觉是暂时重申有关的非自愿强化的心理机制的讲话。建议用同步肌电图研究肌张力模式。
1. The demonstration of increase of muscle potential of the vocal organs in a case of schizophrenia experiencing verbal hallucinations suggested further investigation. Accordingly, electromyograms of the vocal musculature were obtained from 100 patients and 100 normal controls by means of an electroencephalograph machine.2. Forty of a group of 48 patients experiencing verbal hallucinations (83%) had increased potential. Of a combined group of 64 having or probably having auditory hallucinations, 53 (82%) had increased potential.3. Of the group of 33 patients not experiencing hallucinations, 30 (90%) had no increase of muscle potential. Of the combined group of 36 not experiencing or probably not experiencing hallucinations, 31 (86%) showed no increase of muscle potential.4. In the group of 56 schizophrenic patients who were hallucinating or probably hallucinating, 45 (85%) had an increase of muscle potential.5. Tension in the "throat" exists in 28% of a sampling of the normal population, whereas it is present in 58% of a sampling of patients in a mental hospital.6. Hyperactivity of vocal musculature in the psychotic appears related to the presence of verbal hallucinations.7. The electromyogram of the vocal musculature offers a laboratory method for determination of presence of verbal hallucinations and for the graphic portrayal of change of tension following treatment.8. A theory of verbal hallucinations is tentatively reaffirmed concerning involuntary intensification of the psychomotor mechanism of speech.9. A study of muscle tension patterns by means of simultaneous electromyograms is suggested.