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PubMed1996

The auditory hallucination: a phenomenological survey.

A comprehensive semi-structured questionnaire was administered to 100 psychotic patients who had experienced auditory hallucinations. The aim was to extend the phenomenology of the hallucination into areas of both form and content and also to guide future theoretical development. All subjects heard 'voices' talking to or about them. The location of the voice, its characteristics and the nature of address were described. Precipitants and alleviating factors plus the effect of the hallucinations on the sufferer were identified. Other hallucinatory experiences, thought insertion and insight were examined for their inter-relationships. A pattern emerged of increasing complexity of the auditory-verbal hallucination over time by a process of accretion, with the addition of more voices and extended dialogues, and more intimacy between subject and voice. Such evolution seemed to relate to the lessening of distress and improved coping. These findings should inform both neurological and cognitive accounts of the pathogenesis of auditory hallucinations in psychotic disorders.

Adaptation, Psychological↗
PubMed1996

Exploring 'theory of mind' in people with schizophrenia.

Mentalizing ability was studied in 46 symptomatic schizophrenic patients and 44 non-symptomatic controls. Subjects heard six stories and simultaneously were shown simple cartoon pictures depicting the action sequencing occurring in the stories. All the stories involved false belief or deception, so that it was necessary to infer the mental states of the characters in order to understand their behaviour. After each story, subjects were asked one memory/reality question (concerning an event in the story) and one question that depended on the ability to infer the mental state of one of the characters. Patients with paranoid delusions were impaired on the questions concerning mental states. Patients with behavioural signs (i.e. negative features or incoherence) were also impaired on the mental state questions, but this difficulty was associated with memory impairments. Patients with symptoms of passivity (e.g. delusions of control) and patients in remission did not differ from normal controls. These results are consistent with the hypothesis that certain of the positive symptoms of schizophrenia reflect an impairment in the ability to infer the mental states of others.

Adult↗
PubMed1997

What voices can do with words: pragmatics of verbal hallucinations.

BACKGROUND: In this paper we consider verbal hallucinations as inner speech with pragmatics. The specific pragmatic properties of verbal hallucinations investigated included the number of voices, the characteristics that individuate the voices, the sequential characteristics of the dialogues between voice hearers and their voices, the dialogical positioning of voices hearers, voices and other individuals, and how the voices influence voice hearers' activities. METHODS: These properties were examined in structured interviews with 28 individuals, 14 of whom had a diagnosis of schizophrenia, while 14 were students who did not use psychiatric services. RESULTS: The analysis showed that voices were most frequently individuated with reference to individuals significant to voice hearers. The talk with voices was typically mundane and related to voice hearers' on-going activities, as is the case for ordinary inner speech. The voices were typically orientated towards the voice hearer, without direct access to each other or to other people. Contrary to received wisdom, the voices typically did not impel actions of voice hearers, rather they influenced voice hearers' decisions on how to act. This was so irrespective of the diagnostic status of informants. Finally, we have found some differences between the voices of informants with, and without, schizophrenia. These concerned the alignment of voices, the type of action required by a voice and the degree of dialogical engagement between voices and voice hearers. CONCLUSIONS: We conclude that verbal hallucinations can be fruitfully considered to be a genus of inner speech. Pragmatics can be used as a framework to distinguish verbal hallucinations in different populations.

Adult↗
PubMed1998

Cognitive processes in auditory hallucinations: attributional biases and metacognition.

BACKGROUND: Cognitive models suggest that auditory hallucinations are experienced when mental events are misattributed to an external source; therefore, this study was designed to examine attributional biases in patients experiencing auditory hallucinations. The study also examined the role of metacognitive beliefs in the experience of auditory hallucinations, as some theories have implicated metacognition in the development and maintenance of auditory hallucinations. METHODS: Fifteen participants with a diagnosis of schizophrenia experiencing auditory hallucinations were compared with 15 non-hallucinating schizophrenics and 15 non-psychiatric control subjects on several measures, including an immediate source monitoring task and a questionnaire assessing metacognitive beliefs. RESULTS: Results indicated that patients experiencing hallucinations exhibited the predicted bias towards misattributing internal events to an external source, as measured by ratings of internality of responses in a word association task. All groups had lower perceived levels of internality and control for emotionally salient words, which provides further evidence for the importance of emotional content in hallucinations. Patients experiencing hallucinations were found to score higher than the other two groups on metacognitive beliefs about uncontrollability and danger and positive beliefs about worry. In addition, a logistic regression analysis showed that beliefs about uncontrollability and danger were predictive of whether subjects experienced auditory hallucinations or not. CONCLUSIONS: These results offer considerable support to cognitive bias models of auditory hallucinations, particularly those that implicate metacognition.

Adult↗
PubMed2003

Gestalt isomorphism and the primacy of subjective conscious experience: a Gestalt Bubble model.

A serious crisis is identified in theories of neurocomputation, marked by a persistent disparity between the phenomenological or experiential account of visual perception and the neurophysiological level of description of the visual system. In particular, conventional concepts of neural processing offer no explanation for the holistic global aspects of perception identified by Gestalt theory. The problem is paradigmatic and can be traced to contemporary concepts of the functional role of the neural cell, known as the Neuron Doctrine. In the absence of an alternative neurophysiologically plausible model, I propose a perceptual modeling approach, to model the percept as experienced subjectively, rather than modeling the objective neurophysiological state of the visual system that supposedly subserves that experience. A Gestalt Bubble model is presented to demonstrate how the elusive Gestalt principles of emergence, reification, and invariance can be expressed in a quantitative model of the subjective experience of visual consciousness. That model in turn reveals a unique computational strategy underlying visual processing, which is unlike any algorithm devised by man, and certainly unlike the atomistic feed-forward model of neurocomputation offered by the Neuron Doctrine paradigm. The perceptual modeling approach reveals the primary function of perception as that of generating a fully spatial virtual-reality replica of the external world in an internal representation. The common objections to this "picture-in-the-head" concept of perceptual representation are shown to be ill founded.

Consciousness↗
PubMed1995

How shall a deceptive thing be called?

Thirty-six three-, four- and five-year-olds were asked to select labels for deceptive stimuli (e.g. for an eraser that looked like a pencil). Three types of labelling were investigated--simple (e.g. 'is an eraser'); appearance-predicated (e.g. 'looks like an eraser'); and reality-predicated (e.g. 'is really and truly an eraser'). An age-related appearance--reality shift was observed in simple labelling (e.g. older children were more likely than younger ones to accept eraser and reject pencil as simple names for the pencil-eraser). This trend was robust over method and semantic domain, though weaker with object than with colour labels. As in previous research, older children were more likely than younger ones to map different appearance- than reality-predicated labels onto an item (e.g. to accept that the pencil-eraser looks like a pencil, but is really and truly an eraser); however, all age groups were reluctant to extend more than one name to a stimulus via a common predicate (e.g. to accept two reality-predicated labels for the same object). This one-label-perpredicate pattern was observed more frequently within reality than within appearance predicates; more frequently with colour than with object names, and with questions blocked by predicate than by name. It is argued that younger children maintained this pattern because of inflexible encoding, but that older ones did so because of better understanding of the appearance-reality distinction, greater reality dominance, and a Mutual Exclusivity bias.

Child↗
PubMed1999

The importance of pragmatic aspects in conditional reasoning.

The importance of pragmatic aspects in conditional reasoning was assessed in the performance of 54 subjects (26 female and 28 male; mean age 17.6 years) on 48 conditional inference problems, using a 3 x 2 x 4 design, with repeated measurements. The independent variables were probability of empirical frequency in the real world, type of conditional rule, and scenario availability. Number of correct responses and subjects' certainty about the correctness of their responses were the dependent variables. The results showed: a) the scenario availability is not sufficient in itself to explain differences in performance, but it does affect the subjects' degree of confidence in their conclusions; b) there is an interaction between probability of empirical frequency in the real world and type of conditional rule on correct performance. The results were contrasted with the predictions made by the mental models theory and its revised version proposed by Evans (1993). These findings support the semantic theories of conditional reasoning.

Adolescent↗
PubMed1998

Does a photographic cue facilitate false belief performance in subjects with autism?

The posting manipulation, which Mitchell and Lacohée (1991) successfully employed to facilitate false belief (FB) task performance in normally developing 3-year-olds, was employed with subjects with autism. There was no autism-specific impairment on the standard FB task, compared to mental handicap and normal controls: All groups performed poorly, with the autism and normal groups performing significantly worse than chance and the mental handicap group performing at chance. However, a facilitative effect was found on the posting FB task for all subject groups. On the posting task the mental handicap and normal controls groups performed significantly better than chance and the autism group performed at chance. The facilitative effect reached significance for the autism and normal groups. The lack of an autism-specific deficit on the standard task is discussed in relation to the somewhat variable findings of past studies of FB performance in autism. The facilitative effect of the posting manipulation may tell us something about the task demands required to pass a false belief task itself, and suggestions are made for future research to clarify how the facilitative effect operates.

Adolescent↗
PubMed2002

[At home in a strange world? Study of reality perception of a demented elderly patient in a nursing home: an interpretation of various viewpoints].

Only little is known about the personal experiences and feelings of demented elderly persons in geriatric care institutions. We conducted an intense qualitative case study with a 75-year old woman with Alzheimer dementia (Mrs. R.). Our main research method was participating observation during a period of almost four weeks. Information concerning the nursing staff's point of view was gathered by semi-structured interviews. The results indicated two different frames of reference. The past formed the basis for the present experience of Mrs. R. Her behaviour revealed a lot of signs of normality. This was especially evident during her daily stays in a corner seating unit of the living area. Mrs. R. behaved like feeling at home in that particular place. The behaviour and attitudes of the nursing staff were mainly determined by their perception of Mrs. R. as a frail and ill person. It seemed that the staff had only little knowledge of Mrs. R.'s biography that could have broadened their syndrome-oriented point of view.

Adaptation, Psychological↗
PubMed1994

Truth in memory.

Explore the source record for details and available documents.

Adult↗
PubMed2000

The future of optimism.

Recent theoretical discussions of optimism as an inherent aspect of human nature converge with empirical investigations of optimism as an individual difference to show that optimism can be a highly beneficial psychological characteristic linked to good mood, perseverance, achievement, and physical health. Questions remain about optimism as a research topic and more generally as a societal value. Is the meaning of optimism richer than its current conceptualization in cognitive terms? Are optimism and pessimism mutually exclusive? What is the relationship between optimism and reality, and what are the costs of optimistic beliefs that prove to be wrong? How can optimism be cultivated? How does optimism play itself out across different cultures? Optimism promises to be one of the important topics of interest to positive social science, as long as it is approached in an even-handed way.

Attitude↗
PubMed1998

Preschoolers' use of desires to solve theory of mind problems in a pretense context.

K. Bartsch and H. M. Wellman (1995) have suggested that 3-year-old children's preference to construe behavior in terms of desire may interfere with their ability to reason according to belief in standard false belief tasks. Other researchers have suggested that young children fail typical measures of theory of mind because they have a reality bias (e.g., P. Mitchell, 1994). Study 1 demonstrates that even young children are able to correctly attribute a false belief to an agent when that belief is about the status of a pretense. Study 2 shows that children find it easier to attribute a false belief when the desires of the agent are eliminated. However, Study 3 suggests that a reality bias also influences children's ability to consider beliefs. Implications for recent accounts of theory of mind development are discussed.

Child Development↗
PubMed1991

Worry is reasonable: the role of explanations in pessimism about future personal events.

This experiment examines one component of worry, elevated subjective probabilities of negative events, and attempts to elucidate the cognitive processes on which this is based. The results suggest that the pessimistic subjective probabilities shown by chronic worriers can be understood using general theories of judgment, specifically, by the use of the availability heuristic (Tversky & Kahneman, 1973). However, it is the availability of a particular pattern of cognitions--an increased accessibility of explanations for why a negative event would occur, combined with a reduced accessibility of explanations for why it would not--that is important. The results are integrated within a description of the worry process, and possible clinical applications through the use of reason-generation techniques are discussed.

Adult↗
PubMed1992

Illusion of control: invulnerability to negative affect and depressive symptoms after laboratory and natural stressors.

We examined whether individual differences in susceptibility to the illusion of control predicted differential vulnerability to depressive responses after a laboratory failure and naturally occurring life stressors. The illusion of control decreased the likelihood that subjects (N = 145) would (a) show immediate negative mood reactions to the laboratory failure, (b) become discouraged after naturally occurring negative life events, and (c) experience increases in depressive symptoms a month later given the occurrence of a high number of negative life events. In addition, the stress-moderating effect of the illusion of control on later depressive symptoms appeared to be mediated in part by its effect on reducing the discouragement subjects experienced from the occurrence of negative life events. These findings provide support for the hopelessness theory of depression and for the optimistic illusion-mental health link.

Adult↗
PubMed1992

Pseudomemory in hypnotized and task-motivated subjects.

Highly hypnotizable hypnotized (H; n = 16) and task-motivated (TM; n = 13) subjects received pseudomemory suggestions (see Orne, 1979). TM subjects reported being more awake and motivated than did H subjects and were more likely to pass the target noise suggestion. However, 69% of subjects in both conditions who passed the noise suggestion reported pseudomemories. Pseudomemory rate (for H subjects, 69% and for TM subjects, 46%) was not reduced by informing subjects that they could distinguish reality and fantasy in a state of deep concentration. At final inquiry, after deep concentration, pseudomemories remained stable (for H subjects, 75% and for TM subjects, 54%). As predicted, H subjects reported more unsuggested noises and more pseudomemories of novel noises than did TM subjects. Subjects who reported pseudomemories were more confident in the accuracy of their memories than were subjects who reported that the suggested noises were imagined.

Adult↗