"Voices" in People's Minds Are Complicated ---comments by Alan Manevitz, MD

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Auditory hallucinations usually referred to as "voices" is a feature of several psychiatric illnesses. Auditory hallucinations involve perceiving sound without an auditory stimulation. It is presumed to be pathology or a symptom that reflects 'psychosis' (a break from truth) brought on by substance abuse or another medical/psychiatric illnesses that needs to be medicated. Other research has shown auditory hallucinations are correlated with a rise in activity of the thalamic and strietal subcortical nuclei, paralimbic and hypothalamus regions in the mind. Metabolism and dopamine neurotransmitters are what is implicated and treated by various antipsychotic drugs. The treatment and resolution of the symptom has become the way medicine and psychiatry trails improvement in patients.- psychiatrist New York


There's on going research that supports the prevalence of auditory hallucinations using a dearth of other normal psychotic symptoms (for example delusions or paranoia). Discerning real auditory hallucinations from "sounds" or a regular internal dialogue is important since the latter occurrences is just not indicative of mental illness.

Thisphenomenonological surveyby Angela Woods et al that was done on 153 subjects is novel because it surveys a broad array of individuals with many different diagnoses. Nonetheless, it's vital to note the survey was placed on line and advertised for folks who 'heard voices'. Thus, the results usually do not reveal the prevalence of auditory hallucinations in the general or sickness -special populations. The study had other restrictions 2.5 times as many women as men completed the survey, it was only offered in English, there was no verification of self-reports and the 'coding' of features was done by the researchers but not alone volunteered. Acutely ill individuals were "definitely" (by researchers's entry) signify in this survey. The writers within their particular self-assessment note: "Although individuals from black and minority ethnic sources are up to nine times more likely than people from other ethnic origins to present with symptoms of psychosis, 'they are underrepresented in this study'."

This study is fascinating in that it raises questions of what "notional sound" is: passive or uncontrolled imaginary understandings vs. perceptual hallucinations The results reveal that 81% heard multiple voices with different "character " qualities (that means they were of specific age, sex and had distinct identities) that were expressed internally within the head (as opposed to outside as if the voices heard 'were in the room') and were 'conversational' (that is the voices or ideas conversation with the individual or with each other). Somewhat less than half of the studied group heard it as "voices" while the others "heard" it as ideas or miscellaneous ideas and voices. Two-thirds (66%) reported bodilysensations (referred to as tactile hallucinations generally psychiatry) and these sensations were associated with abusive and/or violent voices. Is that one third reported positive emotions, one third neutral emotions and the remainder emotions of anxiety, depression, panic and tension. Furthermore, the survey reported that 'command hallucinations' (which have already been assumed in general practice to be indicative of high risk of harm to self and others) was merely prevalent in 5% of those participating.

*This study has no current useful clinical applicationfor people currently suffering from hallucinations (auditory or tactile). Readers who are currently suffering or have family members afflicted by thoughts or internal voices should see their doctor for guidance.
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Alan Manevitz, M.D. is a Psychiatrist in New York, where he maintains a private practice. Dr. Manevitz is a clinical associate professor at Payne Whitney-Weill Cornell Medical Center, an attending psychiatrist at New York Presbyterian and Lennox Hill Hospitals, and instructs at the Weill-Cornell Medical School.

Dr. Manevitz has been named amongst the Top Doctors in America by Castle Connolly Medical Ltd., New York Time's Super Doctors, New York Magazine's Finest Psychiatrists in New York, and Best Doctors of America.- psychiatrist New York