Phenomenology and the Cognitive Sciences

, Volume 9, Issue 2, pp 213–224 | Cite as

A phenomenological survey of auditory verbal hallucinations in the hypnagogic and hypnopompic states

  • Simon R. Jones
  • Charles Fernyhough
  • Frank Larøi


The phenomenology of auditory verbal hallucinations (AVHs) occurring in hypnagogic and hypnopompic (H&H) states has received little attention. In a sample of healthy participants (N = 325), 108 participants reported H&H AVHs and answered subsequent questions on their phenomenology. AVHs in the H&H state were found (1) to be more likely to only feature the occasional clear word than to be clear, (2) to be more likely to be one-off voices than to be recurrent voices, (3) to be more likely to be voices of people known to the individual than unknown persons, (4) to be more likely to talk directly to the person rather than not, and (5) to only rarely give commands, ask questions, or to result in an interactive conversation. Their phenomenology was similar to normative AVHs in wakefulness (as established by previous research) in that the voice-hearer was usually the target of the voice, and the voice was more likely to be of a recognized person. However, H&H AVHs differed from AVHs in wakefulness in that commands and questions were rare, and there was typically no dialogical engagement with the voice. We conclude by proposing that two distinct types of H&H AVHs may exist (which we term “dialogic” and “monologic”), based on an analysis of the phenomenology of the experience, and suggest avenues for future research.


Auditory verbal hallucination Dialogic Hypnagogic Hypnopompic Phenomenology 


  1. Bentall, R. P., & Slade, P. D. (1985). Reliability of a scale measuring dispositions towards hallucinations: A brief report. Personality and Individual Differences, 6, 527–529.CrossRefGoogle Scholar
  2. Brewin, C. R., Dagliesh, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103, 670–686.CrossRefGoogle Scholar
  3. Cheyne, J. A., Rueffer, S. D., & Newby-Clark, I. R. (1999). Hypnagogic and hypnopompic hallucinations during sleep paralysis: Neurological and cultural construction of the night-mare. Consciousness and Cognition, 8, 319–337.CrossRefGoogle Scholar
  4. David, A. S. (2004). The cognitive neuropsychiatry of auditory verbal hallucinations: An overview. Cognitive Neuropsychiatry, 9, 107–123.CrossRefGoogle Scholar
  5. Davies, P., Thomas, P., & Leudar, I. (1999). Dialogic engagement and verbal hallucinations: A single case study. British Journal of Medical Psychology, 72, 179–187.CrossRefGoogle Scholar
  6. Hurlburt, R. T., & Heavey, C. L. (2001). Telling what we know: Describing inner experience. Trends in Cognitive Sciences, 5, 400–403.CrossRefGoogle Scholar
  7. Jones, S.R. (2010). Do we need multiple models of auditory verbal hallucinations? examining the phenomenological fit of cognitive and neurological models. Schizophrenia Bulletin, in press.Google Scholar
  8. Jones, S. R., & Fernyhough, C. (2006). The roles of thought suppression and metacognitive beliefs in proneness to auditory verbal hallucinations in a non-clinical sample. Personality and Individual Differences, 41, 1421–1432.CrossRefGoogle Scholar
  9. Jones, S. R., & Fernyhough, C. (2008). Talking back to the spirits: The voices and visions of Emanuel Swedenborg. History of the Human Sciences, 21, 1–31.CrossRefGoogle Scholar
  10. Jones, S. R., & Fernyhough, C. (2009). Did Emanuel Swedenborg have near-death experiences? Envisioning a developmental account of NDEs. Journal of Near-Death Studies, 27, 157–187.Google Scholar
  11. Jones, S.R., Fernyhough, C., & Meads, D. (2009). In a dark time: Assessment and modeling of hypnagogic hallucinations. Personality and Individual Differences, 46, 30–34.Google Scholar
  12. Leudar, I., & Thomas, P. (2000). Voices of reason, voices of insanity: Studies of verbal hallucinations. London: Routledge.Google Scholar
  13. Leudar, I., Thomas, P., McNally, D., & Glinski, A. (1997). What voices can do with words: Pragmatics of verbal hallucinations. Psychological Medicine, 27, 885–898.CrossRefGoogle Scholar
  14. Mavromatis, A. (1988). Hypnagogia: The unique state of consciousness between wakefulness and sleep. London: Routledge & Kegan Paul.Google Scholar
  15. Nabokov, V. (1999). Speak, memory: An autobiography revisited. London: David Campbell.Google Scholar
  16. Nayani, T. H., & David, A. S. (1996). The auditory hallucination: A phenomenological survey. Psychological Medicine, 26, 177–189.CrossRefGoogle Scholar
  17. Nisbett, R., & Wilson, T. (1977). Telling more than we can know: Verbal reports on mental processes. Psychological Review, 84, 231–259.CrossRefGoogle Scholar
  18. Ohayon, M. M. (2000). Prevalence of hallucinations and their pathological associations in the general population. Psychiatry Research, 27, 153–164.CrossRefGoogle Scholar
  19. Read, J., van Os, J., Morrison, A. P., & Ross, C. A. (2005). Childhood trauma, psychosis and schizophrenia: A literature review with theoretical and clinical implications. Acta Psychiatrica Scandinavica, 112, 330–350.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  • Simon R. Jones
    • 1
  • Charles Fernyhough
    • 1
  • Frank Larøi
    • 2
  1. 1.Department of PsychologyDurham UniversityDurhamUK
  2. 2.Cognitive Psychopathology UnitUniversity of LiègeLiègeBelgium

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