Abstract
Misattribution models of auditory vocal hallucinations hold that the cognitive operations involved in generating internal thoughts are biased in some fashion, such that these self-generated thoughts are experienced as non-self-generated voices. Source monitoring refers to a set of normal cognitive operations that are invoked to determine the context and conditions under which a memory episode was encoded. Source monitoring paradigms are relevant to misattribution models of hallucinations when two of the monitored sources are inner (self) and outer (e.g. other) because they are assumed to share overlapping cognitive operations that lead to misattributing self-generated cognitive events to an external source (i.e. externalizations). In this chapter we review how certain types of inner/outer source monitoring errors can inform misattribution models of hallucinations, and bring forward methodological issues related to task design, data analysis, and group comparisons. We review the theoretical accounts of the cognitive operations shared between hallucinations and source monitoring, and the functional neuroimaging data that bears on those models. We conclude that sufficient evidence for an association between hallucinations and externalization errors in source monitoring has been demonstrated, and that the neuroimaging results support hyperactivation of voice selective cortical regions (e.g. the superior temporal gyrus, STG) as underlying the cognitive operations shared between externalization errors in source monitoring and hallucinations. We provide suggestions for more comprehensive testing of misattribution models using more refined cognitive paradigms.
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Abbreviations
- ISG:
-
Inner self-generated
- ING:
-
Inner non-self-generated
- OSG:
-
Outer self-generated
- ONG:
-
Outer non-self-generated
- MCT:
-
Metacognitive training
References
Allen, P., Larøi, F., McGuire, P. K., & Aleman, A. (2008). The hallucinating brain: A review of structural and functional neuroimaging studies of hallucinations. Neuroscience and Biobehavioral Reviews, 32 (1), 175–191.
Allen, P. P., Johns, L. C., Fu, C. H. Y., Broome, M. R., Vythelingum, G. N., & McGuire, P. K. (2004). Misattribution of external speech in patients with hallucinations and delusions. Schizophrenia Research, 69, 277–287.
Baker, C. A., & Morrison, A. P. (1998). Cognitive processes in auditory hallucinations: Attributional biases and metacognition. Psychological Medicine, 28, 1199–1208.
Batchelder, W. H., & Riefer, D. M. (1990). Multinomial processing models of source monitoring. Psychological Review, 97 (4), 548–564.
Bentall, R. P. (1990). The illusion of reality: A review and integration of psychological research on hallucinations. Psychological Bulletin, 107 (1), 82–95.
Bentall, R. P., Baker, G. A., & Havers, S. (1991). Reality monitoring and psychotic hallucinations. British Journal of Clinical Psychology, 30, 213–222.
Bentall, R. P., & Slade, P. D. (1985). Reality testing and auditory hallucinations: A signal detection analysis. British Journal of Clinical Psychology, 24, 159–169.
Blakemore, S. J., Smith, J., Steel, R., Johnstone, C. E., & Frith, C. D. (2000). The perception of self-produced sensory stimuli in patients with auditory hallucinations and passivity experiences: Evidence for a breakdown in self-monitoring. Psychological Medicine, 30 (5), 1131–1139.
Brébion, G., Amador, X., David, A., Malaspina, D., Sharif, Z., & Gorman, J. M. (2000). Positive symptomatology and source-monitoring failure in schizophrenia-an analysis of symptom-specific effects. Psychiatry Research, 95, 119–131.
Brunelin, J., Combris, M., Poulet, E., Kallel, L., D’Amato, T., Dalery, J., et al. (2006). Source monitoring deficits in hallucinating compared to non-hallucinating patients with schizophrenia. European Psychiatry, 21 (4), 259–261.
Brunelin, J., d’Amato, T., Brun, P., Bediou, B., Kallel, L., Senn, M., et al. (2007). Impaired verbal source monitoring in schizophrenia: An intermediate trait vulnerability marker? Schizophrenia Research, 89 (1–3), 287–292.
Costafreda, S. G., Brebion, G., Allen, P., McGuire, P. K., & Fu, C. H. (2008). Affective modulation of external misattribution bias in source monitoring in schizophrenia. Psychological Medicine, 38 (6), 821–824.
David, A. S. (1994). The neuropsychological origin of auditory hallucinations. In A. S. David & J. C. Cutting (Eds.), The neuropsychology of schizophrenia (pp. 269–313). Hillside, NJ: Erlbaum.
Dierks, T., Linden, D. E., Jandl, M., Formisano, E., Goebel, R., Lanfermann, H., et al. (1999). Activation of Heschl’s gyrus during auditory hallucinations. Neuron, 22 (3), 615–621.
Ditman, T., & Kuperberg, G. R. (2005). A source-monitoring account of auditory verbal hallucinations in patients with schizophrenia. Harvard Review of Psychiatry, 13 (5), 280–299.
Ensum, I., & Morrison, A. P. (2003). The effects of focus of attention on attributional bias in patients experiencing auditory hallucinations. Behaviour Research and Therapy, 41 (8), 895–907.
Ford, J. M., Mathalon, D. H., Whitfield, S., Faustman, W. O., & Roth, W. T. (2002). Reduced communication between frontal and temporal lobes during talking in schizophrenia. Biological Psychiatry, 51 (6), 485–492.
Ford, J. M., Roach, B. J., Faustman, W. O., & Mathalon, D. H. (2007). Synch before you speak: Auditory hallucinations in schizophrenia. The American Journal of Psychiatry, 164 (3), 458–466.
Franck, N., Rouby, P., Daprati, E., Dalery, J., Marie-Cardine, M., & Georgieff, N. (2000). Confusion between silent and overt reading in schizophorenia. Schizophrenia Research, 41, 357–364.
Frith, C. D. (1992). The cognitive neuropsychology of schizophrenia. Hillsdale, NJ: Lawrence Erlbaum.
Frith, C. D., & Done, D. J. (1988). Towards a neuropsychology of schizophrenia. The British Journal of Psychiatry, 153, 437–443.
Frith, C. D., Friston, K. J., Herold, S., Silbersweig, P., Fletcher, C., Cahill, R. J., et al. (1995). Regional brain activity in chronic schizophrenic patients during the performance of a verbal fluency task. The British Journal of Psychiatry, 167, 343–349.
Gould, L. N. (1948). Verbal hallucinations and activity of vocal musculature; an electromyographic study. The American Journal of Psychiatry, 105 (5), 367–372.
Green, M. F., & Kinsbourne, M. (1989). Auditory hallucinations in schizophrenia: Does humming help? Biological Psychiatry, 25 (5), 633–635.
Hoffman, R. (2010, Apr 29). Comment on Vercammen, Knegtering, den Boer, Liemburg. Aleman. Schizophrenia Research Forum [Comment].
Hoffman, R. E. (1999). New methods for studying hallucinated ‘voices’ in schizophrenia. Acta Psychiatrica Scandinavica. Supplementum, 99 (Suppl 395), 89–94.
Hoffman, R. E., Hawkins, K. A., Gueorguieva, R., Boutros, N. N., Rachid, F., Carroll, K., et al. (2003). Transcranial magnetic stimulation of left temporoparietal cortex and medication-resistant auditory hallucinations. Archives of General Psychiatry, 60 (1), 49–56.
Hunter, M. D. (2004). Locating voices in space: A perceptual model for auditory hallucinations? Cognitive Neuropsychiatry, 9 (1/2), 93–105.
Jacoby, L. L., Shimizu, Y., Daniels, K. A., & Rhodes, M. G. (2005). Modes of cognitive control in recognition and source memory: Depth of retrieval. Psychonomic Bulletin Review, 12 (5), 852–857.
Jardri, R., Delevoye-Turrell, Y., Lucas, B., Pins, D., Bulot, V., Delmaire, C., et al. (2009). Clinical practice of rTMS reveals a functional dissociation between agency and hallucinations in schizophrenia. Neuropsychologia, 47 (1), 132–138.
Jaspers, K. (1912). The phenomenological approach in psychopathology. British Journal of Psychiatry, 114 (516), 1313–1323 (English translation 1968).
Johns, L. C., & McGuire, P. K. (1999). Verbal self-monitoring and auditory hallucinations in schizophrenia. Lancet, 353 (9151), 469–470.
Johns, L. C., Rossell, S., Frith, C., Ahmad, F., Hemsley, D., Kuipers, E., et al. (2001). Verbal self-monitoring and auditory verbal hallucinations in patients with schizophrenia. Psychological Medicine, 31, 705–715.
Johnson, M. K., Hashtroudi, S., & Lindsay, D. S. (1993). Source monitoring. Psychological Bulletin, 114, 3–28.
Johnson, M. K., & Raye, C. L. (1981). Reality monitoring. Psychological Review, 88 (1), 67–85.
Kapur, S. (2003). Psychosis as a state of aberrant salience: A framework linking biology, phenomenology, and pharmacology in schizophrenia. The American Journal of Psychiatry, 160 (1), 13–23.
Keefe, R., Arnold, M., Bayen, U., McEvoy, J., & Wilson, W. (2002). Source-monitoring deficits for self-generated stimuli in schizophrenia: Multinomial modeling of data from three sources. Schizophrenia Research, 57 (1), 51–67.
Keefe, R. S. E., Arnold, M. C., Bayen, U. J., & Harvey, P. D. (1999). Source monitoring deficits in patients with schizophrenia; a multinomial modelling analysis. Psychological Medicine, 29, 903–914.
Larøi, F., van Der Linden, M., & Marczewski, P. (2004). The effects of emotional salience, cognitive effort and meta-cognitive beliefs on a reality monitoring task in hallucination-prone subjects. British Journal of Clinical Psychology, 43, 221–233.
Larøi, F., & Woodward, T. S. (2007). Hallucinations from a cognitive perspective. Harvard Review of Psychiatry, 15 (3), 109–117.
McGuire, P. K., Silbersweig, D. A., Wright, I., Murray, R. M., David, A. S., Frackiowack, R. S. J., et al. (1995). Abnormal monitoring of inner speech: A physiological basis for auditory hallucinations. Lancet, 346, 596–600.
McGuire, P. K., Silbersweig, D. A., Wright, I., Murray, R. M., Frackowiak, R. S., & Frith, C. D. (1996). The neural correlates of inner speech and auditory verbal imagery in schizophrenia: Relationship to auditory verbal hallucinations. The British Journal of Psychiatry, 169 (2), 148–159.
Menon, M., & Woodward, T. S. (2007). A comparison of one-high-threshold and two-high-threshold multinomial models of source monitoring. Journal of Modern Applied Statistical Methods, 6 (1), 279–290.
Mintz, S., & Alpert, M. (1972). Imagery vividness, reality testing, and schizophrenic hallucinations. Journal of Abnormal Psychology, 79 (3), 310–316.
Moritz, S., & Larøi, F. (2008). Differences and similarities in the sensory and cognitive signatures of voice-hearing, intrusions and thoughts. Schizophrenia Research, 102 (1–3), 96–107.
Moritz, S., & Woodward, T. S. (2007a). Metacognitive training for schizophrenia patients (MCT): A pilot study on feasibility, treatment adherence, and subjective efficacy. German Journal of Psychiatry, 10 (3), 69–78.
Moritz, S., & Woodward, T. S. (2007b). Metacognitive training in schizophrenia: From basic research to knowledge translation and intervention. Current Opinion in Psychiatry, 20 (6), 619–625.
Morrison, A. P., & Haddock, G. (1997). Cognitive factors in source monitoring and auditory hallucinations. Psychological Medicine, 27, 669–679.
Morrison, A. P., Haddock, G., Tarrier, N. (1995). Intrusive thoughts and auditory hallucinations: A cognitive approach. Behavioural and Cognitive Psychotherapy (23), 265–280.
Nayani, T. J., & David, A. S. (1996). The auditory hallucinations: A phenomenological survey. Psychological Medicine, 26, 117–189.
Nelson, N. W., Boone, K., Dueck, A., Wagener, L., Lu, P., & Grills, C. (2003). Relationships between eight measures of suspect effort. Clinical Neuropsychology, 17 (2), 263–272.
Northoff, G., & Qin, P. (2011). How can the brain’s resting state activity generate hallucinations? A ‘resting state hypothesis’ of auditory verbal hallucinations. Schizophrenia Research, 127 (1–3), 202–214.
Pinter, R. (1913). Inner speech during slient reading. Psychological Review, 20, 129–153.
Plaze, M., Paillere-Martinot, M. L., Penttila, J., Januel, D., de Beaurepaire, R., Bellivier, F., et al. (2011). “Where do auditory hallucinations come from?”—A brain morphometry study of schizophrenia patients with inner or outer space hallucinations. Schizophrenia Bulletin, 37 (1), 212–221.
Rankin, P. M., & O’Carroll, P. J. (1995). Reality discrimination, reality monitoring and disposition towards hallucination. British Journal of Clinical Psychology, 34, 517–528.
Rapin, L., Lovevenbruck, H., Dohen, M., Metzak, P. D., Whitman, J. C., & Woodward, T. S. (2012). Hyperintensity of functional networks involving voice-selective cortical regions during silent thought in schizophrenia. Psychiatry Research: Neuroimaging, 202, 110–117.
Rotarska-Jagiela, A., van de Ven, V., Oertel-Knochel, V., Uhlhaas, P. J., Vogeley, K., & Linden, D. E. (2010). Resting-state functional network correlates of psychotic symptoms in schizophrenia. Schizophrenia Research, 117 (1), 21–30.
Seal, M. L., Aleman, A., & McGuire, P. K. (2004). Compelling imagery, unanticipated speech and deceptive memory: Neurocognitive models of auditory verbal hallucinations in schizophrenia. Cognitive Neuropsychiatry, 9 (1–2), 43–72.
Seal, M. L., Crowe, S. F., & Cheung, P. (1997). Deficits in source monitoring in subjects with auditory hallucinations may be due to differences in verbal intelligence and verbal memory. Cognitive Neuropsychiatry, 2, 273–290.
Shergill, S., Bullmore, E., Simmons, A., Murray, R., & McGuire, P. (2000). Functional anatomy of auditory verbal imagery in schizophrenic patients with auditory hallucinations. The American Journal of Psychiatry, 157 (10), 1691–1693.
Sommer, I. E., Diederen, K. M., Blom, J. D., Willems, A., Kushan, L., Slotema, K., et al. (2008). Auditory verbal hallucinations predominantly activate the right inferior frontal area. Brain, 131 (Pt 12), 3169–3177.
Stephan, K. E., Friston, K. J., & Frith, C. D. (2009). Dysconnection in schizophrenia: From abnormal synaptic plasticity to failures of self-monitoring. Schizophrenia Bulletin, 35 (3), 509–527.
Stephane, M., Kuskowski, M., McClannahan, K., Surerus, C., Nelson, K. (2009). Evaluation of speech misattribution bias in schizophrenia. Psychological Medicine, 1–8.
Stephane, M., Thuras, P., Nasrallah, H., & Georgopoulos, A. P. (2003). The internal structure of the phenomenology of auditory verbal hallucinations. Schizophrenia Research, 61 (2–3), 185–193.
Stone, J. M., Abel, K. M., Allin, M. P., van Haren, N., Matsumoto, K., McGuire, P. K., et al. (2011). Ketamine-induced disruption of verbal self-monitoring linked to superior temporal activation. Pharmacopsychiatry, 44 (1), 33–48.
Suzuki, M., Yuasa, S., Minabe, Y., Murata, M., & Kurachi, M. (1993). Left superior temporal blood flow increases in schizophrenic and schizophreniform patients with auditory hallucination: A longitudinal case study using 123I-IMP SPECT. European Archives of Psychiatry and Clinical Neuroscience, 242 (5), 257–261.
van der Gaag, M. (2006). A neuropsychiatric model of biological and psychological processes in the remission of delusions and auditory hallucinations. Schizophrenia Bulletin, 32 (S1), S113–S122.
Vercammen, A., Knegtering, H., Liemburg, E. J., den Boer, J. A., & Aleman, A. (2010). Functional connectivity of the temporo-parietal region in schizophrenia: Effects of rTMS treatment of auditory hallucinations. Journal of Psychiatric Research, 44 (11), 725–731.
Waters, F., Woodward, T. S., Allen, P., Aleman, A., & Sommer, I. (2012). Self-recognition deficits in schizophrenia patients with auditory hallucinations: A meta-analysis of the literature. Schizophrenia Bulletin, 38, 741–750.
Woodward, T. S., & Menon, M. (2010). Considerations for analysis of source monitoring data when investigating hallucinations in schizophrenia research. European Archives of Psychiatry and Clinical Neuroscience, 261 (3), 157–164.
Woodward, T. S., Menon, M., & Whitman, J. C. (2007). Source monitoring biases associated with hallucinations in schizophrenia. Cognitive Neuropsychiatry, 12 (6), 477–494.
Acknowledgments
TSW is supported by a Scholar award from the Michael Smith Foundation for Health Research (MSFHR) and a New Investigator award from the Canadian Institutes of Health Research (CIHR). The authors thank Paul Metzak and Frank Larøi for their contributions to this work.
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Woodward, T.S., Menon, M. (2013). Misattribution Models (II): Source Monitoring in Hallucinating Schizophrenia Subjects. In: Jardri, R., Cachia, A., Thomas, P., Pins, D. (eds) The Neuroscience of Hallucinations. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4121-2_10
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