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Auditory Hallucinations in Chronic Trauma Disorders: Phenomenology and Psychological Mechanisms

  • Martin J. Dorahy
  • Rachael C. W. Palmer
Reference work entry

Abstract

Auditory hallucinations are relatively common in those with chronic trauma disorders (12–98 %). They typically begin after a traumatic event and following the development of trauma-related disorders. They often contain themes related to trauma. Auditory hallucinations in chronic trauma disorders are commonly negative in content, heard inside the head or both inside and outside the head, occur relatively frequently, and cause distress. Those with PTSD who experience auditory hallucinations often have experienced more severe trauma and have a more severe symptom presentation than those who do not experience them. Dissociation, especially depersonalization, has been routinely linked to post-traumatic auditory hallucinations. As a phenomenon, depersonalization may transform mental activity into strange and foreign experiences that manifest as auditory hallucinations. Yet, depersonalization seems unable to account for many of the key features of auditory hallucinations. Structural dissociation at the level of personality, either in isolation or in combination with depersonalization, seems to offer a more complete account of auditory hallucinations in chronic trauma disorders.

Keywords

Auditory hallucinations Voices Trauma Dissociation Depersonalization 

List of Abbreviations

APA

American Psychiatric Association

DID

Dissociative identity disorder

DSM

Diagnostic and statistical manual of mental disorders

PTSD

Post-traumatic stress disorder

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of PsychologyUniversity of CanterburyChristchurchNew zealand

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