Speech processing in voice-hearers: Bridging the gap between empirical research and clinical implications

Aust N Z J Psychiatry. 2023 Mar;57(3):322-327. doi: 10.1177/00048674211068392. Epub 2021 Dec 28.

Abstract

Individuals who hear voices (i.e. auditory verbal hallucinations) have been reported to exhibit a range of difficulties when listening to and processing the speech of other people. These speech processing challenges are observed even in the absence of hearing voices; however, some appear to be exacerbated during periods of acute symptomology. In this advisory piece, key findings from pertinent empirical research into external speech processing in voice-hearers are presented with the intention of informing healthcare professionals. It is the view that through a better understanding of the speech processing deficits faced by individuals who hear voices, more effective communication with such patients can be had.

Keywords: Auditory verbal hallucination; external speech; functional neuroimaging; listening; schizoaffective disorder; schizophrenia; subverbal communication; verbal communication; voice-hearing.

MeSH terms

  • Hallucinations / etiology
  • Humans
  • Intention
  • Speech*
  • Voice*