"Voices" in People's Minds Are Complex ---commentary by Alan Manevitz, MD
Auditory hallucinations usually known as "voices" has been a characteristic of many psychiatric illnesses. Auditory hallucinations involve perceiving sound without an auditory stimulus. It is presumed to be pathology or a symptom that reflects 'psychosis' (a break from reality) due to substance abuse or another medical/psychiatric illnesses that must be treated. Other research has shown auditory hallucinations are correlated with an increase in activity of the strietal and thalamic subcortical nuclei, paralimbic and hypothalamus regions in the brain. Metabolism and dopamine neurotransmitters are what is currently implicated and treated by various antipsychotic drugs. The treatment and resolution of the symptom has become the manner medicine and psychiatry trails progress in patients. Bipolar Psychiatrist
There is on-going research that supports the prevalence of auditory hallucinations using a lack of other standard psychotic symptoms (for example delusions or paranoia). Identifying real auditory hallucinations from "sounds" or a normal internal dialogue is important since the latter phenomena is just not indicative of mental illness.
Thisphenomenonological surveyby Angela Woods et al that was done on 153 areas is innovative because it studies a wide selection of individuals with many different investigations. However, it is vital to notice the survey was placed on line and advertised for people who 'heard voices'. Therefore, the results don't represent the incidence of auditory hallucinations in the general or illness -special inhabitants. The study had other restrictions 2.5 times as many women as men completed the survey, it was just offered in English, there was no verification of self-reports and the 'coding' of features was done by the research workers but not alone volunteered. Acutely ill folks were "certainly" (by research workers's admission) underrepresented in this survey. The authors in their particular self-evaluation note: "Although individuals from black and minority ethnic sources are up to nine times more likely than individuals from other ethnic origins to present with symptoms of psychosis, 'they are underrepresented in this study'."
This study is fascinating because it raises questions of what "notional sound" is: passive or uncontrolled imagined perceptions vs. perceptual hallucinations The results demonstrate 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 external as if the voices heard 'were in the room') and were 'conversational' (that's the voices or ideas talk with the individual or with each other). Slightly less than half the studied group heard it as "voices" while the others "heard" it as thoughts or mixed ideas and voices. Two-thirds (66%) reported bodilysensations (referred to as tactile hallucinations in general psychiatry) and these senses were associated with abusive and/or violent voices. Of note, is that one third reported positive emotions, one-third neutral emotions as well as the rest emotions of panic, depression, anxiety and pressure. Furthermore, the survey reported that 'command hallucinations' (which happen to be assumed in general practice to be indicative of high risk of injury to self and others) was merely common in 5% of those participating. Find a psychiatrist nyc
*This study has no current useful clinical applicationfor people currently suffering from hallucinations (auditory or tactile). Readers who have family members afflicted by internal voices or ideas or are currently suffering should see their doctor for guidance.
.
Alan Manevitz, M.D. is a Shrink 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 educates 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 Superb Doctors, New York Magazine's Greatest Psychiatrists in New York, and Best Doctors of America.
Dr. Manevitz is recognized for his clinical skills and superiority in Married, Family and Sex Therapy, complicated dilemmas including medication (Advanced Psychopharmacology), and Attention Deficit Disorder (ADHD). He is also nationally and globally recognized for his clinical abilities in Post-Traumatic Stress Disorder (PTSD). He's lectured on the clinical treatment of Fibromyalgia and Pain in the grand rounds and national meetings.
Dr. Manevitz has acquired a reputation for consultation of difficult to diagnose patients and review of treatment resistant patients where he uses his knowledge of classic treatments and his experience as an early adapter to new drug and medical devices to quarterback advanced biopsychosocial incorporated clinical strategies of treatment.
Auditory hallucinations usually known as "voices" has been a characteristic of many psychiatric illnesses. Auditory hallucinations involve perceiving sound without an auditory stimulus. It is presumed to be pathology or a symptom that reflects 'psychosis' (a break from reality) due to substance abuse or another medical/psychiatric illnesses that must be treated. Other research has shown auditory hallucinations are correlated with an increase in activity of the strietal and thalamic subcortical nuclei, paralimbic and hypothalamus regions in the brain. Metabolism and dopamine neurotransmitters are what is currently implicated and treated by various antipsychotic drugs. The treatment and resolution of the symptom has become the manner medicine and psychiatry trails progress in patients. Bipolar Psychiatrist
There is on-going research that supports the prevalence of auditory hallucinations using a lack of other standard psychotic symptoms (for example delusions or paranoia). Identifying real auditory hallucinations from "sounds" or a normal internal dialogue is important since the latter phenomena is just not indicative of mental illness.
Thisphenomenonological surveyby Angela Woods et al that was done on 153 areas is innovative because it studies a wide selection of individuals with many different investigations. However, it is vital to notice the survey was placed on line and advertised for people who 'heard voices'. Therefore, the results don't represent the incidence of auditory hallucinations in the general or illness -special inhabitants. The study had other restrictions 2.5 times as many women as men completed the survey, it was just offered in English, there was no verification of self-reports and the 'coding' of features was done by the research workers but not alone volunteered. Acutely ill folks were "certainly" (by research workers's admission) underrepresented in this survey. The authors in their particular self-evaluation note: "Although individuals from black and minority ethnic sources are up to nine times more likely than individuals from other ethnic origins to present with symptoms of psychosis, 'they are underrepresented in this study'."
This study is fascinating because it raises questions of what "notional sound" is: passive or uncontrolled imagined perceptions vs. perceptual hallucinations The results demonstrate 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 external as if the voices heard 'were in the room') and were 'conversational' (that's the voices or ideas talk with the individual or with each other). Slightly less than half the studied group heard it as "voices" while the others "heard" it as thoughts or mixed ideas and voices. Two-thirds (66%) reported bodilysensations (referred to as tactile hallucinations in general psychiatry) and these senses were associated with abusive and/or violent voices. Of note, is that one third reported positive emotions, one-third neutral emotions as well as the rest emotions of panic, depression, anxiety and pressure. Furthermore, the survey reported that 'command hallucinations' (which happen to be assumed in general practice to be indicative of high risk of injury to self and others) was merely common in 5% of those participating. Find a psychiatrist nyc
*This study has no current useful clinical applicationfor people currently suffering from hallucinations (auditory or tactile). Readers who have family members afflicted by internal voices or ideas or are currently suffering should see their doctor for guidance.
.
Alan Manevitz, M.D. is a Shrink 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 educates 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 Superb Doctors, New York Magazine's Greatest Psychiatrists in New York, and Best Doctors of America.
Dr. Manevitz is recognized for his clinical skills and superiority in Married, Family and Sex Therapy, complicated dilemmas including medication (Advanced Psychopharmacology), and Attention Deficit Disorder (ADHD). He is also nationally and globally recognized for his clinical abilities in Post-Traumatic Stress Disorder (PTSD). He's lectured on the clinical treatment of Fibromyalgia and Pain in the grand rounds and national meetings.
Dr. Manevitz has acquired a reputation for consultation of difficult to diagnose patients and review of treatment resistant patients where he uses his knowledge of classic treatments and his experience as an early adapter to new drug and medical devices to quarterback advanced biopsychosocial incorporated clinical strategies of treatment.