In both DSM-5 and ICD-10, a hallucination is considered an erroneous perception ( e.g., in DSM-5, “a perception-like experience with the clarity and impact of a true perception but without the external stimulation of the relevant sensory organ”). In ICD-10, the presence of hallucinatory voices discussing the patient or commenting on the patient's thoughts or actions is sufficient to diagnose schizophrenia (if the duration criterion is fulfilled and the exclusion criteria are not met). The significance of these findings is briefly discussed in relation to the concept of insight, diagnosis of psychosis, and early detection.Īuditory verbal hallucinations (AVHs) form a central symptom in the current diagnosis of schizophrenia in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ( DSM-5) ( American Psychiatric Association, 2013) and in the International Classification of Diseases, Tenth Revision (ICD-10) ( World Health Organization, 1990). The AVH in the majority of the patients was associated with other pathological subjective experiences. None of the patients considered themselves as being psychotic or severely mentally ill. Moreover, the term “voices” was typically appropriated by the patient during his contact with a psychiatric treatment facility. We found that on average the patients experiencing AVH for 6.5 years before disclosing the symptom to a psychiatrist. The focus was on the beginning of hallucinatory experiences, time to disclosure of the symptom, and the context surrounding the disclosure. In this study of mainly readmitted patients with the International Classification of Diseases, Tenth Revision, diagnosis of paranoid schizophrenia and experiencing AVH, we performed a qualitative, phenomenologically oriented interview study. Recent reviews on auditory verbal hallucinations (AVHs) advocate a qualitative and interdisciplinary research that not only is limited to single descriptive features, but also involves contextual issues and co-occurring psychopathology.
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