Shot through with voices

Dissociation mediates the relationship between varieties of inner speech and auditory hallucination proneness

Ben Alderson-Day*, Simon McCarthy-Jones, Sarah Bedford, Hannah Collins, Holly Dunne, Chloe Rooke, Charles Fernyhough

*Corresponding author for this work

    Research output: Contribution to journalArticle

    31 Citations (Scopus)

    Abstract

    Inner speech is a commonly experienced but poorly understood phenomenon. The Varieties of Inner Speech Questionnaire (VISQ; McCarthy-Jones & Fernyhough, 2011) assesses four characteristics of inner speech: dialogicality, evaluative/. motivational content, condensation, and the presence of other people. Prior findings have linked anxiety and proneness to auditory hallucinations (AH) to these types of inner speech. This study extends that work by examining how inner speech relates to self-esteem and dissociation, and their combined impact upon AH-proneness. 156 students completed the VISQ and measures of self-esteem, dissociation and AH-proneness. Correlational analyses indicated that evaluative inner speech and other people in inner speech were associated with lower self-esteem and greater frequency of dissociative experiences. Dissociation and VISQ scores, but not self-esteem, predicted AH-proneness. Structural equation modelling supported a mediating role for dissociation between specific components of inner speech (evaluative and other people) and AH-proneness. Implications for the development of "hearing voices" are discussed.

    Original languageEnglish
    Pages (from-to)288-296
    Number of pages9
    JournalConsciousness and cognition
    Volume27
    Issue number1
    DOIs
    Publication statusPublished - Jul 2014

    Keywords

    • Dialogicality
    • Dissociation
    • Hallucination
    • Inner speech
    • Psychosis
    • Self-esteem

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