ABSTRACT

Auditory hallucinations are common among people seeking treatment for trauma and dissociation and can result in diagnostic challenges. This study examined the correlates of hearing voices in two samples of people seeking interventions for dissociation – a sample of 83 English speakers and a sample of 82 Chinese speakers. We found that, compared with depersonalization, hearing voices was more closely associated with trauma and other dissociative phenomena (especially identity dissociation) across two samples from different cultures. We recommend that careful assessment of trauma and dissociation should take place before a clinician assumes that auditory hallucinations are a psychotic symptom. Our findings support the idea that at least some forms of hearing voices are a cross-culturally occurring trauma-related dissociative phenomenon.

摘要

听觉幻觉在寻求创伤和解离治疗的人中很常见，并可能导致诊断挑战。这项研究检查了两个寻求解离干预措施的样本中的听觉声音的相关性-一个样本为83位讲英语的人和一个样本为82位说中文的人。我们发现，与去个性化相比，在来自不同文化背景的两个样本中，声音与创伤和其他解离现象（尤其是身份解离）的关联更为紧密。我们建议在临床医生认为幻听是精神病症状之前，应仔细评估创伤和解离。我们的发现支持以下观点：至少某些形式的听觉声音是跨文化发生的与创伤相关的分离现象。