For a Typology of Auditory Verbal Hallucinations Based on their Content

Abstract

Auditory verbal hallucinations (AVHs) are a common symptom of schizophrenia. Studies have focused on a classification of AVHs, based on different criteria. Subtypes of AVHs have been defined, distinguishing according to whether they are internal/external, single/multiple, unimodal/multimodal, benevolent/malevolent, permanent/intermittent, etc. The purpose of this study is to propose a classification of AVHs based on their content. We first identify the subtype that is directly associated with the polythematic delusions inherent in schizophrenia. Second, we distinguish subtypes related to other comorbid psychiatric disorders associated with schizophrenia in the patient: generalized anxiety disorder, depression, body dysmorphic disorder, etc. Finally, we suggest that such a differentiation could allow a correlative adaptation of the corresponding cognitive-behaviour therapy.