Auditory hallucinations: An audiological perspective

Frank Musiek, Tee Marie Ballingham, Barry Liu, Jennifer Paulovicks, Brooke Swainson, Kevin Tyler, Kristin Vasil, Jeffrey Weihing

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The purpose of this article was to review information on auditory hallucinations from an audiological perspective in an attempt to stir interest across disciplines. Bentall defines hallucinations as perceptions that lack an external stimulus, have the full impact of an actual perception, and are not under voluntary control.1 Auditory hallucinations have been commonly associated with psychiatric conditions, but this is not always the case. They can be linked to a variety of otological, neurological, and pharmacological disorders. People with AHs perceive a wide range of sounds. Their sound perceptions can be divided into formed and unformed AHs. Formed AHs are more complex, internal acoustic perceptions, such as music and speech. Types of unformed AHs include tones, clicks, chords, etc., which vary in pitch and loudness. In many instances, it is difficult to differentiate unformed AHs from tinnitus. It is difficult to reach definite conclusions regarding the basis of AHs. Theories include reduced neural connectivity (loss of neural connections within the brain), a pathophysiological generator in the auditory cortex (similar to an eleptiform focus), sensory deprivation, and a misperception of what are internally (imagination) and externally generated sounds. All of these theories could ultimately be related to a pathophysiologic condition. A heightened emotional state may also contribute to the experience of AHs. It is reasonable to consider sophisticated audiological evaluations as a key element in helping define AHs because of the auditory nature of the hallucinations. Although audiological results are scattered, there do seem to be some indications that dichotic listening performance and auditory evoked potentials may be useful in learning about AHs. Perhaps one of the biggest breakthroughs in learning about AHs has been functional imaging studies (e.g., MRI, PET). Clearly, certain auditory areas of the brain become activated when AHs begin or even shortly before they begin. Functional imaging studies have provided an anatomical basis for AHs and support the role of the central auditory system in AHs. Perhaps the most popular treatment for AHs is transcranial magnetic stimulation (TMS). Data are emerging that indicate this technique may develop into a dependable procedure. Counseling techniques, distraction approaches, and acoustic masking procedures have all shown some usefulness as a treatment for AHs. Although certain drugs (especially in high doses) can cause auditory hallucinations, medications can also help in their treatment. Ultimately, the most successful technique for treating AHs will probably be to remove the underlying cause - if it can be discovered.

Original languageEnglish (US)
Pages (from-to)32-52
Number of pages21
JournalHearing Journal
Volume60
Issue number9
StatePublished - Sep 2007
Externally publishedYes

Fingerprint

Hallucinations
Auditory Cortex
Acoustics
Sensory Deprivation
Learning
Imagination
Auditory Evoked Potentials
Tinnitus
Transcranial Magnetic Stimulation
Brain
Music
Nervous System Diseases
Psychiatry
Counseling
Therapeutics
Pharmacology
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Musiek, F., Ballingham, T. M., Liu, B., Paulovicks, J., Swainson, B., Tyler, K., ... Weihing, J. (2007). Auditory hallucinations: An audiological perspective. Hearing Journal, 60(9), 32-52.

Auditory hallucinations : An audiological perspective. / Musiek, Frank; Ballingham, Tee Marie; Liu, Barry; Paulovicks, Jennifer; Swainson, Brooke; Tyler, Kevin; Vasil, Kristin; Weihing, Jeffrey.

In: Hearing Journal, Vol. 60, No. 9, 09.2007, p. 32-52.

Research output: Contribution to journalArticle

Musiek, F, Ballingham, TM, Liu, B, Paulovicks, J, Swainson, B, Tyler, K, Vasil, K & Weihing, J 2007, 'Auditory hallucinations: An audiological perspective', Hearing Journal, vol. 60, no. 9, pp. 32-52.
Musiek F, Ballingham TM, Liu B, Paulovicks J, Swainson B, Tyler K et al. Auditory hallucinations: An audiological perspective. Hearing Journal. 2007 Sep;60(9):32-52.
Musiek, Frank ; Ballingham, Tee Marie ; Liu, Barry ; Paulovicks, Jennifer ; Swainson, Brooke ; Tyler, Kevin ; Vasil, Kristin ; Weihing, Jeffrey. / Auditory hallucinations : An audiological perspective. In: Hearing Journal. 2007 ; Vol. 60, No. 9. pp. 32-52.
@article{b8baf1f7f0464238b0dc7d6b800a9725,
title = "Auditory hallucinations: An audiological perspective",
abstract = "The purpose of this article was to review information on auditory hallucinations from an audiological perspective in an attempt to stir interest across disciplines. Bentall defines hallucinations as perceptions that lack an external stimulus, have the full impact of an actual perception, and are not under voluntary control.1 Auditory hallucinations have been commonly associated with psychiatric conditions, but this is not always the case. They can be linked to a variety of otological, neurological, and pharmacological disorders. People with AHs perceive a wide range of sounds. Their sound perceptions can be divided into formed and unformed AHs. Formed AHs are more complex, internal acoustic perceptions, such as music and speech. Types of unformed AHs include tones, clicks, chords, etc., which vary in pitch and loudness. In many instances, it is difficult to differentiate unformed AHs from tinnitus. It is difficult to reach definite conclusions regarding the basis of AHs. Theories include reduced neural connectivity (loss of neural connections within the brain), a pathophysiological generator in the auditory cortex (similar to an eleptiform focus), sensory deprivation, and a misperception of what are internally (imagination) and externally generated sounds. All of these theories could ultimately be related to a pathophysiologic condition. A heightened emotional state may also contribute to the experience of AHs. It is reasonable to consider sophisticated audiological evaluations as a key element in helping define AHs because of the auditory nature of the hallucinations. Although audiological results are scattered, there do seem to be some indications that dichotic listening performance and auditory evoked potentials may be useful in learning about AHs. Perhaps one of the biggest breakthroughs in learning about AHs has been functional imaging studies (e.g., MRI, PET). Clearly, certain auditory areas of the brain become activated when AHs begin or even shortly before they begin. Functional imaging studies have provided an anatomical basis for AHs and support the role of the central auditory system in AHs. Perhaps the most popular treatment for AHs is transcranial magnetic stimulation (TMS). Data are emerging that indicate this technique may develop into a dependable procedure. Counseling techniques, distraction approaches, and acoustic masking procedures have all shown some usefulness as a treatment for AHs. Although certain drugs (especially in high doses) can cause auditory hallucinations, medications can also help in their treatment. Ultimately, the most successful technique for treating AHs will probably be to remove the underlying cause - if it can be discovered.",
author = "Frank Musiek and Ballingham, {Tee Marie} and Barry Liu and Jennifer Paulovicks and Brooke Swainson and Kevin Tyler and Kristin Vasil and Jeffrey Weihing",
year = "2007",
month = "9",
language = "English (US)",
volume = "60",
pages = "32--52",
journal = "Hearing Journal",
issn = "0745-7472",
publisher = "Lippincott Williams and Wilkins",
number = "9",

}

TY - JOUR

T1 - Auditory hallucinations

T2 - An audiological perspective

AU - Musiek, Frank

AU - Ballingham, Tee Marie

AU - Liu, Barry

AU - Paulovicks, Jennifer

AU - Swainson, Brooke

AU - Tyler, Kevin

AU - Vasil, Kristin

AU - Weihing, Jeffrey

PY - 2007/9

Y1 - 2007/9

N2 - The purpose of this article was to review information on auditory hallucinations from an audiological perspective in an attempt to stir interest across disciplines. Bentall defines hallucinations as perceptions that lack an external stimulus, have the full impact of an actual perception, and are not under voluntary control.1 Auditory hallucinations have been commonly associated with psychiatric conditions, but this is not always the case. They can be linked to a variety of otological, neurological, and pharmacological disorders. People with AHs perceive a wide range of sounds. Their sound perceptions can be divided into formed and unformed AHs. Formed AHs are more complex, internal acoustic perceptions, such as music and speech. Types of unformed AHs include tones, clicks, chords, etc., which vary in pitch and loudness. In many instances, it is difficult to differentiate unformed AHs from tinnitus. It is difficult to reach definite conclusions regarding the basis of AHs. Theories include reduced neural connectivity (loss of neural connections within the brain), a pathophysiological generator in the auditory cortex (similar to an eleptiform focus), sensory deprivation, and a misperception of what are internally (imagination) and externally generated sounds. All of these theories could ultimately be related to a pathophysiologic condition. A heightened emotional state may also contribute to the experience of AHs. It is reasonable to consider sophisticated audiological evaluations as a key element in helping define AHs because of the auditory nature of the hallucinations. Although audiological results are scattered, there do seem to be some indications that dichotic listening performance and auditory evoked potentials may be useful in learning about AHs. Perhaps one of the biggest breakthroughs in learning about AHs has been functional imaging studies (e.g., MRI, PET). Clearly, certain auditory areas of the brain become activated when AHs begin or even shortly before they begin. Functional imaging studies have provided an anatomical basis for AHs and support the role of the central auditory system in AHs. Perhaps the most popular treatment for AHs is transcranial magnetic stimulation (TMS). Data are emerging that indicate this technique may develop into a dependable procedure. Counseling techniques, distraction approaches, and acoustic masking procedures have all shown some usefulness as a treatment for AHs. Although certain drugs (especially in high doses) can cause auditory hallucinations, medications can also help in their treatment. Ultimately, the most successful technique for treating AHs will probably be to remove the underlying cause - if it can be discovered.

AB - The purpose of this article was to review information on auditory hallucinations from an audiological perspective in an attempt to stir interest across disciplines. Bentall defines hallucinations as perceptions that lack an external stimulus, have the full impact of an actual perception, and are not under voluntary control.1 Auditory hallucinations have been commonly associated with psychiatric conditions, but this is not always the case. They can be linked to a variety of otological, neurological, and pharmacological disorders. People with AHs perceive a wide range of sounds. Their sound perceptions can be divided into formed and unformed AHs. Formed AHs are more complex, internal acoustic perceptions, such as music and speech. Types of unformed AHs include tones, clicks, chords, etc., which vary in pitch and loudness. In many instances, it is difficult to differentiate unformed AHs from tinnitus. It is difficult to reach definite conclusions regarding the basis of AHs. Theories include reduced neural connectivity (loss of neural connections within the brain), a pathophysiological generator in the auditory cortex (similar to an eleptiform focus), sensory deprivation, and a misperception of what are internally (imagination) and externally generated sounds. All of these theories could ultimately be related to a pathophysiologic condition. A heightened emotional state may also contribute to the experience of AHs. It is reasonable to consider sophisticated audiological evaluations as a key element in helping define AHs because of the auditory nature of the hallucinations. Although audiological results are scattered, there do seem to be some indications that dichotic listening performance and auditory evoked potentials may be useful in learning about AHs. Perhaps one of the biggest breakthroughs in learning about AHs has been functional imaging studies (e.g., MRI, PET). Clearly, certain auditory areas of the brain become activated when AHs begin or even shortly before they begin. Functional imaging studies have provided an anatomical basis for AHs and support the role of the central auditory system in AHs. Perhaps the most popular treatment for AHs is transcranial magnetic stimulation (TMS). Data are emerging that indicate this technique may develop into a dependable procedure. Counseling techniques, distraction approaches, and acoustic masking procedures have all shown some usefulness as a treatment for AHs. Although certain drugs (especially in high doses) can cause auditory hallucinations, medications can also help in their treatment. Ultimately, the most successful technique for treating AHs will probably be to remove the underlying cause - if it can be discovered.

UR - http://www.scopus.com/inward/record.url?scp=34748812999&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34748812999&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:34748812999

VL - 60

SP - 32

EP - 52

JO - Hearing Journal

JF - Hearing Journal

SN - 0745-7472

IS - 9

ER -