Skip to main content

Auditory processing in schizophrenia

Auditory hallucinations are a frequent, principal and disabling symptom of schizophrenia, however, little is known about their pathophysiology. The “voices inside the head” are very disturbing and the fact that the source of the “voices” is often described as being “on the outside” of the patient greatly contributes to the feeling of diffusion of the patient's personality, as well as on their weak control of what is real and what is imaginary.

“Hearing voices” in the absence of an auditory stimulus is obviously due to pathological perception. In trying to track down the pathological pathways of perception, suggestions have been made that auditory hallucinations may be associated with subvocal speech, a literal interpretation of “thinking aloud”. Other hypotheses include the loss of automatic inhibition of auditory processing of self-generated speech or hemisphere asymmetry manifested by disturbances of speech perception, lateralized to the left temporal lobe as can be studied experimentally in a dichotic listening paradigm. Also, it has been theorized that, given the presence of the frontal lobe syndrome in schizophrenia, patients with schizophrenia have a significantly diminished ability to cognitively modulate and process an auditory stimulus by focusing attention.

This presentation will be a brief review of the above theories as well as methods undertaken by researchers to support them.

Author information

Affiliations

Authors

Corresponding author

Correspondence to Stergios Kaprinis.

Rights and permissions

Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Reprints and Permissions

About this article

Cite this article

Kaprinis, S. Auditory processing in schizophrenia. Ann Gen Psychiatry 7, S11 (2008). https://doi.org/10.1186/1744-859X-7-S1-S11

Download citation

Keywords

  • Schizophrenia
  • Frontal Lobe
  • Auditory Stimulus
  • Speech Perception
  • Auditory Processing