Hearing a Voice as one’s own: Two Views of Inner Speech Self-Monitoring Deficits in Schizophrenia

Review of Philosophy and Psychology 7 (3):675-699 (2016)
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Many philosophers and psychologists have sought to explain experiences of auditory verbal hallucinations and “inserted thoughts” in schizophrenia in terms of a failure on the part of patients to appropriately monitor their own inner speech. These self-monitoring accounts have recently been challenged by some who argue that AVHs are better explained in terms of the spontaneous activation of auditory-verbal representations. This paper defends two kinds of self-monitoring approach against the spontaneous activation account. The defense requires first making some important clarifications concerning what is at issue in the dispute between the two forms of theory. A popular but problematic self-monitoring theory is then contrasted with two more plausible conceptions of what the relevant self-monitoring deficits involve. The first appeals to deficits in the neural mechanisms that normally filter or attenuate sensory signals that are the result of one’s own actions. The second, less familiar, form of self-monitoring approach draws an important analogy between Wernicke’s aphasia and AVHs in schizophrenia. This style of self-monitoring theory pursues possible connections among AVHs, inserted thoughts, and the disorganized speech characteristic formal thought disorder.

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Author's Profile

Peter Langland-Hassan
University of Cincinnati

Citations of this work

Inner Speech.Peter Langland-Hassan - forthcoming - WIREs Cognitive Science.
Mechanisms for constrained stochasticity.Peter Carruthers - 2020 - Synthese 197 (10):4455-4473.
From Introspection to Essence: The Auditory Nature of Inner Speech.Peter Langland-Hassan - forthcoming - In Peter Langland-Hassan & Agustin Vicente (eds.), Inner Speech: New Voices. Oxford: Oxford University Press.
Predicting the Self: Lessons From Schizophrenia.Valerie Gray Hardcastle - 2019 - Review of Philosophy and Psychology 10 (2):381-400.

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