Trauma and Hallucinatory Experience in Psychosis

Recent research indicates that there may be phenomenological, symptom, and diagnostic associations between trauma and hallucinations. However, the nature of the relationship is poorly understood from a psychological perspective. We report a theoretically informed phenomenological study. From descriptions of reported traumas and hallucinations, we assessed the rates of four types of hypothesized association between traumas and hallucinations (direct, indirect, stress, and none) in 75 participants with nonaffective psychosis. In a subgroup who had experienced trauma (N = 40), 12.5% had hallucinations with similar themes and content to their traumas, 45% had hallucinations in which the themes were the same but not the content, and 42.5% had no identifiable associations between their hallucinations and previously experienced trauma. Traumas rated as intrusive were significantly associated with hallucinations rated as intrusive, although intrusive hallucinations were not associated with traumas in general. The traumas most likely to be associated with hallucinations were sexual abuse and bullying.

[1]  A. Morrison,et al.  Relationships between trauma and psychosis: a review and integration. , 2003, The British journal of clinical psychology.

[2]  Dan J Stein,et al.  Linking Posttraumatic Stress Disorder and Psychosis: A Look at Epidemiology, Phenomenology, and Treatment , 2003, The Journal of nervous and mental disease.

[3]  J. Read,et al.  Sexual and physical abuse during childhood and adulthood as predictors of hallucinations, delusions and thought disorder. , 2003, Psychology and psychotherapy.

[4]  A. Mitchell,et al.  Cognitive-behavioural therapy for schizophrenia. , 2002, The British journal of psychiatry : the journal of mental science.

[5]  S. Rosenberg,et al.  Trauma, PTSD, and the course of severe mental illness: an interactive model , 2002, Schizophrenia Research.

[6]  Michelle P. Salyers,et al.  Psychometric evaluation of trauma and posttraumatic stress disorder assessments in persons with severe mental illness. , 2001, Psychological assessment.

[7]  E. Kuipers,et al.  A cognitive model of the positive symptoms of psychosis , 2001, Psychological Medicine.

[8]  G. Arana,et al.  Psychotic features in chronic posttraumatic stress disorder and schizophrenia: comparative severity. , 2000, The Journal of nervous and mental disease.

[9]  D. Clark,et al.  A cognitive model of posttraumatic stress disorder. , 2000, Behaviour research and therapy.

[10]  J. Read,et al.  Hallucinations, delusions, and thought disorder among adult psychiatric inpatients with a history of child abuse. , 1999, Psychiatric services.

[11]  N. Tarrier,et al.  Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS) , 1999, Psychological Medicine.

[12]  N. Tarrier,et al.  Outcome and Innovation in Psychological Treatment of Schizophrenia , 1998 .

[13]  S. Rosenberg,et al.  Trauma and posttraumatic stress disorder in severe mental illness. , 1998, Journal of consulting and clinical psychology.

[14]  T. Dalgleish,et al.  A dual representation theory of posttraumatic stress disorder. , 1996, Psychological review.

[15]  S. Hirsch,et al.  A One Year Prospective Study of the Effect of Life Events and Medication in the Aetiology of Schizophrenic Relapse , 1996, British Journal of Psychiatry.

[16]  A. David,et al.  The auditory hallucination: a phenomenological survey , 1996, Psychological Medicine.

[17]  Steven H. Jones.  Cognitive-behavioural therapy of schizophrenia: D. G. Kingdon and D. Turkington: Lawrence Erlbaum Associates Ltd, Hove (1994). xii + 212 pp , 1995 .

[18]  A. Bertelsen,et al.  The Nordic concept of reactive psychosis – a multicenter reliability study , 1992, Acta psychiatrica Scandinavica.

[19]  J. Flaherty.  Life Events and Illness , 1991 .

[20]  T. Brugha,et al.  SCAN. Schedules for Clinical Assessment in Neuropsychiatry. , 1990, Archives of general psychiatry.

[21]  P. Lachenbruch.  Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[22]  J. Zubin,et al.  Vulnerability--a new view of schizophrenia. , 1977, Journal of abnormal psychology.

[23]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[24]  K. Jaspers.  Kausale und „verständliche“ zusammenhänge zwischen schicksal und psychose bei der dementia praecox (Schizophrenie) , 1913 .

[25]  D. Raune.  Psychosocial stress and the first episode of psychosis , 2002 .

[26]  Tx Station.  Stata Statistical Software: Release 7. , 2001 .

[27]  P. Garety,et al.  Cognitive Behaviour Therapy for Psychosis: Theory and Practice , 1999 .

[28]  K. Brailey,et al.  PTSD and Comorbid Psychotic Disorder: Comparison with Veterans Diagnosed with PTSD or Psychotic Disorder , 1999, Journal of traumatic stress.

[29]  David Fowler Phillippa Garety Elizabeth Kuipers.  Cognitive therapy for psychosis: Formulation, treatment, effects and service implications , 1998 .