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experiences. Hence, the conditions and pathological processes usually associated with hallucinations are of different kinds: sensory systems disturbance (basically agerelated ones), physiological disorders (fever, sensory
deprivation, etc.), medical conditions and treatments, central nervous system disorders (brain injuries, encephalopathies, etc.) and, most of all, schizophrenia and affective
psychoses.
Considering the concept of hallucination, in DSM-IV
the phenomenon is defined as a sensory perception that
has the compelling sense of reality of a true perception
but that occurs without external stimulation of the relevant sensory organ (American Psychiatric Association,
1994, p. 767). It is important to stress the cognitive point
of view supported by Slade and Bentall, which is specified in the following working definition of hallucination:
any percept-like experience which (a) occurs in the
absence of an appropriate stimulus, (b) has the full force
or impact of the corresponding actual (real) perception,
and (c) is not amenable to direct and voluntary control
by the experimenter (Slade and Bentall, 1988, p. 23).
Starting from this definition, it is possible to distinguish hallucinations from other similar experiences
such as illusions. While illusory experiences involve a
perceptual error based on context, in the hallucinatory
phenomenon there exists a perceptual error based on
internal stimuli, which leads to more serious consequences. Secondly, another typical aspect is the
strength or impact of the experience, which is used as
a criterion to distinguish hallucinations from pseudohallucinations, since in hallucinations one is convinced
that the phenomenon occurs outside oneself, that is, it
is happening in the real world. The third point for the
definition, the lack of control by the individual, tries to
make a distinction between hallucinations and other
kinds of vivid mental images. In contrast to what happens in imagery, in hallucination there exists the
impossibility, or at least the difficulty, to willingly alter
or diminish the experience.
In any case, there are studies, mostly correlational, that
tried to analyse the differences among those subjects
who experience hallucinations and those we could call
normal imagers. Contrary to what might be posited,
Seith and Molholm (1947) demonstrated that people
with hallucinations have very weak mental images.
However, another group of authors support the idea that
hallucination and vivid imagery are somehow related,
and they talk as if these kind of experiences were merely
extremely exaggerated mental images. For instance,
Minz and Alpert (1972), argue that individuals who
hallucinate are characterised by having abnormally vivid
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The other group of explanation theories are the psychological theories, from which we emphasise the following approaches: a) Conditioning theories, that explain
hallucinations in terms of suggestibility (Hefferline,
Bruno and Camp, 1972); b) Seepage theories, that
explain hallucinations in terms of a kind of seepage or
distillation where mental activity which is typically preconscious becomes conscious -experiments on sensory
deprivation by West (1962) and Frith (1979) are highlighted; c) Mental Imagery theories, which view hallucinations as mental images which individuals mistakenly
ascribe to external sources, and d) sub-vocalisation theories, which suggest the existence of some relationship
between auditory hallucinations and subjects inner speech (Gould, 1950; Green and Preston, 1981).
However, there is no integrative model gathering, from
all the different approaches, those ideas that have
enough converging empirical evidence to explain why,
under normal circumstances, most people are able to
correctly distinguish real facts from imaginary ones.
Slade and Bentall (1988) made an attempt in this direction.
The purpose of the present study is to test whether
hallucinatory experiences respond to the dimensionality
principle and whether they occur in non-psychotic psychological disorders. Hence, we will try to detect potential differences (if they were so) between a group of
hallucinators and a group of non-hallucinators with
regard to imagery and several types of personality disorders as described by Millon, also analysing neurotic and
psychotic traits.
METHOD
Subjects
The sample is comprised of 222 university students,
who were not paid for their collaboration; 71 were males
and 151 were females, with ages between 17 and 26
years from the first and third years of Psychology and
Computing degree courses.
Instruments
The following instruments were used in the study:
a) Betts QMI Vividness of Imagery Scale (Richardson,
1969), in its Spanish version by S. Lemos and P.C.
Martnez (University of Oviedo). This test contains
35 short descriptions, from which subjects must try
to image, and corresponding to seven different sensory modalities: visual (e.g. the sun as it is sinking
below the horizon), auditory (the mewing of a
cat), cutaneous (the feel of sand), kinetic (reaching up to high shelf), gustatory (taste of oran-
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Mean
35.96
SD
9.97
Non-imagers
Mean
31.12
SD
7.12
U
717.0
P
0.05
Table 1
Scores on Vividness of Imagery Scales obtained by
hallucinators and non-hallucinators. Students t values
and statistical significance.
Groups
Hallucinators
Scales
Non-hallucinators
Mean
SD
Mean
SD
10.60
11.83
10.96
11.35
13.27
12.09
10.85
83.02
3.33
4.75
3 67
3.93
4.93
4.21
3.67
20.64
12.96
I4.69
14.06
12.13
16.69
15.23
13.18
99.14
4.72
6.01
5.90
5.12
6.14
5.96
5.48
27.04
2.74
0.78
3.15
0.84
3.00
2.98
2.43
3.21
Visual
Auditory
Cutaneous
Kinetic
Gustatory
Olfactory
Organic
Total
p
**
NS
**
NS
**
**
*
**
The relationship between imagery ability and scores in scales is inverse. Lower
means reflect higher imagery.
* = p<.05. ** = p<.01. ***= p<.0001. NS= Non Significant
Table 3
Scores on MCMI-II scales for hallucinators and nonhallucinators. Students t values and statistical significance.
Groups
Hallucinators
Scales
Non-hallucinators
Mean
SD
Mean
SD
19.46
25.54
29.00
36.26
38.76
33.93
7.41
11.94
8.33
11.01
10.33
11.52
17.90
18.71
28.36
30.93
33.56
27.42
6.02
9.70
8.87
9.86
10.82
10.98
-1.14
-3.12
-0.36
-2.66
-2.43
-2.86
NS
**
NS
**
*
**
Schizoid Pers.
Avoidant Pers.
Submissive Pers.
Histrionic Pers.
Narcissistic Pers.
Antisocial Pers.
Aggressive
(sadistic) Pers.
Compulsive Pers.
Negativistic Pers.
Self-defeating
(masochistic) Pers.
36.63
31.04
38.83
12.66
8.56
12.86
30.69
32.04
31.10
10.54
8.85
12.34
-2.53
0.56
-3.03
*
NS
**
25.28
11.90
17.12
10.36
-3.63
***
Schizotypal Pers.
Borderline Pers.
Paranoid Pers.
21.93
38.48
32.04
11.55
15.67
9.35
15.10
26.90
24.86
9.24
14.96
10.66
-3.21
-3.74
-3.52
**
***
***
Anxiety
Somatoform
Hypomanic
Dysthymic
Alcohol Abuse
Drugs Abuse
Psychotic
14.00
18.87
35.98
22.11
21.26
34.74
10.74
9.18
43.87
15.97
8.28
11.43
7.00
11.94
22.30
11.98
14.79
24.96
6.74
7.04
8.84
11.10
6.94
11.05
-3.81
-4.22
-2.20
-3.60
-4.21
-4.30
***
***
*
***
***
***
Thinking
Psychotic
Depression
Psychotic
Delusion
17.61
8.51
10.96
8.72
-3.81
***
16.83
12.14
9.13
9.10
-3.51
***
15.72
5.33
10.92
6.12
4.11
***
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Groups
Imagers
Scales
Non-imagers
Mean
SD
Mean
SD
Schizoid Pers.
Avoidant Pers.
Submissive Pers.
Histrionic Pers.
Narcissistic
Antisocial
Aggressive
(sadistic)
Compulsive Pers.
Negativistic
Self-defeating
(masochistic) Pers.
17.29
22.09
28.57
38.95
41.23
34.80
7.15
13.69
9.84
7.24
10.29
11.43
20.91
23.14
28.70
29.70
34.88
28.51
7.36
10.63
7.38
10.09
10.96
10.26
-2.32
-0.40
-0.07
4.91
2.78
2.70
*
NS
NS
***
NS
NS
37.41
31.91
38.50
11.19
8.58
11.83
31.33
33.02
33.16
9.09
8.06
10.84
2.68
-0.62
2.19
**
NS
*
beta
Alcohol Abuse
.3707
.2847
4.01
.000
Psychotic Delusion
.3156
.1782
2.51
.01
22.66
13.83
19.42
9.07
1.30
NS
Schizotypal Pers.
Borderline Pers.
Paranoid Pers.
19.00
35.09
32.75
12.80
16.65
9.18
17.88
29.58
26.88
8.63
12.40
9.24
0.48
1.73
2.97
NS
NS
**
Anxiety
Somatoform
Hypomanic
Dysthymic
Alcohol Abuse
Drugs Abuse
11.36
16.48
30.95
17.64
20.02
34.34
11.11
9.07
6.24
17.55
7.43
9.38
7.67
12.30
23.42
14.00
16.81
26.45
7.24
7.71
8.97
11.05
7.09
10.49
1.84
2.31
4.56
1.16
2.06
3.46
NS
*
***
NS
*
***
Psychotic Thinking
Psychotic Depression
Psychotic Delusion
15.48
13.30
15.09
9.71
13.10
5.33
13.09
10.05
12.02
6.99
8.56
5.47
1.32
1.37
2.65
NS
NS
**
Predictors
Borderline Personality
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beta
.3301
5.16
.000
Durbin-Watson = 1.81
beta
-.2311
-.2311
-3.44
.000
r
.3301
beta
-.1675
-.1675
-2.46
.01
If we take into account separately the different vividness of imagery subscales, we verify that differences
between hallucinators and non-hallucinators groups
always exist, although in auditory and kinetic contents
the data were not significant. These differences may be
due to chance or they may lack explanatory value, or
they may be due to the fact that these two sensory modalities could, in general, be more difficult to imagine than
the rest, given their scarce mental representation. It
should not be forgotten that scores obtained in the
Vividness of Imagery Questionnaire largely depend on
personal characteristics of each individual and on his/her
self-scheme in relation to imagery capacity.
An explanatory hypothesis about the relation between
hallucination and imagery is that it is due to the fact that
people with a greater number of hallucinatory-type
experiences may store information in a different way
from those individuals who do not tend to hallucinate.
Since imaginary experiences are built upon information
stored in memory, we could assume that this sensory
information is richer in detail in those persons with more
hallucinatory experiences, or simply that those different
memory processes prime a better access to the sensory
information stored. It seems likely that one type of information used by the reality discrimination process in
making its decisions might be the amount of sensory
detail present in consciousness (Barrett, 1993).
If hallucinators have a high vividness of imagery, it
could also be expected that the opposite may hold, that
is, that individuals with a higher imagery capacity
would also experience frequent hallucinatory-type phenomena. However a clear bi-directionality in causality
has not been found, and so we could deduce a first double conclusion: a) the person who frequently experiences hallucinatory-type experiences possesses a high
level of imagery; and b) the fact that an individual has
high vividness of imagery does not imply that he/she
will hallucinate or, at least, such a relationship is in any
case weaker. As results show, it does not seem as
though hallucinatory phenomena were something detached from individuals imagery, although it must be
kept in mind that perhaps this is not the only variable
which has some influence, and so, it would be recommendable to study other factors beyond imagery that
may be intervening in the hallucinatory phenomena.
However, what are these other factors which differentiate individuals with a higher frequency of hallucinatory experiences from the rest of the subjects? Could
they be variables of a psychopathological character?
Focusing our attention towards psychopathological characteristics configuring the MCMI-II inventory, a higher
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