Académique Documents
Professionnel Documents
Culture Documents
wwwwwwwwwwww
Renaud Jardri
Pierre Thomas
Arnaud Cachia
Delphine Pins
Editors
The Neuroscience
of Hallucinations
Editors
Renaud Jardri
Functional Neurosciences & Disorders
Laboratory
CURE unit, Fontan Hospital
University Medical Centre
of Lille (CHU Lille)
F-59037, Lille, France
Pierre Thomas
Functional Neurosciences & Disorders
Laboratory
CURE unit, Fontan Hospital
University Medical Centre of Lille
(CHU Lille)
F-59037, Lille, France
Arnaud Cachia
Centre de Psychiatrie & Neurosciences
INSERM U-894
Centre Hospitalier Sainte-Anne
2ter rue dAlsia, F-75014 Paris, France
Delphine Pins
Functional Neurosciences & Disorders
Laboratory
CURE unit, Fontan Hospital
University Medical Centre of Lille
(CHU Lille)
F-59037, Lille, France
ISBN 978-1-4614-4120-5
ISBN 978-1-4614-4121-2 (eBook)
DOI 10.1007/978-1-4614-4121-2
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2012940192
Springer Science+Business Media New York 2013
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of
the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation,
broadcasting, reproduction on microfilms or in any other physical way, and transmission or information
storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology
now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection
with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and
executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this
publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publishers
location, in its current version, and permission for use must always be obtained from Springer. Permissions
for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to
prosecution under the respective Copyright Law.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specific statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
While the advice and information in this book are believed to be true and accurate at the date of
publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for
any errors or omissions that may be made. The publisher makes no warranty, express or implied, with
respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
Foreword
Hallucinations are a core feature of psychotic disorders, yet until recently, surprisingly little was known about the mechanisms underlying these phenomena. However,
over the last two decades there has been an upsurge in research in this area. This has
partly been driven by a recognition of the value of studying specific psychiatric
symptoms, as opposed to psychiatric disorders, and partly by the availability of new
investigative techniques, such as neuroimaging. As a result, our understanding of
the psychological and neurobiological processes that are involved in the pathophysiology of hallucinations has greatly increased. The extent to which this field has
progressed is evident from the contributions to this volume, which collectively provide a state-of-the-art overview of current work on hallucinations, from a range of
centers worldwide. Part I reviews the assessment, definition, and prevalence of hallucinations in different samples. Part II focuses on cognitive processes that may be
impaired in patients with hallucinations, while theoretical models of hallucinations
are discussed in Part III. The important contribution of neuroimaging to this field is
covered in detail in Part IV, while Part V considers how research on hallucinations
can inform the clinical management of these symptoms. The authors conclude by
integrating the diversity of findings presented in this volume and to provide directions for future research. I am delighted to have been given the opportunity to introduce this book and commend the contributors on their work.
London, UK
Philip McGuire
vi
Foreword
Preface
viii
Preface
Fig. 1 The graph shows the exponential increase in the PubMed database counts for the search
term hallucinations over the period 19002011. A more than fourfold increase in the cumulative
number of scientific publications in this field can be observed in the last 30 years
hallucinatory experiences occurring in psychiatric (J.D. Blom) or neurological conditions and in sensory loss (G. Fnelon). In Chap. 5, M. Stephane presents crucial
issues in the assessment of hallucinatory experiences across an individuals lifespan and across disorder categories and sensory modalities. Specific hallucination
instruments are detailed in this context.
Part II (Chaps. 6, 7, 8, 9, 10 and 11) explores the broad area of Cognitive models
for hallucinations. In Chap. 6, A. Aleman and A. Vercammen provide an overview
of bottom-up and top-down processes that have been suggested as mechanisms in
the generation and/or perpetuation of hallucinations. Chapter 7, by S. Dollfus,
A. Razafimandimby, and M. Alary, reviews studies exploring the pathophysiology
of auditory verbal hallucinations (AVH) based on speech-processing paradigms,
including the connections with brain imaging and therapeutic chapters. The role of
emotional salience and unintentional memory retrieval in the occurrence of hallucinations is critically discussed by S.L. Rossell in Chap. 8. Chapters 9 and 10, which
develop the misattribution models of hallucinations, present two sides of the same
coin. In Chap. 9, F. Varese and F. Lari exhaustively review empirical studies on the
presumed association between hallucinations and meta-cognitive beliefs and show
how these beliefs may constitute a crucial determinant of the distress related to hallucinations. In Chap. 10, T.S. Woodward and M. Menon complete this view by
providing evidence for an association between hallucinations and externalization
errors in source-monitoring situations. Finally, another original approach is
described by F. Waters in Chap. 11 to examine timing abnormalities in people with
schizophrenia and their connection to hallucinations.
In Part III, Neurobiological and computational models of hallucinations, the
chapters focus more fundamentally on the role of genetic, developmental, and
Preface
ix
Preface
relieve AVH in schizophrenia are reviewed by P.B. Fitzgerald and K. Hoy in Chap.
25. Strategies to improve the efficacy of brain stimulation techniques for hallucinations are discussed by E. Poulet, F. Haesebaert, J. Brunelin, and M-F. Suaud-Chagny
in Chap. 26. They notably review data about optimizations in stimulation protocols and critically discuss the development of other stimulation techniques, such
as transcranial direct current stimulation, epidural cortical stimulation, and deep
brain stimulation. Finally, brain-imaging-guided therapies of hallucinations are
presented by J.R. Foucher in Chap. 27. A special emphasis is given to fMRI-guided
neurofeedback and neuronavigated and robotized brain stimulation techniques. In
the conclusion of the book, we propose key issues for future research in the neuroscience of hallucinations.
We are aware that many other interesting clinical and therapeutic aspects of the
hallucinatory phenomenon could have been included in this volume. We hope that
readers will share our excitement about this growing area of neuroscience research.
We would also like to take this opportunity to express our deepest gratitude to the
colleagues who accepted our invitation to contribute their scholarly and cuttingedge chapters to this book. We thank Fabien DHondt for assisting us with the editing of this book, Springer US for their confidence, and, especially, Janice Stern for
her patience as our editor. As always, none of this would have been possible without
the love, support, and encouragement of our respective families. Finally, our utmost
gratitude goes to the patients who have been our teachers in our quest to improve
understanding of hallucinations.
Lille, France
Paris, France
Lille, France
Lille, France
Renaud Jardri
Arnaud Cachia
Pierre Thomas
Delphine Pins
Contents
Part I
1
43
59
Part II
21
85
xi
xii
Contents
10
11
Part III
12
13
14
15
16
Part IV
17
18
19
20
xiii
Contents
21
22
Part V
23
24
25
26
27
wwwwwwwwwwww
Renaud Jardri, M.D., Ph.D., is a child psychiatrist at the Lille University Medical
Centre, scientist in the Functional Neurosciences & Disorders lab. (Lille, France)
and associate faculty at the Group for Neural Theory (INSERM), cole Normale
Suprieure, Paris, France. His major research interests are multimodal brain imaging, fMRI-guided therapy and computational modeling of hallucinations.
Arnaud Cachia, Ph.D., is Associate Professor in Neurosciences at Universit
Paris-Descartes (Psychology Dept.), affiliated with the center for psychiatry and
neurosciences (INSERM, Ste-Anne Hospital) and the developmental and neurofunctional imaging group (CNRS, Sorbonne), Paris, France. His research focuses
on the links between brain development, behavior and cognition, particularly in
psychotic disorders.
Pierre Thomas, M.D., Ph.D., is Professor of Psychiatry at the Lille University
school of Medicine and Co-Research Director of the Hallucinations and Delusions
team in the Functional Neurosciences & Disorders Laboratory (Lille, France). His
current research interests focus on the underlying cerebral mechanisms of hallucinations and their treatment.
Delphine Pins, Ph.D., is a CNRS researcher at the Functional Neurosciences &
Disorders Laboratory (Lille, France), where she is Co-Research Director of the
Hallucinations and Delusions team. She specializes in psychophysics and fMRI.
Her research work focuses on visual perception, familiarity processing, and conscious access.
xv
wwwwwwwwwwww
Contributors
Mathieu Alary Universit de Caen Basse Normandie, UMR 6232 CNRS, CEA,
Cyceron Center, Caen, France
Andr Aleman BCN NeuroImaging Center, University of Groningen, Groningen,
AW, The Netherlands
Paul Allen Psychosis Studies, Institute of Psychiatry, Kings College London,
London, UK
Stefania Benetti Department of Psychosis Studies, Institute of Psychiatry, Kings
Health Partners, Kings College London, London, UK
Jan Dirk Blom University of Groningen, Groningen, The Netherlands
Parnassia Bavo Group, The Hague, The Netherlands
Jrme Brunelin Service Hospitalo-Universitaire, Centre Hospitalier Sainte-Anne,
Paris, France
Centre de Psychiatrie & Neurosciences, UMR INSERM 894, Paris, France
Facult de mdecine, Universit Paris Descartes, Sorbonne Paris Cit, Paris, France
Arnaud Cachia Centre de Psychiatrie & Neurosciences INSERM U-894,
Paris, France
Laboratoire de Psychologie du Dveloppement et de lducation de lEnfant CNRS
UMR-3521, Sorbonne, Paris, France
Institut de Psychologie, Universit Paris-Descartes Sorbonne Paris-Cit,
Paris, France
Christopher N. David Child Psychiatry Branch, National Institute of Mental
Health, Bethesda, MD, USA
Sophie Denve Group for Neural Theory, LNC, INSERM U-960, Institute of
Cognitive Studies (DEC), cole Normale Suprieure, Paris, France
xvii
xviii
Contributors
Contributors
xix
xx
Contributors
Contributors
xxi
wwwwwwwwwwww