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A Review of Multimodal Hallucinations: Categorisation, Assessment, Theoretical Perspectives And Clinical Recommendations

Authors: Montagnese, Marcella; Leptourgos, Pantelis; Fernyhough, Charles; Waters, Flavie; Laroi, Frank; Jardri, Renaud; McCarthy-Jones, Simon; +5 Authors

A Review of Multimodal Hallucinations: Categorisation, Assessment, Theoretical Perspectives And Clinical Recommendations

Abstract

Hallucinations can occur in different sensory modalities within an individual, both simultaneously and serially in time. Historically, they have typically been studied in clinical populations as phenomena occurring in a single sensory modality. Yet, hallucinatory experiences that occur in two or more sensory systems - multimodal hallucinations (MMHs) - are more prevalent than previously thought, and may have greater adverse impact than unimodal ones, but they remain relatively under-researched. Why people experience multi- modal hallucinations, what the implications for the person are, and how this could impact how such experiences are treated when distressing remain under-studied questions. Here, we review the available literature on MMHs and discuss some key concepts in the field, namely a) the definition and categorisation of both serial and simultaneous MMHs, b) which assessment tools are available and how they can be improved, and c) the explanatory power that current hallucination theories might have for MMHs. Overall, we suggest that current models need to be updated or developed in order to account for MMHs and to inform research into the underlying processes of such hallucinatory phenomena. We make recommendations for future research and clinical practice, highlighting the potential clinical impact of MMHs, the need for better assessment tools that can reliably measure MMHs and distinguish them from other related phenomena (such as delirium), as well as the need for service-user involvement in the validation of classification systems of MMHs.

Countries
Norway, Switzerland, United Kingdom, United Kingdom, United Kingdom, Australia, France, Belgium, United Kingdom
Keywords

Bipolar Disorder/complications, Sciences sociales & comportementales, psychologie, Bipolar Disorder, Hallucinations, 150, 610 Medicine & health, Psychotic Disorders/physiopathology, Humans, psychosis, Neurosciences & comportement, computational, Neurosciences & behavior, [SCCO.NEUR] Cognitive science/Neuroscience, Bipolar Disorder/physiopathology, Hallucinations/diagnosis, Schizophrenia/physiopathology, Hallucinations/physiopathology, multisensory, Hallucinations/classification, Psychotic Disorders, Psychiatry and Mental Health, Hallucinations/etiology, Social & behavioral sciences, psychology, Psychotic Disorders/complications, Schizophrenia, Schizophrenia/complications, hallucinations, Regular Articles

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
52
Top 1%
Top 10%
Top 10%
Green
hybrid