We welcome Cho and Wu’s suggestion that the study of auditory verbal hallucinations could be improved by contrasting and testing more explanatory models. However, we have some worries both about their criticisms of inner speech-based self-monitoring models and whether their proposed spontaneous activation model is explanatory.

We present Activity Analysis as a new method for the quantification of subjective reports of altered states of consciousness with regard to the indicated level of simulated motor activity. Empirical linguistic activity analysis was conducted with dream reports conceived immediately after EEG-controlled periods of hypnagogic hallucinations and REM-sleep in the sleep laboratory. Reports of REM-dreams exhibited a significantly higher level of simulated physical dreamer activity, while hypnagogic hallucinations appear to be experienced mostly from the point of passive observer. This study (...) lays the groundwork for clinical research on the level of simulated activity in pathologically altered states of subjective experience, for example in the REM-dreams of clinically depressed patients, or in intrusions and dreams of patients diagnosed with PTSD. (shrink)

The "Nightcap," a relatively nonintrusive and "user-friendly" sleep monitoring system, was used by 11 subjects on 10 consecutive nights in their homes. Eighty-eight sleep mentation reports were obtained after spontaneous awakenings from Nightcap-identified REM sleep and 61 were obtained from NREM awakenings. Sleep mentation was recalled in 83% of REM reports and 54% of NREM reports. The median length of REM reports was 148 words compared to 21 words for NREM reports. Twenty-four percent of the REM reports were over 500 (...) words long; no NREM reports over 500 words were obtained. REM report lengths were lowest during the first 15 min of the REM cycle and longest 15–45 min into the period. In contrast, 7 of the 9 NREM reports more than 100 words long occurred within the first 15 min of NREM periods. The Nightcap thus appears to be an effective and efficient method of collecting large numbers of sleep mentation reports with correlated sleep staging under normal ecological conditions. (shrink)

Dreaming is a statistically robust cognitive correlate of REM sleep, but all of its formal features may occur in other states of sleep and even in waking, especially during fantasy. In order to test the hypothesis that the brain basis of such cognitive features as dream bizarreness is to be found in REM sleep neurophysiology, it is critical to quantify bizarreness in dreams and other mental states and to analyze the data with respect to both the magnitude and the kind (...) of bizarreness so measured. Any differences in the cognitive dimensions are candidate correlates of REM sleep neurophysiology. Sixty pairs of home-based dream and fantasy reports were collected from 12 subjects and scored for bizarreness using a two-stage scoring system adapted from Hobson, Hoffman, Helfand, and Kostner . Our results show that bizarreness was twice as prevalent in dream reports as in wake-state fantasy reports of the same subjects. Further analysis of the reports also showed differences in other features including the number of persona and remoteness of time and place. (shrink)

Passivity experiences in schizophrenia are thought to be due to a failure in a neurocognitive action self-monitoring system . Drawing on the assumption that inner speech is a form of action, a recent model of auditory verbal hallucinations has proposed that AVHs can be explained by a failure in the NASS. In this article, we offer an alternative application of the NASS to AVHs, with separate mechanisms creating the emotion of self-as-agent and other-as-agent. We defend the assumption that inner speech (...) can be considered as a form of action, and show how a number of previous criticisms of applying the NASS to AVHs can be refuted. This is achieved in part through taking a Vygotskian developmental perspective on inner speech. It is suggested that more research into the nature and development of inner speech is needed to further our understanding of AVHs. (shrink)

There is a pattern of miscommunication bedeviling the people working on consciousness that is reminiscent of the classic Abbott and Costello 'Who's on First?' routine. With the best of intentions, people are talking past each other, seeing major disagreements when there are only terminological or tactical preferences -- or even just matters of emphasis -- that divide the sides. Since some substantive differences also lurk in this confusion, it is well worth trying to sort out. Much of the problem seems (...) to have been caused by some misdirection in my apologia for heterophenomenology , advertised as an explicitly third-person approach to human consciousness, so I will try to make amends by first removing those misleading signposts and sending us back to the real issues. (shrink)

In this article, we present results from an interdisciplinary research project aimed at assessing consciousness in dreams. For this purpose, we compared lucid dreams with normal non-lucid dreams from REM sleep. Both lucid and non-lucid dreams are an important contrast condition for theories of waking consciousness, giving valuable insights into the structure of conscious experience and its neural correlates during sleep. However, the precise differences between lucid and non-lucid dreams remain poorly understood. The construction of the Lucidity and Consciousness in (...) Dreams scale was based on theoretical considerations and empirical observations. Exploratory factor analysis of the data from the first survey identified eight factors that were validated in a second survey using confirmatory factor analysis: INSIGHT, CONTROL, THOUGHT, REALISM, MEMORY, DISSOCIATION, NEGATIVE EMOTION, and POSITIVE EMOTION. While all factors are involved in dream consciousness, realism and negative emotion do not differentiate between lucid and non-lucid dreams, suggesting that lucid insight is separable from both bizarreness in dreams and a change in the subjectively experienced realism of the dream. (shrink)

In this paper, a new method of quantitatively assessing continuity and discontinuity of visual attention is developed. The method is based on representing narrative information using graph theory. It is applicable to any type of narrative report. Since dream reports are often described as bizarre, and since bizarreness is partially characterized by discontinuities in plot, we chose to test our method on a set of dream data. Using specific criteria for identifying and arranging objects of visual attention, dream narratives from (...) 10 subjects were obtained and mapped onto graphs. The interrater reliabilities were 76% and 91% . Discontinuities in visual attention were quantified by plotting transitions from one part of a graph to another, which provided a spatiotemporal map of attention shifts within a narrative. This procedure was compared with other approaches to discontinuity and also applied to a set of 10 fantasy reports from the same subjects. The results showed that our method includes but transcends other approaches and has the capability to distinguish dream and fantasy reports. To our knowledge, the method provides the most rigorous and reliable measure to date of continuity and discontinuity of attention in narrative reports. (shrink)

The phenomenology of auditory verbal hallucinations occurring in hypnagogic and hypnopompic states has received little attention. In a sample of healthy participants, 108 participants reported H&H AVHs and answered subsequent questions on their phenomenology. AVHs in the H&H state were found to be more likely to only feature the occasional clear word than to be clear, to be more likely to be one-off voices than to be recurrent voices, to be more likely to be voices of people known to the (...) individual than unknown persons, to be more likely to talk directly to the person rather than not, and to only rarely give commands, ask questions, or to result in an interactive conversation. Their phenomenology was similar to normative AVHs in wakefulness in that the voice-hearer was usually the target of the voice, and the voice was more likely to be of a recognized person. However, H&H AVHs differed from AVHs in wakefulness in that commands and questions were rare, and there was typically no dialogical engagement with the voice. We conclude by proposing that two distinct types of H&H AVHs may exist, based on an analysis of the phenomenology of the experience, and suggest avenues for future research. (shrink)