![]() ![]() There was also a significant total effect of childhood adversity on both auditory hallucinations and delusions (effect size, 0.55 P =.009), and an indirect effect of childhood adversity on auditory hallucinations via dialogic inner speech. There may be images, but just as words are not necessary for comprehension or understanding, neither are images. ![]() Thoughts and ideas are formed and understood, just without the incessant internal babbling needed to be constantly describing the world to ourselves. In addition, other people inner speech subscale scores were positively correlated with adverse childhood experiences ( P ≤.01), including neglect and dysfunction. No internal monologue just means you don't have some voice rattling in your head 24/7. Borderline personality disorder causes problems regulating thoughts, emotions. Last medically reviewed on January 6, 2021. The investigators found a positive association between dialogic inner speech (ie, talking to oneself or asking oneself questions and then answering them) and childhood adversity ( P ≤.01), particularly abuse and dysfunction. They may choose to verbalize this inner monologue, which is common. ![]() The participants completed questionnaires assessing inner speech and adverse childhood experiences and rated symptoms related to auditory verbal hallucinations and delusions. The study included 78 participants (49% women 75% black) between the ages of 21 and 60 who met criteria for schizophrenia (n=57) or bipolar disorder (n=21) with psychosis and had a lifetime history of auditory verbal hallucinations. Cherise Rosen, PhD, of the department of psychiatry, University of Illinois at Chicago, and colleagues recruited patients at an urban academic medical center. ![]()
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