Reason 1: Haunted
Method: Keep a black dog. Black dogs ward off evil spirits, especially black dog blood, which can drive away all demons and ghosts. Haha:)
Reason 2: Auditory hallucinations. Psychological effect. It may also be the dislocation and similarity formed in the sound transmission process in other places, causing you to misunderstand.
The causes of auditory hallucinations include psychological factors, such as excessive mental stress; diseases of certain parts of the body, such as auditory center disorders or mental illness; drug effects, such as smoking or injecting excessive narcotics, smoking marijuana and eating the wrong food to induce hallucinations Substances, drug allergies, etc.
Physiological mechanism
The physiological mechanism of auditory hallucinations is not fully understood. Modern clinical research believes that auditory hallucinations are the result of incorrect processing of signals by the auditory center of the brain. We are not facing a silent world. Normal people's hearing correctly transmits internal and external sound signals to the auditory center. People with auditory hallucinations distort or exaggerate the sound signals due to obstacles in the auditory center, or even modify them according to subjective intentions. Therefore, It's an auditory perversion. I believe that auditory hallucinations can also result from brain errors in retrieving sound information from memory and amplifying it.
[Edit this paragraph] Classification of auditory hallucinations
Auditory hallucinations are divided into commentary hallucinations, command hallucinations, argumentative hallucinations and thinking voices. ①Commentary auditory hallucination: hearing others talking about oneself, and the content of the discussion is usually negative criticism, sarcasm, scolding, and false accusation. ②Command auditory hallucination: hearing a voice and doing something by yourself, such as hitting someone, refusing to eat, committing suicide or self-injury. ③ Argumentative auditory hallucinations: The content of the auditory hallucinations has nothing to do with the patient himself. What the patient hears is the argument between two other people. Sometimes the content of the verbal dispute can be centered on the patient. ④ Thought ringing: When the patient feels the thinking activity, the same words that appear in the thinking activity appear in his brain along with the thinking activity.
[Edit this paragraph] The difference between auditory hallucinations and tinnitus
The difference between auditory hallucinations and tinnitus is that the sound perception of tinnitus is basically stable in frequency and intensity, and it is difficult for patients to cure it. Auditory hallucinations result in irregular sound perception. Generally, when the cause of the disease is removed, the auditory hallucinations disappear and hearing returns to normal.
[Edit this paragraph] Characteristics of auditory hallucinations in schizophrenia patients
Auditory hallucinations are illusory perceptions that appear in the auditory organs. They are one of the common symptoms of mental patients. It is especially common in schizophrenia. After extensive clinical data observation. Auditory hallucinations in schizophrenia patients have the following characteristics;
Most often appear in the early stages of the disease
They may also appear during the symptom development period of the disease. In slow-onset schizophrenia, a small amount of relatively monotonous auditory hallucinations may occur in the early stage. As the disease progresses and the disease progresses, the amount of auditory hallucinations gradually increases and the content of the auditory hallucinations gradually becomes richer. At the beginning, the patient may be dubious about the voices coming out of thin air, but as the amount of auditory hallucinations increases, the content becomes richer, and the images become more realistic, he loses the ability to self-understand the auditory hallucinations (called loss of insight in psychiatry). And believe in it unwaveringly. As for acute-onset schizophrenia, a large number of auditory hallucinations with rich content may suddenly appear. The patient will be dominated by the auditory hallucinations and will have various abnormal thoughts, emotions and behaviors.
The auditory hallucinations in schizophrenia are mostly true auditory hallucinations
There may also be false auditory hallucinations. If the patient can tell you clearly. The sound was heard through his ears, and the sound appeared in the outside world at a certain distance from him. A patient with pseudoauditory hallucinations will specifically state that the sounds do not come from the outside world, but exist in his head or stomach.
The content of auditory hallucinations is diverse
The most common is verbal auditory hallucinations, in which patients hear sounds out of thin air. Because it is a true auditory hallucination, the patient can tell the voices of several people, whether they are male or female, and whether the voice is the voice of someone they are familiar with or someone they have never met. The content is diverse, including command auditory hallucinations, review auditory hallucinations, argumentative auditory hallucinations, etc. The content is often unfavorable to the patient, such as cursing and disparaging remarks, or saying that the patient has made a big mistake. They will also order patients to commit suicide or surrender.
Auditory hallucinations in schizophrenia
Most often coexist with other symptoms, especially delusions.
For example, if a patient hears a voice telling him that someone is going to persecute him, then the patient may have persecution delusions based on the auditory hallucinations; some patients may have persecution delusions first and then have auditory hallucinations based on the persecution delusions; At a certain stage of the disease, the patient only has a single symptom of auditory hallucinations.
Characteristics of auditory hallucinations in schizophrenia
But the types of diseases vary in different countries. For example, auditory hallucinations in patients with paranoid schizophrenia often arise and develop gradually, often with Delusions exist simultaneously. Moreover, the number of auditory hallucinations varies from small to large, and the content develops from simple to rich. In the severe stage of the disease, patients firmly believe in the content of their auditory hallucinations, so that the auditory hallucinations dominate the patient's emotions, will and behavior, and a considerable number of patients are unwilling to expose the contents of their auditory hallucinations. There are also paranoid patients who cock their ears as if listening to something, and sometimes talk to themselves as if they are having a conversation, with angry or excited expressions. We should be good at observing these behaviors. But when asked what he heard. The patient only answers: "Nothing." Sometimes, patients are controlled by auditory hallucinations and kill people, but they will not tell you directly. When doctors examine such paranoid patients, they often need to use a sympathetic and concerned tone, "You are so tired from noisy and yelling all day long! Is there anything we can do for you?" Only in this way can the patient be able to communicate with you. You cooperate and begin to expose the content of his auditory hallucinations. The auditory hallucinations of paranoid patients often persist during the course of the disease. Only after treatment, the auditory hallucinations will gradually reduce or even disappear. Auditory hallucinations can also occur in adolescent schizophrenia, but their characteristics are that they often appear suddenly and the content is messy and unfixed. Patients are willing to expose the auditory hallucinations and often tell you in tears without waiting for you to ask: "I want to I became emperor, the voice told me..." Patients can be dominated by auditory hallucinations, become impulsive, hurt people, and destroy things. Simple and catatonic patients may also experience auditory hallucinations, but most of them are monotonous and transient symptoms.
Auditory hallucinations in schizophrenia
often develop as the disease progresses and rarely disappear without treatment. After treatment, the auditory hallucinations gradually decreased as the condition improved, the patient gradually became indifferent to the auditory hallucinations, and finally the auditory hallucinations disappeared. The reappearance of auditory hallucinations often indicates fluctuations and recurrence of the condition.
If schizophrenia is not thoroughly treated in the early stage, it will develop into a chronic phase; or due to repeated recurrence of the disease, it will eventually lead to a chronic state; some schizophrenia begins to develop and There is no acute attack or particularly severe stage of symptoms, but a slow onset and slow development. The entire disease process has chronic characteristics. If this type of chronic patient has auditory hallucination symptoms, the auditory hallucinations are characterized by fragments, monotony, rigidity, and fixedness, such as "You are a bad guy", "You are a bad guy", etc. At this time, the patient's attitude towards the auditory hallucinations is extremely indifferent. The patient is also accustomed to the sound. Therefore, the patient can go to work and participate in work therapy and entertainment therapy during the hospitalization. We call this phenomenon that the patient has "peacefully reconciled" with the auditory hallucination. Auditory hallucinations are often extremely stubborn and difficult to eliminate with various treatments. Some patients may have residual auditory hallucinations throughout their lives. In summary, auditory hallucinations in schizophrenia have their own unique characteristics. The characteristics can be used as a basis for diagnosing or excluding schizophrenia. Auditory hallucinations can also be used to determine which stage the disease is in the early, developing or chronic stage based on the occurrence and development patterns of auditory hallucinations and the unique manifestations in different disease stages. The characteristics are used as a reference for classifying diseases.
[Edit this paragraph] Symptoms of paranoid schizophrenia
Patients mainly have the following symptoms when they are conscious. : 1. Behavior is withdrawn and withdrawn from reality, and life is lazy and passive. 2. Functional auditory hallucinations: Functional auditory hallucinations occur while hearing a real sound. 3. Mindreading (feeling of being exposed): his brain. Whatever he is thinking, he hears a voice that is not his own saying what he is thinking. 4. Commentary auditory hallucination: The hallucination is commenting on his words and deeds. 5. Compulsive thinking: This is a kind of involuntary thought. The patient feels unfamiliar and bored with the thoughts dominated by it, and wants to get rid of it but cannot. 6. Interpretation delusion (symbolic thinking): If you see a white dove flying, you will think that your parents are in a big disaster.
7. Having his thoughts taken away: thinking that the dead person "took away" his thoughts. 8. Influence delusion (feeling of being controlled, passive experience); believing that the dead person has controlled his brain, causing his brain to lose self-control and thinking about some problems involuntarily; believing that his thoughts, behaviors, expressions and movements are all imposed by external forces and are subject to external forces. External forces control and dominate, and autonomy is lost.