How are inner speech, self-dialogue, auditory imagery, and hallucinations related? And what exactly are hallucinations? Some have suggested that hallucinations are caused by a monitoring defect in inner speech (also termed inner voice, silent speech, subvocal speech, covert speech, self talk, internal monologue, verbal thought, etc.) (Fernyhough, The Voices Within, 2016). Such a claim, however, ignores the overwhelming evidence concerning hallucinations before about 1000 BCE. Any theoretical linkage must take into account one crucial datum: hallucinations were central to normal sociopsychological functioning. Hallucinations, which were ubiquitous in the ancient world, were a mechanism for social control (until about the first millennium BCE). The “monitoring defect” hypothesis confuses matters: Rather than hallucinations resulting from a problem with inner speech, inner speech is a type of watered-down hallucination. This is why, arguably, for some an inner voice possesses agent-like properties or is accompanied by a felt presence, suggesting vestigial bicameral mentality.
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