From neuronal to mental topography - Neurophenomenology of auditory hallucinations.
Translational psychiatry November 21, 2025 Andrea Francesco Carluccio, Georg Northoff
Auditory verbal hallucinations (AVH) in psychosis and schizophrenia involve changes in brain connectivity and organization, but how these relate to the structure of subjective experience is unclear. This review proposes two neurophenomenological hypotheses. First, disruptions in connections between sensory, bodily, and language brain regions may cause temporal fragmentation in perception and thought, leading to hyperreflexivity—abnormal attention to isolated objects. Second, a reduced distinction between unimodal and transmodal brain regions may blur the boundary between outer social and inner mental spaces, causing confusion between interpersonal and intrapersonal experience. These hypotheses link brain changes directly to the structure of experience in AVH.