Hallucinations in nonclinical populations are shaped by culture. Comparing Dutch and Qatari adults (2,999 each) on the Questionnaire for Psychotic Experiences, tactile and olfactory hallucinations occurred at similar lifetime rates in both countries. Auditory and visual hallucinations were twice as common in the Dutch sample, and Dutch participants reported younger ages of onset for auditory and tactile hallucinations. Although Qatari participants reported fewer auditory and visual hallucinations overall, those who experienced them had higher mean scores for past-week hallucinations, more impact on daily functioning, and more frequent commanding voices. The findings suggest hallucinations in the Qatari sample carried greater clinical relevance, with implications for early screening and prevention.
Hallucinations, which occur in many psychiatric disorders, may be better understood through the lens of developmental psychology. Their clinical significance depends on when they appear in a person's life. Key cognitive-developmental processes—such as engaging with imaginary entities, adverse events, executive functioning, social cognition, and language development—shape how hallucinations arise across different sensory modalities. Atypical developmental trajectories, as seen in certain conditions, also influence hallucination prevalence and phenomenology. Integrating developmental and psychiatric perspectives could yield mutual benefits for future research.