AUDITORY HALLUCINATION HALLUCINATION RA RATING TING SCALE Gillian Haddock University of Manchester, Manchester, 1994 GENERAL INSTRUCTIONS
The following structured interview is designed to elicit specific details regarding different dimensions of auditory auditory hallucinations !hen asking "uestions, "uestions, the interview is designed to rate the patient#s e$periences over the last week for the ma%ority of items There are two e$ceptions to this eg when asking a&out &eliefs regarding cause of voices, rate the patient#s response &ased on what they &elieve at the time of interview interview 'lso loudness of voices should &e rated according to the loudness loudness of voices at the time of interview or the last time the patient e$perienced them
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ength ength of time time e$periencin e$periencing g voices voices /years0) /years0) ******** ********
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AUDITORY HALLUCINATIONS: SCORE SHEET
SCORE
1
-56U5(78
.U'T:3(
;
37'T:3(
4
3U.(5++
<
=5:5-+ 5>3:G:( 3- 23:75+
?
'M3U(T 3- (5G'T:25 73(T5(T 323:75+
@
.5G55 3- (5G'T:25 73(T5(T
A
'M3U(T 3- .:+T5++
9
:(T5(+:T8 3- .:+T5++
1B
.:+UCT:3(
11
73(T3 AUDITORY HALLUCINATIONS: SCORING CRITERIA
1
-56U5(78 How often do you e$perience voicesD eg every day, all day long etc
B
2oices not present or present less than once a week /specify fre"uency if present0
1
2oices occur for at least once a week
2oices occur at least once a day
;
2oices occur at least once an hour
4
2oices occur continuously or almost continually ie stop only for a few seconds or minutes
.U'T:3( !hen you hear your voices, how long do they last eg a few seconds, minutes, hours, all day longD B
2oices not present
1
2oices last for a few seconds, fleeting voices
2oices last for several minutes
;
2oices last for at least one hour
4
2oices last for hours at a time
;
;
37'T:3(
!hen you hear your voices where do they sound like they#re coming fromD - inside your head andor outside your headD - :f voices sound like they are outside your head, wherea&outs do they sound like they#re coming fromD
4
B
(o voices present
1
2oices originate inside head only
2oices outside the head, &ut close to ears or head 2oices inside head may also &e present
;
2oices originate inside or close to ears and outside head away from ears
4
2oices originate from outside space, away from head only
3U.(5++
How loud are your voicesD 're they louder than your voice, a&out the same loudness, "uieter or %ust a whisperD
B
2oices not present
1
6uieter than own voice, whisper
'&out the same loudness as own voice
;
ouder than own voice
4
5$tremely loud, shouting
4
<
=5:5-+ 5>3:G:( 3- 23:75+ !hat do you think has caused your voicesD > 're the voices caused &y factors related to yourself or solely due to other people or factorsD :f patient e$presses an e$ternal origin) - How much do you &elieve that your voices are caused &y >>>>>>>>>>>>>>>>>>>> /add patient#s attri&ution0 on a scale from B>1BB with 1BB &eing that you are totally convinced, have no dou&ts and B &eing that it is completely untrueD
?
B
2oices not present
1
=elieves voices to &e solely internally generated and related to self
Holds a less than
;
Holds
4
=elieves voices are solely due to e$ternal causes /1BBE conviction0
'M3U(T 3- (5G'T:25 73(T5(T 3- 23:75+ .o your voices say unpleasant or negative thingsD - 7an you give me some e$amples of what the voices sayD /record these egs0 - How much of the time do the voices say these type of unpleasant or negative itemsD B
(o unpleasant content
1
3ccasional unpleasant content
Minority of voice content is unpleasant or negative /less than
;
Ma%ority of voice content is unpleasant or negative /more than
4
'll of voice content is unpleasant or negative
<
@
.5G55 3- (5G'T:25 73(T5(T
Fate using criteria on scale, asking patient for more detail if necessary
A
B
(ot unpleasant or negative
1
+ome degree of negative content, &ut not personal comments relating to self or family eg swear words or comments not directed to self, eg The milk man is uglyI
Cersonal ver&al a&use, comments on &ehaviour eg +houldn#t do that, or say thatI
;
Cersonal ver&al a&use relating to self>concept eg 8ou#re laJy, ugly, mad, perverted
4
Cersonal threats to self eg threats to harm to self or family, e$treme instructions or commands to harm self or others and personal ver&al a&use as in /;0
'M3U(T 3- .:+T5++ 're your voices distressingD - How much of the timeD B
2oices not distressing at all
1
2oices occasionally distressing, ma%ority not distressing
5"ual amounts of distressing and non>distressing voices
;
Ma%ority of voices distressing, minority not distressing
4
2oices always distressing
?
9
:(T5(+:T8 3- .:+T5++ !hen voices are distressing, how distressing are theyD > .o they cause you minimal, moderate, severe distressD - 're they the most distressing they have ever &eenD
1B
B
2oices not distressing at al
1
2oices slightly distressing
2oices are distressing to a moderate degree
;
2oices are very distressing, although su&%ect could feel worse
4
2oices are e$tremely distressing, feel the worst heshe could possi&ly feel
.:+UCT:3( T3 :-5 7'U+5. =8 23:75+ How much disruption do the voices cause to your lifeD - .o the voices stop you from working or other daytime activityD - .o they interfere with your relationships with friends andor familyD - .o they prevent you from looking after yourself, eg &athing changing clothes etc B
(o disruption to life, a&le to maintain independent living with no pro&lems in daily living skills '&le to maintain social and family relationships /if present0
1
2oices cause minimal amount of disruption to life eg interferes with concentration although a&le to maintain daytime activity and social and family relationships and &e a&le to maintain independent living without support
2oices cause moderate amount of disruption to life causing some distur&ance to daytime activity andor family or social activities The patient is not in hospital although may live in supported accommodation or receive additional help with daily living skills
;
2oices cause severe disruption to life so that hospitalisation is usually necessary The patient is a&le to maintain some daily activities, self>care and relationships whilst in hospital The patient may also &e in supported accommodation &ut e$periencing severe disruption of life in terms of activities daily living skills andor relationships
4
2oices cause complete disruption of daily life re"uiring hospitalisation The patient in una&le to maintain any daily activities and social relationships +elf>care is also severely disrupted
@
11
73(T3'=::T8 3- 23:75+
-
.o you think you have any control over when your voices happenD 7an you dismiss or &ring on your voicesD
B
+u&%ect &elieves they can have control over their voices and can always &ring on or dismiss them at will
1
+u&%ect &elieves they can have some control over the voices on the ma%ority of occasions
+u&%ect &elieves they can have some control over their voices appro$imately half of the time
;
+u&%ect &elieves they can have some control over their voices &ut only occasionally The ma%ority of time the su&%ect e$periences voices which are uncontrolla&le
4
+u&%ect has no control over when the voices occur and cannot dismiss or &ring them on at all
A
NUMBER OF VOICES
How many different voices have you heard over the last weekD
(o of voices K
-3M 3- 23:75+
1+T Cerson
8es(o
/nK
0
nd Cerson
8es(o
/nK
0
;rd Cerson
8es(o
/nK
0
+ingle words or phrases !ithout pronouns
8es(o
/nK
0
9
