The varieties of inner speech questionnaire - Revised (VISQ-R): Replicating and refining links between inner speech and psychopathology

Auditory imagery and poetry-elicited emotions: a study on the hard of hearing

Silent reading evokes auditory images of the written text, and there is emerging evidence that these images increase emotional arousal when reading poetry. A novel approach to studying their relevance to poetry-elicited emotions is to explore them in hard of hearing individuals, who may have difficulties generating mental images in this modality. In the present study, we investigated differences in auditory imagery, both as a dispositional trait and as a process that occurs during reading, and the intensity of poetry-elicited emotions between hard of hearing individuals and controls. We also explored whether the effect of hearing loss on arousal can be partially explained by the vividness of the auditory images evoked during reading. For this purpose, participants completed two sessions. First, they filled in a set of questionnaires concerning reading experience and dispositional traits. Second, they read poetry for 30 min, retrospectively rated their emotional responses to the poems and answered questions about socio-affective and cognitive processes during reading. Results showed that, although participants in the hard of hearing group scored significantly lower than controls on every measure of auditory imagery (i.e., trait auditory imagery, auditory imagery for words, and other sounds while reading), their emotions were no less intense. The hard of hearing group also reported lower levels of other dispositional traits (i.e., visual imagery and proneness to fantasizing), but not of any psychological processes during reading. Not much is known about the effects of mental imagery on poetry-elicited emotions, and our findings open a new and promising line of research for exploring their relevance and specificity.

Words as social tools (WAT): A reprise

The paper presents new evidence collected in the last five years supporting the Words As social Tools proposal on abstract concepts. We discuss findings revolving around three central tenets. First, we show that-like concrete concepts-also abstract concepts evoke sensorimotor experiences, even if to a lower extent, and that they are linked to inner experiences (e.g., interoceptive, proprioceptive, and metacognitive). Second, we present findings suggesting that linguistic and social interaction are crucial for acquiring and using abstract concepts. Specifically, rating and behavioral studies reveal that people tend to feel uncertain about the meaning of abstract concepts. On top of that, with abstract concepts, people rely more on others to ask for information, negotiate conceptual meaning, or outsource their knowledge. We propose that inner speech might contribute both to the monitoring process and the preparation to interact with others. Finally, we illustrate recent studies conducted in our lab highlighting abstract concepts variability across individuals (age, expertise), cultures, and languages.

Gamma and Theta/Alpha-Band Oscillations in the Electroencephalogram Distinguish the Content of Inner Speech

Inner speech refers to the silent production of language in one's mind. As a purely mental action without obvious physical manifestations, inner speech has been notoriously difficult to quantify. To address this issue, the present study repurposed the phenomenon of speaking-induced suppression, wherein overt speech has been consistently shown to elicit reduced auditory evoked potentials compared with externally generated speech, as well as changes in oscillatory activity in gamma and theta frequency bands. Given the functional similarities between inner and overt speech, we used an established experimental protocol to investigate whether similar metrics could be used to distinguish the content of inner speech. Healthy participants (n = 129) produced an inner syllable at a precisely specified time. An audible syllable was concurrently presented which either matched or mismatched the content of the inner syllable. The results revealed that Match and Mismatch conditions could be differentiated on the basis of their evoked oscillations in the gamma, theta, and alpha bands. Notably, there was a gamma-band oscillation in the vicinity of the P2 that differed between the Match and Mismatch conditions, suggesting that "late" gamma-band activity may index consciously perceived expectancy violations, or cognitive prediction errors. Regarding the auditory evoked potentials, the N1 component was suppressed in the Match condition while the P2 component was suppressed in the Mismatch condition, replicating previous findings. This study provides support for the existence of "inner speaking-induced suppression", and demonstrates that inner syllables can be differentiated based on their influence on the electroencephalographic activity elicited by simultaneously-presented audible syllables.

The sound of thought: Form matters-The prosody of inner speech

This paper offers a new perspective on inner speech based on the theoretical framework of embodiment, focusing on the embodiment of structure rather than content. We argue that inner speech is used to simulate the acoustic aspects of overt speech including prosody. Prosody refers to the rhythm, intonation, and stress of spoken language, which is closely related to structural aspects of phrases, sentences, and larger language contexts such as discourse and narrative. We propose that inner speech gives form and structure to thought, and that this form is a necessary component of mental life. Thus, our paper opens with a review of the varieties of inner speech, followed by evidence concerning the form of inner speech, and finally, we discuss the functionality of inner speech. We consider cognitive and socio-emotional functions in which inner speech is involved and posit that inner speech serves as a simulation that maintains form and that this form serves different aspects of thought - attention, memory, emotion and self- regulation, social conceptualization, and narrative of self. In concluding, we address future research asking how inner speech contributes to making mental processes accessible to conscious thought, and whether accessibility to consciousness is related to form and structure.

Memory retrieval effects as a function of differences in phenomenal experience

Conscious experience and perception are restricted to a single perspective. Although evidence to suggest differences in phenomenal experience can produce observable differences in behavior, it is not well understood how these differences might influence memory. We used fMRI to scan n = 49 participants while they encoded and performed a recognition memory test for faces and words. We calculated a cognitive bias score reflecting individual participants' propensity toward either Visual Imagery or Internal Verbalization based on their responses to the Internal Representations Questionnaire (IRQ). Neither visual imagery nor internal verbalization scores were significantly correlated with memory performance. In the fMRI data, there were typical patterns of activation differences between words and faces during both encoding and retrieval. There was no effect of internal representation bias on fMRI activation during encoding. At retrieval, however, a bias toward visualization was positively correlated with memory-related activation for both words and faces in inferior occipital gyri. Further, there was a crossover interaction in a network of brain regions such that visualization bias was associated with greater activation for words and verbalization bias was associated with greater activation for faces, consistent with increased effort for non-preferred stimulus retrieval. These findings suggest that individual differences in cognitive representations affect neural activation across different types of stimuli, potentially affecting memory retrieval performance.

Attention control mediates the relationship between mental imagery vividness and emotion regulation

Contradictory findings suggest mental imagery may both exacerbate and protect against negative affect. We aimed to reconcile these contradictory findings by considering individual differences (N=989) in imagery vividness, attention control, resilience, emotion regulation strategy, and negative affect (depressive, anxious, and posttraumatic stress symptomology). We hypothesized that attention control would mediate relationships between imagery vividness and emotion regulation strategy use, and psychopathology symptomology. Results revealed that imagery vividness, as mediated by attention control, predicted greater levels of healthy reappraisal and deleterious rumination. Attention control also mediated negative relationships between imagery vividness and catastrophizing, self-blame, and psychopathology symptomology. An exploratory latent structural equation model revealed that imagery vividness and attention control aggregated positively with reappraisal and resilience scores. The present investigation suggests an adaptive function of imagery vividness via the indirect effects of attention control, facilitating adaptive emotion regulation and limiting maladaptive strategy use, thereby protecting against negative affect.

Interdisciplinary approaches to understanding the inner speech, with emphasis on the role of incorporating clinical data

Neuroscience has largely conceptualized inner speech, sometimes called covert speech, as being a part of the language system, namely, a precursor to overt speech and/or speech without the motor component (impoverished motor speech). Yet interdisciplinary work has strongly suggested that inner speech is multidimensional and situated within the language system as well as in more domain general systems. By leveraging evidence from philosophy, linguistics, neuroscience and cognitive science, we argue that neuroscience can gain a more comprehensive understanding of inner speech processes. We will summarize the existing knowledge on the traditional approach to understanding the neuroscience of inner speech, which is squarely through the language system, before discussing interdisciplinary approaches to understanding the cognitive, linguistic and neural substrates/mechanisms that may be involved in inner speech. Given our own interests in inner speech after brain injury, we finish by discussing the theoretical and clinical benefits of researching inner speech in aphasia through an interdisciplinary lens.

Not Everybody Has an Inner Voice: Behavioral Consequences of Anendophasia

It is commonly assumed that inner speech-the experience of thought as occurring in a natural language-is a human universal. Recent evidence, however, suggests that the experience of inner speech in adults varies from near constant to nonexistent. We propose a name for a lack of the experience of inner speech-anendophasia-and report four studies examining some of its behavioral consequences. We found that adults who reported low levels of inner speech (N = 46) had lower performance on a verbal working memory task and more difficulty performing rhyme judgments compared with adults who reported high levels of inner speech (N = 47). Task-switching performance-previously linked to endogenous verbal cueing-and categorical effects on perceptual judgments were unrelated to differences in inner speech.

The effects of internal representations on performance and fluidity in a motor task

Individuals can differ in the mode in which they experience conscious thought. These differences in visualisation and verbalisation can also be evident during motor control. The Internal Representation Questionnaire (IRQ) was developed to measure propensity to engage certain types of representations, but its ability to predict motor control and links to reinvestment and motor imagery have not been tested. 159 included participants completed the IRQ, movement specific reinvestment scale (MSRS), and a novel online motor task before and after a period of practice. Results showed that the IRQ Verbal and Orthographic factors were significant predictors of scores on the MSRS. The IRQ factor of Manipulational Representations predicted motor performance both before and after practice. The fluidity of executed movements were predicted by the IRQ verbalisation factor where higher propensity to verbalise was associated with higher levels of jitter, but only after a period of practice. Results suggest there may be some informative conceptual overlap between internal verbalisations and reinvestment and that the propensity to manipulate internal representations may be predictive of motor performance in new tasks. The IRQ has potential to be a valuable tool for predicting motor performance.

Concurrent Validity and Reliability of Representative Inner Speech Questionnaires

Inner speech is frequently assessed using self-report scales, but their validity is understudied. Uttl et al. (2011) found moderate correlations, perhaps because measures tap into different dimensions of inner speech. We expand on these preliminary results by investigating reliability and concurrent validity of seven inner speech questionnaires in a larger sample. Our results indicate that inner speech questionnaires are reliable but hold moderate concurrent validity, in line with Uttl and colleagues' (2011) results. Specifically, our results suggest that some inner speech scales may capture a general conception of inner speech, while others may assess evaluative components of negative self-talk, self-regulation, and self-reflective processes, but not emotional valence. The results hold implications around further validity investigations of inner speech measures.

Inner speech in the daily lives of people with aphasia

Introduction

This exploratory, preliminary, feasibility study evaluated the extent to which adults with chronic aphasia (N = 23) report experiencing inner speech in their daily lives by leveraging experience sampling and survey methodology.

Methods

The presence of inner speech was assessed at 30 time-points and themes of inner speech at three time-points, over the course of three weeks. The relationship of inner speech to aphasia severity, demographic information (age, sex, years post-stroke), and insight into language impairment was evaluated.

Results

There was low attrition (<8%) and high compliance (>94%) for the study procedures, and inner speech was experienced in most sampled instances (>78%). The most common themes of inner speech experience across the weeks were 'when remembering', 'to plan', and 'to motivate oneself'. There was no significant relationship identified between inner speech and aphasia severity, insight into language impairment, or demographic information. In conclusion, adults with aphasia tend to report experiencing inner speech often, with some shared themes (e.g., remembering, planning), and use inner speech to explore themes that are uncommon in young adults in other studies (e.g., to talk to themselves about health).

Discussion

High compliance and low attrition suggest design feasibility, and results emphasize the importance of collecting data in age-similar, non-brain-damaged peers as well as in adults with other neurogenic communication disorders to fully understand the experience and use of inner speech in daily life. Clinical implications and future directions are discussed.

Neurophysiological evidence of motor preparation in inner speech and the effect of content predictability

Self-generated overt actions are preceded by a slow negativity as measured by electroencephalogram, which has been associated with motor preparation. Recent studies have shown that this neural activity is modulated by the predictability of action outcomes. It is unclear whether inner speech is also preceded by a motor-related negativity and influenced by the same factor. In three experiments, we compared the contingent negative variation elicited in a cue paradigm in an active vs. passive condition. In Experiment 1, participants produced an inner phoneme, at which an audible phoneme whose identity was unpredictable was concurrently presented. We found that while passive listening elicited a late contingent negative variation, inner speech production generated a more negative late contingent negative variation. In Experiment 2, the same pattern of results was found when participants were instead asked to overtly vocalize the phoneme. In Experiment 3, the identity of the audible phoneme was made predictable by establishing probabilistic expectations. We observed a smaller late contingent negative variation in the inner speech condition when the identity of the audible phoneme was predictable, but not in the passive condition. These findings suggest that inner speech is associated with motor preparatory activity that may also represent the predicted action-effects of covert actions.

Inner speech as language process and cognitive tool

Many people report a form of internal language known as inner speech (IS). This review examines recent growth of research interest in the phenomenon, which has broadly supported a theoretical model in which IS is a functional language process that can confer benefits for cognition in a range of domains. A key insight to have emerged in recent years is that IS is an embodied experience characterized by varied subjective qualities, which can be usefully modeled in artificial systems and whose neural signals have the potential to be decoded through advancing brain-computer interface technologies. Challenges for future research include understanding individual differences in IS and mapping form to function across IS subtypes.

Bridging phenomenology and neural mechanisms of inner speech: ALE meta-analysis on egocentricity and spontaneity in a dual-mechanistic framework

The neural mechanisms of inner speech remain unclear despite its importance in a variety of cognitive processes and its implication in aberrant perceptions such as auditory verbal hallucinations. Previous research has proposed a corollary discharge model in which inner speech is a truncated form of overt speech, relying on speech production-related regions (e.g. left inferior frontal gyrus). This model does not fully capture the diverse phenomenology of inner speech and recent research suggesting alternative perception-related mechanisms of generation. Therefore, we present and test a framework in which inner speech can be generated by two separate mechanisms, depending on its phenomenological qualities: a corollary discharge mechanism relying on speech production regions and a perceptual simulation mechanism within speech perceptual regions. The results of the activation likelihood estimation meta-analysis examining inner speech studies support the idea that varieties of inner speech recruit different neural mechanisms.

What can neurodiversity tell us about inner speech, and vice versa? A theoretical perspective

Inner speech refers to the experience of talking to oneself in one's head. While notoriously challenging to investigate, it has also been central to a range of questions concerning mind, brain, and behaviour. Posited as a key component in executive function and self-regulation, inner speech has been claimed to be crucial in higher cognitive operations, self-knowledge and self-awareness. Such arguments have traditionally been supported with examples of atypical development. But variations in inner speech - and in some cases, significant diversity - in fact pose several key challenges to such claims, and raises many more questions for, language, thought and mental health more generally. In this review, we will summarise evidence on the experience and operation of inner speech in child and adult neurotypical populations, autistic people and other neurodivergent groups, and people with diverse experiences of linguistic and sensory development, including deafness. We will demonstrate that the relationship between inner speech and cognitive operations may be more complex than first assumed when explored through the lens of cognitive and neurological diversity, and the implications of that for understanding the developing brain in all populations. We discuss why and how the experience of inner speech in neurodivergent groups has often been assumed rather than investigated, making it an important opportunity for researchers to develop innovative future work that integrates participatory insights with cognitive methodology. Finally, we will outline why variations in inner speech - in neurotypical and neurodivergent populations alike - nevertheless have a range of important implications for mental health vulnerability and unmet need. In this sense, the example of inner speech offers us both a way of looking back at the logic of developmental psychology and neuropsychology, and a clue to its future in a neurodiverse world.

Looking for the Edge of the World: How 3D Immersive Audio Produces a Shift from an Internalised Inner Voice to Unsymbolised Affect-Driven Ways of Thinking and Heightened Sensory Awareness

In this practice-based case study, we investigate the subjective aesthetic and affective responses to a shift from 2D stereo-based modelling to 3D object-based Dolby Atmos in an audio installation artwork. Dolby Atmos is an infinite object-based audio format released in 2012 but only recently incorporated into more public-facing formats. Our analysis focuses on the artist Sadia Sadia's 30-channel audio installation 'Notes to an Unknown Lover', based on her book of free verse poetry of the same title, which was rebuilt and reformatted in a Dolby Atmos specified studio. We examine what effect altered spatiality with an infinite number of 'placements' has on the psychoacoustic and neuroaesthetic response to the text. The effectiveness of three-dimensional (3D) object-based audio is interrogated against more traditional stereo and two-dimensional (2D) formats regarding the expression and communication of emotion and what effect altered spatiality with an infinite number of placements has on the psychoacoustic and neuroaesthetic response to the text. We provide a unique examination of the consequences of a shift from 2D to wholly encompassing object-based audio in a text-based artist's audio installation work. These findings may also have promising applications for health and well-being issues.

Semiotic Approach to the New Perspectives on Inner Speech

The article aims at identifying the new perspectives on the study of inaudible internal communication, known as inner speech. This is done by addressing the role of semiotic approach in the contemporary studies of inner speech, emphasising the role of contemporary culture in the formation of human inner communication processes, as well as by critically addressing the recent publications that outline the new directions in inner speech research, more specifically "New Perspectives on Inner Speech" edited by Pablo Fossa (2022). The article develops and expands the framework of the new perspectives on inner speech by focusing on such aspects of inner speech research as the language of inner speech, the role of contemporary digital culture in the formation of inner speech and the advances in the recent research methodologies. The discussions established in the article are based on the recent inner speech studies, as well as the author's own diverse experience in researching inner speech within his PhD research (Fadeev, 2022) and his experience at the inner speech research group at the Department of Semiotics at the University of Tartu.

Online Ternary Classification of Covert Speech by Leveraging the Passive Perception of Speech

Brain-computer interfaces (BCIs) provide communicative alternatives to those without functional speech. Covert speech (CS)-based BCIs enable communication simply by thinking of words and thus have intuitive appeal. However, an elusive barrier to their clinical translation is the collection of voluminous examples of high-quality CS signals, as iteratively rehearsing words for long durations is mentally fatiguing. Research on CS and speech perception (SP) identifies common spatiotemporal patterns in their respective electroencephalographic (EEG) signals, pointing towards shared encoding mechanisms. The goal of this study was to investigate whether a model that leverages the signal similarities between SP and CS can differentiate speech-related EEG signals online. Ten participants completed a dyadic protocol where in each trial, they listened to a randomly selected word and then subsequently mentally rehearsed the word. In the offline sessions, eight words were presented to participants. For the subsequent online sessions, the two most distinct words (most separable in terms of their EEG signals) were chosen to form a ternary classification problem (two words and rest). The model comprised a functional mapping derived from SP and CS signals of the same speech token (features are extracted via a Riemannian approach). An average ternary online accuracy of 75.3% (60% chance level) was achieved across participants, with individual accuracies as high as 93%. Moreover, we observed that the signal-to-noise ratio (SNR) of CS signals was enhanced by perception-covert modeling according to the level of high-frequency ([Formula: see text]-band) correspondence between CS and SP. These findings may lead to less burdensome data collection for training speech BCIs, which could eventually enhance the rate at which the vocabulary can grow.

Enacting Inner Speech on the Academic Stage. A Dialogical Review on Fossa, P. (Ed.). (2022). New Perspectives on Inner Speech. Springer

The recently published Springer Brief in cultural psychology presents theoretical and empirical advances on inner speech. The editor Pablo Fossa suggests viewing inner speech as a private area to remember, play and dream, rather than a mere psychological function connected to problem solving. Along the lines of this suggestion, I adopt a playful approach in order to review the volume. Rather than delivering results of an analysis, I invite us to use the academic journal platform to take part in a dialogical encounter. In the first part of this essay, I offer a transparent step-by-step process of researcher's positioning, based on remembering and playing. In the second part, I dream of research methodologies, which would allow us to explore inner speech as dynamic movements experienced by whole and dialogical beings. This experiment, in which I enact my inner speech on the academic stage, eventually lets three key-moments of Fossa's book come forward as gamechangers for future inquiries: 1. The importance of hearing one's voice in audio-diary based research, 2. the shift of attention towards experiential contexts of inner speech (such as bodily sensations or felt knowledge), and 3. the notion of thirdness as a meta-position, pointing at the mutual permeability of reflective and pre-reflective realms of inner speech. This performing review is inspired by a theatre-based practice called Dialogical Acting with the Inner Partners and represents an original contribution to researcher's self-reflexive positioning practices, as well as to inner speech qualitative research methodologies.

Self-talk: research challenges and opportunities

In this review, we discuss major measurement and methodological challenges to studying self-talk. We review the assessment of self-talk frequency, studying self-talk in its natural context, personal pronoun usage within self-talk, experiential sampling methods, and the experimental manipulation of self-talk. We highlight new possible research opportunities and discuss recent advances such as brain imaging studies of self-talk, the use of self-talk by robots, and measurement of self-talk in aphasic patients.

The moderating effect of cognitive impairment on the relationship between inner speech and auditory verbal hallucinations among chronic patients with schizophrenia

BACKGROUND

Even though there is an increasing amount of evidence from behavioral and neuroimaging studies to suggest that pathological inner speech plays a role in the emergence of auditory verbal hallucinations (AVH), studies investigating the mechanisms underlying this relationship are rather scarce. Examining moderators might inform the development of new treatment options for AVH. We sought to extend the existing knowledge by testing the moderating role of cognitive impairment in the association between inner speech and hallucinations in a sample of Lebanese patients with schizophrenia.

METHODS

A cross-sectional study was conducted from May till August 2022, enrolling 189 chronic patients.

RESULTS

Moderation analysis revealed that, after controlling for delusions, the interaction of experiencing voices of other people in inner speech by cognitive performance was significantly associated with AVH. In people having low (Beta = 0.69; t = 5.048; p < .001) and moderate (Beta = 0.45; t = 4.096; p < .001) cognitive performance, the presence of voices of other people in inner speech was significantly associated with more hallucinations. This association was not significant in patients with high cognitive function (Beta = 0.21; t = 1.417; p = .158).

CONCLUSION

This preliminarily study suggests that interventions aiming at improving cognitive performance may also have a beneficial effect in reducing hallucinations in schizophrenia.

Neurocognitive bases of self-monitoring of inner speech in hallucination prone individuals

Verbal hallucinations in schizophrenia patients might be seen as internal verbal productions mistaken for perceptions as a result of over-salient inner speech and/or defective self-monitoring processes. Similar cognitive mechanisms might underpin verbal hallucination proneness in the general population. We investigated, in a non-clinical sample, the cerebral activity associated with verbal hallucinatory predisposition during false recognition of familiar words -assumed to stem from poor monitoring of inner speech-vs. uncommon words. Thirty-seven healthy participants underwent a verbal recognition task. High- and low-frequency words were presented outside the scanner. In the scanner, the participants were then required to recognize the target words among equivalent distractors. Results showed that verbal hallucination proneness was associated with higher rates of false recognition of high-frequency words. It was further associated with activation of language and decisional brain areas during false recognitions of low-, but not high-, frequency words, and with activation of a recollective brain area during correct recognitions of low-, but not high-, frequency words. The increased tendency to report familiar words as targets, along with a lack of activation of the language, recollective, and decisional brain areas necessary for their judgement, suggests failure in the self-monitoring of inner speech in verbal hallucination-prone individuals.

Concepts, abstractness and inner speech

We explore the role of inner speech (covert self-directed talk) during the acquisition and use of concepts differing in abstractness. Following Vygotsky, inner speech results from the internalization of linguistically mediated interactions that regulate cognition and behaviour. When we acquire and process abstract concepts, uncertainties about word meaning might lead us to search actively for their meaning. Inner speech might play a role in this searching process and be differentially involved in concept learning compared with use of known concepts. Importantly, inner speech comes in different varieties-e.g. it can be expanded or condensed (with the latter involving syntactic and semantic forms of abbreviation). Do we use inner speech differently with concepts varying in abstractness? Which kinds of inner speech do we preferentially use with different kinds of abstract concepts (e.g. emotions versus numbers)? What other features of inner speech, such as dialogicality, might facilitate our use of concepts varying in abstractness (by allowing us to monitor the limits of our knowledge in simulated social exchanges, through a process we term inner social metacognition)? In tackling these questions, we address the possibility that different varieties of inner speech are flexibly used during the acquisition of concepts and their everyday use. This article is part of the theme issue 'Concepts in interaction: social engagement and inner experiences'.

The psychometric properties of the Varieties of Inner Speech Questionnaire-Revised in Hebrew

Introduction

The Varieties of Inner Speech Questionnaire-Revised (VISQ-R) is a self-report questionnaire designed to measure characteristics of inner speech. In the current study, we adapted and validated a Hebrew version of VISQ-R. Our first hypothesis was that Confirmatory Factor Analysis (CFA) of the Hebrew VISQ-R would confirm the five subscales replicating the factor structure of the original questionnaire. In addition, building on previous findings that inner speech is involved in tasks that require the executive functions we examined the relationship between VISQ-R and self-reported executive functions questionnaire (BRIEF-A). We hypothesized that correlations between subscales of the Hebrew VISQ-R would reveal covariance between BRIEF-A and some but not all inner speech subscales.

Methods

406 participants completed the Hebrew VISQ-R and 280 of them also completed the BRIEF-A.

Results

As hypothesized, CFA confirmed the factor structure revealing the same 5 subscales reported in the original English version, with acceptable internal reliability. Partial support was found for the hypothesized correlations between VISQ-R and BRIEF-A, with covariance of executive functions with some subscales of inner speech (Evaluative, Other-People and Dialogic), and distinct variance with others (Condensed and Positive).

Discussion

These results indicate that the Hebrew version of the VISQ-R has good psychometric properties and that it can be used in future research. The implications concerning the contribution of inner speech for people with difficulties in executive functions are discussed.

Inner Speech and Executive Function in Children With Developmental Language Disorder: Implications for Assessment and Intervention

Purpose

Many children with developmental language disorder (DLD) also have difficulty with executive function. The presence of co-occurring deficits in language and executive function can obscure assessment results and lead to the implementation of ineffective interventions. It is also the case that inner speech, or the use of self-directed language to guide thought and action, often mediates performance on executive function tasks. The aims of this tutorial are to (a) summarize what is known about how inner speech affects executive function performance in typical populations and children with DLD and (b) highlight potential implications for clinical practice and directions for future research. We provide a brief background on inner speech, including theoretical frameworks, typical development, and measurement approaches. We then summarize research on inner speech and executive function involving typical adults and children, followed by a description of the few studies involving children with DLD.

Conclusions

Work with typical adults and children has concluded that inner speech operates as a self-cueing device to support understanding of task rules, sequencing of task order, and maintenance of task goals. Work involving children with DLD suggests that their inner speech is less mature, less relevant, and less effective overall when completing executive function tasks. However, very few studies have examined the relations between inner speech and executive function in children with DLD. It is important for speech-language pathologists to understand the potential role of inner speech during executive function tasks, given how often these skills are utilized during everyday activities. Although more research is needed, speech-language pathologists are in a unique position to support both language and executive function goals for children with DLD.

A voice without a mouth no more: The neurobiology of language and consciousness

Most research on the neurobiology of language ignores consciousness and vice versa. Here, language, with an emphasis on inner speech, is hypothesised to generate and sustain self-awareness, i.e., higher-order consciousness. Converging evidence supporting this hypothesis is reviewed. To account for these findings, a 'HOLISTIC' model of neurobiology of language, inner speech, and consciousness is proposed. It involves a 'core' set of inner speech production regions that initiate the experience of feeling and hearing words. These take on affective qualities, deriving from activation of associated sensory, motor, and emotional representations, involving a largely unconscious dynamic 'periphery', distributed throughout the whole brain. Responding to those words forms the basis for sustained network activity, involving 'default mode' activation and prefrontal and thalamic/brainstem selection of contextually relevant responses. Evidence for the model is reviewed, supporting neuroimaging meta-analyses conducted, and comparisons with other theories of consciousness made. The HOLISTIC model constitutes a more parsimonious and complete account of the 'neural correlates of consciousness' that has implications for a mechanistic account of mental health and wellbeing.

What Individuals Experience During Visuo-Spatial Working Memory Task Performance: An Exploratory Phenomenological Study

In experimental cognitive psychology, objects of inquiry are typically operationalized with psychological tasks. When interpreting results from such tasks, we focus primarily on behavioral measures such as reaction times and accuracy rather than experiences - i.e., phenomenology - associated with the task, and posit that the tasks elicit the desired cognitive phenomenon. Evaluating whether the tasks indeed elicit the desired phenomenon can be facilitated by understanding the experience during task performance. In this paper we explore the breadth of experiences that are elicited by and accompany task performance using in-depth phenomenological and qualitative methodology to gather subjective reports during the performance of a visuo-spatial change detection task. Thirty-one participants (18 females) were asked to remember either colors, orientations or positions of the presented stimuli and recall them after a short delay. Qualitative reports revealed rich experiential landscapes associated with the task-performance, suggesting a distinction between two broad classes of experience: phenomena at the front of consciousness and background feelings. The former includes cognitive strategies and aspects of metacognition, whereas the latter include more difficult-to-detect aspects of experience that comprise the overall sense of experience (e.g., bodily feelings, emotional atmosphere, mood). We focus primarily on the background feelings, since strategies of task-performance to a large extent map onto previously identified cognitive processes and discuss the methodological implications of our findings.

Concepts for Which We Need Others More: The Case of Abstract Concepts

The capability to form and use concepts is a core component of human cognition. Although all concepts are grounded in sensorimotor processes, more abstract concepts (e.g., “truth”) collect more heterogeneous and perceptually dissimilar exemplars; thus, linguistic interaction and social interaction are particularly crucial for their acquisition and use. Because of their indeterminacy, abstract concepts generate more uncertainty than more concrete concepts; hence, they induce people to monitor their inner knowledge longer and then to consult others to ask for information and negotiate the concept’s meaning. I propose that people need others more for abstract concepts than for concrete concepts: Other people are essential to acquire, process, and use abstract concepts. Conceiving abstract concepts in these terms requires the employment of novel, interactive methods to investigate how people represent them during their use.

A comparison and classification of oscillatory characteristics in speech perception and covert speech

Covert speech, the mental imagery of speaking, has been studied increasingly to understand and decode thoughts in the context of brain-computer interfaces. In studies of speech comprehension, neural oscillations are thought to play a key role in the temporal encoding of speech. However, little is known about the role of oscillations in covert speech. In this study, we investigated the oscillatory involvements in covert speech and speech perception. Data were collected from 10 participants with 64 channel EEG. Participants heard the words, 'blue' and 'orange', and subsequently mentally rehearsed them. First, continuous wavelet transform was performed on epoched signals and subsequently two-tailed t-tests between two classes were conducted to determine statistical differences in frequency and time (t-CWT). Features were also extracted using t-CWT and subsequently classified using a support vector machine. θ and γ phase amplitude coupling (PAC) was also assessed within and between tasks. All binary classifications produced accuracies significantly greater (80-90%) than chance level, supporting the use of t-CWT in determining relative oscillatory involvements. While the perception task dynamically invoked all frequencies with more prominent θ and α activity, the covert task favoured higher frequencies with significantly higher γ activity than perception. Moreover, the perception condition produced significant θ-γ PAC, corroborating a reported linkage between syllabic and phonemic sampling. Although this coupling was found to be suppressed in the covert condition, we found significant cross-task coupling between perception θ and covert speech γ. Covert speech processing appears to be largely associated with higher frequencies of EEG. Importantly, the significant cross-task coupling between speech perception and covert speech, in the absence of within-task covert speech PAC, supports the notion that the γ- and θ-bands subserve, respectively, shared and unique encoding processes across tasks.

Reading direct speech quotes increases theta phase-locking: Evidence for cortical tracking of inner speech?

Growing evidence shows that theta-band (4-7 Hz) activity in the auditory cortex phase-locks to rhythms of overt speech. Does theta activity also encode the rhythmic dynamics of inner speech? Previous research established that silent reading of direct speech quotes (e.g., Mary said: "This dress is lovely!") elicits more vivid inner speech than indirect speech quotes (e.g., Mary said that the dress was lovely). As we cannot directly track the phase alignment between theta activity and inner speech over time, we used EEG to measure the brain's phase-locked responses to the onset of speech quote reading. We found that direct (vs. indirect) quote reading was associated with increased theta phase synchrony over trials at 250-500 ms post-reading onset, with sources of the evoked activity estimated in the speech processing network. An eye-tracking control experiment confirmed that increased theta phase synchrony in direct quote reading was not driven by eye movement patterns, and more likely reflects synchronous phase resetting at the onset of inner speech. These findings suggest a functional role of theta phase modulation in reading-induced inner speech.

Inner speech

Inner speech travels under many aliases: the inner voice, verbal thought, thinking in words, internal verbalization, "talking in your head," the "little voice in the head," and so on. It is both a familiar element of first-person experience and a psychological phenomenon whose complex cognitive components and distributed neural bases are increasingly well understood. There is evidence that inner speech plays a variety of cognitive roles, from enabling abstract thought, to supporting metacognition, memory, and executive function. One active area of controversy concerns the relation of inner speech to auditory verbal hallucinations (AVHs) in schizophrenia, with a common proposal being that sufferers of AVH misidentify their own inner speech as being generated by someone else. Recently, researchers have used artificial intelligence to translate the neural and neuromuscular signatures of inner speech into corresponding outer speech signals, laying the groundwork for a variety of new applications and interventions. This article is categorized under: Philosophy > Foundations of Cognitive Science Linguistics > Language in Mind and Brain Philosophy > Consciousness Philosophy > Psychological Capacities.

Inner experience differs in rumination and distraction without a change in electromyographical correlates of inner speech

Ruminative thought is a style of thinking which involves repetitively focusing upon one's own negative mood, its causes and its consequences. The negative effects of rumination are well-documented, but comparatively little is known about how rumination is experienced. The evaluative nature of rumination suggests that it could involve more inner speech than non-ruminative states. The present study (N = 31) combined facial electromyography and self-report questionnaires to determine the type of inner experience that occurs in rumination. The results showed that induced rumination involved similar levels of muscle activity related to inner speech as periods of induced distraction. However, experience sampling and questionnaire responses showed that rumination involved more verbal thought, and also involved more evaluative and dialogic inner speech than distraction. These findings contribute to the understanding of inner speech as a flexible phenomenon and confirms the importance of employing multiple methods to investigate inner speech. Future research should clarify the link between inner speech in rumination and its negative effects on wellbeing.

The Learning-Specific Inner Speech Scale (LISS)

Abstract. Theory and research suggest that inner speech plays a prominent role in students’ learning. To facilitate research on inner speech within learning and academic contexts, we developed a Learning-specific Inner Speech Scale (LISS) used for assessing students spanning a broad range of ages. The LISS takes a functional view of inner speech, assessing the frequency of social-assessing, self-critical, self-reinforcing, and self-managing inner speech in the learning context. Data from three studies based on the child, adolescent, and young adult samples demonstrated that the LISS exhibits acceptable psychometric properties in terms of internal consistency, test-retest reliability, and construct and content validities. In addition, the LISS is age-sensitive and demonstrates a favorably predictive validity for students’ real-life learning performance. The LISS provides researchers and practitioners a useful tool for exploring verbal thinking and its relationships with learning strategies and performance.

Types of Inner Dialogues and Functions of Self-Talk: Comparisons and Implications

Intrapersonal communication occurs in several modes including inner dialogue and self-talk. The Dialogical Self Theory (Hermans, 1996) postulates a polyphonic self that is comprised of a multiplicity of inner voices. Internal dialogical activity implies an exchange of thoughts or ideas between at least two so-called “I-positions” representing specific points of view. Among the functions served by self-talk are self-criticism, self-reinforcement, self-management, and social assessment (Brinthaupt et al., 2009). This paper explores the relationships among different types of internal dialogues and self-talk functions. Participants included college students from Poland (n = 181) and the United States (n = 119) who completed two multidimensional measures of inner dialogue and self-talk. Results indicated moderately strong relationships between inner dialogue types and self-talk functions, suggesting that there is a significant overlap between the two modes of communication. We discuss several implications of these findings for exploring similarities and differences among varieties of intrapersonal communication.

The Internal Representations Questionnaire: Measuring modes of thinking

Does the format in which we experience our moment-to-moment thoughts vary from person to person? Many people claim that their thinking takes place in an inner voice and that using language outside of interpersonal communication is a regular experience for them. Other people disagree. We present a novel measure, the Internal Representation Questionnaire (IRQ) designed to assess people's subjective mode of internal representations, and to quantify individual differences in "modes of thinking" along multiple factors in a single questionnaire. Exploratory factor analysis identified four factors: Internal Verbalization, Visual Imagery, Orthographic Imagery, and Representational Manipulation. All four factors were positively correlated with one another, but accounted for unique predictions. We describe the properties of the IRQ and report a test of its ability to predict patterns of interference in a speeded word-picture verification task. Taken together, the results suggest that self-reported differences in how people internally represent their thoughts relates to differences in processing familiar images and written words.

The role of inner speech on the association between childhood adversity and 'hearing voices'

Adverse childhood experiences are associated with later development of psychosis, particularly auditory verbal hallucinations and delusions. Although auditory hallucinations have been proposed to be misattributed inner speech, the relation between childhood adversity and inner speech has not been previously investigated. The first aim was to test whether childhood adversity is associated with inner speech in persons with psychosis. The second aim was to test for the influence of inner speech on the association between childhood adversity and auditory hallucinations. Our final aim was to test for evidence that would falsify the null hypothesis that inner speech does not impact the relationship between childhood adversity and delusions. In persons with psychosis, we found a positive association between childhood adversity and dialogic inner speech. There was a significant total effect of childhood adversity on auditory hallucinations, including an indirect effect of childhood adversity on auditory hallucinations via dialogic inner speech. There was also a significant total effect of childhood adversity on delusions, but no evidence of any indirect effect via inner speech. These findings suggest that childhood adversities are associated with inner speech and psychosis. The relation between childhood adversity and auditory hallucination severity could be partially influenced by dialogic inner speech.

The ConDialInt Model: Condensation, Dialogality, and Intentionality Dimensions of Inner Speech Within a Hierarchical Predictive Control Framework

Inner speech has been shown to vary in form along several dimensions. Along condensation, condensed inner speech forms have been described, that are supposed to be deprived of acoustic, phonological and even syntactic qualities. Expanded forms, on the other extreme, display articulatory and auditory properties. Along dialogality, inner speech can be monologal, when we engage in internal soliloquy, or dialogal, when we recall past conversations or imagine future dialogs involving our own voice as well as that of others addressing us. Along intentionality, it can be intentional (when we deliberately rehearse material in short-term memory) or it can arise unintentionally (during mind wandering). We introduce the ConDialInt model, a neurocognitive predictive control model of inner speech that accounts for its varieties along these three dimensions. ConDialInt spells out the condensation dimension by including inhibitory control at the conceptualization, formulation or articulatory planning stage. It accounts for dialogality, by assuming internal model adaptations and by speculating on neural processes underlying perspective switching. It explains the differences between intentional and spontaneous varieties in terms of monitoring. We present an fMRI study in which we probed varieties of inner speech along dialogality and intentionality, to examine the validity of the neuroanatomical correlates posited in ConDialInt. Condensation was also informally tackled. Our data support the hypothesis that expanded inner speech recruits speech production processes down to articulatory planning, resulting in a predicted signal, the inner voice, with auditory qualities. Along dialogality, covertly using an avatar's voice resulted in the activation of right hemisphere homologs of the regions involved in internal own-voice soliloquy and in reduced cerebellar activation, consistent with internal model adaptation. Switching from first-person to third-person perspective resulted in activations in precuneus and parietal lobules. Along intentionality, compared with intentional inner speech, mind wandering with inner speech episodes was associated with greater bilateral inferior frontal activation and decreased activation in left temporal regions. This is consistent with the reported subjective evanescence and presumably reflects condensation processes. Our results provide neuroanatomical evidence compatible with predictive control and in favor of the assumptions made in the ConDialInt model.

Imaginary Companions, Inner Speech, and Auditory Verbal Hallucinations: What Are the Relations?

Interacting with imaginary companions (ICs) is now considered a natural part of childhood for many children, and has been associated with a range of positive developmental outcomes. Recent research has explored how the phenomenon of ICs in childhood and adulthood relates to the more unusual experience of hearing voices (or auditory verbal hallucinations, AVH). Specifically, parallels have been drawn between the varied phenomenology of the two kinds of experience, including the issues of quasi-perceptual vividness and autonomy/control. One line of research has explored how ICs might arise through the internalization of linguistically mediated social exchanges to form dialogic inner speech. We present data from two studies on the relation between ICs in childhood and adulthood and the experience of inner speech. In the first, a large community sample of adults (N = 1,472) completed online the new Varieties of Inner Speech – Revised (VISQ-R) questionnaire (Alderson-Day et al., 2018) on the phenomenology of inner speech, in addition to providing data on ICs and AVH. The results showed differences in inner speech phenomenology in individuals with a history of ICs, with higher scores on the Dialogic, Evaluative, and Other Voices subscales of the VISQ-R. In the second study, a smaller community sample of adults (N = 48) completed an auditory signal detection task as well as providing data on ICs and AVH. In addition to scoring higher on AVH proneness, individuals with a history of ICs showed reduced sensitivity to detecting speech in white noise as well as a bias toward detecting it. The latter finding mirrored a pattern previously found in both clinical and nonclinical individuals with AVH. These findings are consistent with the view that ICs represent a hallucination-like experience in childhood and adulthood which shows meaningful developmental relations with the experience of inner speech.

Individual Differences in Self-Talk Frequency: Social Isolation and Cognitive Disruption

Despite the popularity of research on intrapersonal communication across many disciplines, there has been little attention devoted to the factors that might account for individual differences in talking to oneself. In this paper, I explore two possible explanations for why people might differ in the frequency of their self-talk. According to the “social isolation” hypothesis, spending more time alone or having socially isolating experiences will be associated with increased self-talk. According to the “cognitive disruption” hypothesis, having self-related experiences that are cognitively disruptive will be associated with increased self-talk frequency. Several studies using the Self-Talk Scale are pertinent to these hypotheses. The results indicate good support for the social isolation hypothesis and strong support for the cognitive disruption hypothesis. I conclude the paper with a wide range of implications for future research on individual differences in self-talk and other kinds of intrapersonal communication.

Measuring the Frequency of Inner-Experience Characteristics by Self-Report: The Nevada Inner Experience Questionnaire

Descriptive experience sampling has suggested that there are five frequently occurring phenomena of inner experience: inner speaking, inner seeing, unsymbolized thinking, feelings, and sensory awareness. Descriptive experience sampling is a labor- and skill-intensive procedure, so it would be desirable to estimate the frequency of these phenomena by questionnaire. However, appropriate questionnaires either do not exist or have substantial limitations. We therefore created the Nevada Inner Experience Questionnaire (NIEQ), with five subscales estimating the frequency of each of the frequent phenomena, and examine here its psychometric adequacy. Exploratory factor analysis produced four of the expected factors (inner speaking, inner seeing, unsymbolized thinking, feelings) but did not produce a sensory awareness factor. Confirmatory factor analysis validated the five-factor model. The correlation between an existing self-talk questionnaire (Brinthaupt's Self-Talk Scale) and the NIEQ inner speaking subscale provides one piece of concurrent validation.