Original ArticlesPositive and Useful Voices in Patients With Schizophrenia Prevalence, Course, Characteristics, and CorrelatesLorente-Rovira, Esther PhD, Psych∗,†,‡; Grasa, Eva Psych‡,§; Ochoa, Susana PhD, Psych‡,∥,¶; Corripio, Iluminada PhD, MD‡,§; Peláez, Trinidad Psych‡,∥; López-Carrillero, Raquel PhD, Psych‡,∥; Morano-Guillén, María Psych#; Gutiérrez-Gea, Ángela Psych#; Villagrán, José M. PhD, MD#; Llácer, Blanca BSN‡; Sanjuán, Julio PhD, MD∗,†,‡,∗∗Author Information ∗Psychiatry Department, Hospital Clínico †INCLIVA, Valencia ‡CIBERSAM, Madrid §Sant Pau Hospital ∥Parc Sanitari Sant Joan de Déu ¶Institut de Recerca Sant Joan de Déu, Barcelona #Jerez de la Frontera Hospital, Cádiz ∗∗Faculty of Medicine, Universidad de Valencia, Valencia, Spain. Send reprint requests to Esther Lorente-Rovira, PhD, Psych, Servicio de Psiquiatría, Hospital Clínico, Avda. Blasco Ibañez, 17, 46010 Valencia, Spain. E-mail: email@example.com. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.jonmd.com). The Journal of Nervous and Mental Disease: August 2020 - Volume 208 - Issue 8 - p 587-592 doi: 10.1097/NMD.0000000000001183 Buy SDC Metrics Abstract Auditory verbal hallucinations (AVHs) in schizophrenia have been characterized by their negative emotional valence. However, positive hallucinations have also been described. The objective of the current study is to explore the prevalence, course, characteristics, and associations of positive and useful voices. The Positive and Useful Voices Inquiry and some clinical and functioning instruments were administered to a sample of 68 patients with schizophrenia or schizoaffective disorder presenting with AVHs. Both the lifetime and current prevalences of positive and useful voices were high. Although AVHs tended to remain stable, there was a trend to decrease over time. The strongest positive attributions of such voices were that they help patients to feel important, amuse them, and help them to conduct their studies and carry out their profession. They seem to be mainly related to more grandiosity and to worse general functioning. Interference with biological and psychological treatments and the need for personalized formulations in patients with auditory hallucinations are discussed. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.