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An Auditory Command Hallucination (ACH) occurs when a voice tells an individual to carry out a specific act(s). A person experiencing this kind of hallucination frequently feels under a powerful obligation to obey the voice and carry out such actions. The results can be devastating ; wrongful, immoral, illegal.

Most of us take our ability to think before we act for granted. But this is not easy for people who experience ACH. Although the person may be able to determine the rights or wrongs of actions the ACH can so overwhelm the person that the mind says it must be done regardless of the consequences. The person is often unable to resist obeying a command even when carrying out a wrongful deed that conflicts with the sufferer's personality ; which could be commendable with high moral values.

There are medical reasons for such behavior. People who experience ACH have a seriously impaired contact with reality and frequently lack the abilities of reasoning and rational judgement. When hearing voices they often find themselves compelled to obey the commands, particularly if the voice is familiar, persuasive, intimidating or authoritative. They must obey the voice even if it means personal self harm.

It can be said of people with Bipolar disorder or severe depression experiencing ACH that at such times the illness is controlling the person's thoughts and holds sway over their actions.

Some ACH sufferers even convince themselves that it is God who is telling them to do the deed. When God speaks, man must obey. Man has no choice in the matter.

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9y ago

The effects of Auditory Command Hallucinations can strongly influence the thoughts and subsequent behavior of even the most respected members of our society.

Even when the person is aware of the rights and wrongs of immoral or illegal deeds the auditory commands can so overwhelm the person that the mind says it must be done regardless of the consequences and thereby compelling the person to perform the wrongful deed.

There is increasing concern among medical and legal professionals that details of character or personality prior to the onset of the psychotic state of mind should be seriously considered by the judiciary as a means of mitigation in all such cases. The view held by many is that in the absence of the illness the person probably would not have offended but remained true to character. The medical explanations are not meant to excuse the person's offenses but to provide a reason why he behaved out of character.

There have been many cases of law-abiding, deeply religious people hearing a voice when nobody is around. If the voice is authoritative and gives them instructions they often convince themselves its God speaking to them. If the command is from God then man must obey, even if man thinks it is wrong because God's orders prevail.

People suffering schizophrenia are more susceptible than most others to carry out the commands than sufferers of bipolar or psychotic depression. Take the case of an English serial killer, Peter Sutcliffe (The Yorkshire Killer), who in 1981 was convicted of murdering thirteen women because loud hallucinations had instructed him to kill them. Sutcliffe believed he was the instrument of God's wrath on earth and waged a holy war against immorality. His delusional system centered on the belief that God had given him a mission to rid the world of prostitutes.

It should be noted that auditory hallucinations can also be calming or reassuring.

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Q: Can auditory command hallucinations force a person to carry out actions?
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