Evidence map›Paper›PMID 19636384›Full record

ArticleFrontiers in human neuroscience2009

Why do delusions persist?

Philip R Corlett, John H Krystal, Jane R Taylor, Paul C Fletcher

Open access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 145 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Delusional Unreality and Predictive Processing.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
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  10. Article
  11. Article
  12. Review
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  15. Article
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  18. Article
  19. Review
  20. Dopamine and glutamate in schizophrenia: biology, symptoms and treatment.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Philip R CorlettDepartment of Psychiatry, School of Medicine, Yale University New Haven, CT 06519 , USA. philip.corlett@yale.edu
John H Krystal
Jane R Taylor
Paul C Fletcher
Yale University · US

Funding

Medical Research Council G0001354Wellcome Trust 064351
6 · The paper itself

Abstract

Delusions are bizarre and distressing beliefs that characterize certain mental illnesses. They arise without clear reasons and are remarkably persistent. Recent models of delusions, drawing on a neuroscientific understanding of learning, focus on how delusions might emerge from abnormal experience. We believe that these models can be extended to help us understand why delusions persist. We consider prediction error, the mismatch between expectancy and experience, to be central. Surprising events demand a change in our expectancies. This involves making what we have learned labile, updating and binding the memory anew: a process of memory reconsolidation. We argue that, under the influence of excessive prediction error, delusional beliefs are repeatedly reconsolidated, strengthening them so that they persist, apparently impervious to contradiction.

Indexed as

delusionsextinctionhabitprediction errorreconsolidationsalience

Identifiers

PMID19636384
PMCPMC2713737
OpenAlexW2061637033

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.