Evidence map›Paper›PMID 23750138›Full record

ArticleFrontiers in psychiatry2013

The computational anatomy of psychosis.

Rick A Adams, Klaas Enno Stephan, Harriet R Brown, Christopher D Frith, Karl J Friston

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04210557 (Models of Auditory Hallucination), which is not on this map. Cited by 412 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
412citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04210557 naterminatednot on this mapstarted 2020, after this paper: background citation

Models of Auditory Hallucination

TypeinterventionalSponsorYale UniversityRan2020 to 2021Enrolled1ConditionsSchizophrenia, Schizo Affective Disorder, Auditory HallucinationArmsTranscranial Magnetic Stimulation (TMS)
3 · Its place in the literature

Who cites it

412 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Ketamine reduces the neural distinction between self- and other-produced affective touch: a randomized double-blind placebo-controlled study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
  3. Trial
  4. Review
  5. Article
  6. Environmental Exposures and Computational Mechanisms in Psychosis Risk: Insights from a Multi-Site Cohort.Clinical psychological science : a journal of the Association for Psychological Science · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The hippocampus as a generative model.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
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  19. Article
  20. Review

352 more citing papers are in PubMed but not listed here.

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

5 authors.

Rick A AdamsWellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London , London , UK .
Klaas Enno Stephan
Harriet R Brown
Christopher D Frith
Karl J Friston

Funding

Wellcome Trust 088130Wellcome Trust 091593
6 · The paper itself

Abstract

This paper considers psychotic symptoms in terms of false inferences or beliefs. It is based on the notion that the brain is an inference machine that actively constructs hypotheses to explain or predict its sensations. This perspective provides a normative (Bayes-optimal) account of action and perception that emphasizes probabilistic representations; in particular, the confidence or precision of beliefs about the world. We will consider hallucinosis, abnormal eye movements, sensory attenuation deficits, catatonia, and delusions as various expressions of the same core pathology: namely, an aberrant encoding of precision. From a cognitive perspective, this represents a pernicious failure of metacognition (beliefs about beliefs) that can confound perceptual inference. In the embodied setting of active (Bayesian) inference, it can lead to behaviors that are paradoxically more accurate than Bayes-optimal behavior. Crucially, this normative account is accompanied by a neuronally plausible process theory based upon hierarchical predictive coding. In predictive coding, precision is thought to be encoded by the post-synaptic gain of neurons reporting prediction error. This suggests that both pervasive trait abnormalities and florid failures of inference in the psychotic state can be linked to factors controlling post-synaptic gain - such as NMDA receptor function and (dopaminergic) neuromodulation. We illustrate these points using biologically plausible simulations of perceptual synthesis, smooth pursuit eye movements and attribution of agency - that all use the same predictive coding scheme and pathology: namely, a reduction in the precision of prior beliefs, relative to sensory evidence.

Indexed as

active inferencefree energyillusionsprecisionpsychosisschizophreniasensory attenuation

Identifiers

PMID23750138
PMCPMC3667557

What OpenQuestion holds

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Registered trials

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.