Evidence map›Paper›PMID 28177090›Full record

ReviewSchizophrenia bulletin2017

Explaining Delusions: Reducing Uncertainty Through Basic and Computational Neuroscience.

Erin J Feeney, Stephanie M Groman, Jane R Taylor, Philip R Corlett

Abstract readReview
In one paragraph

Review in Schizophrenia bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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.

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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Meta-analysis of human prediction error for incentives, perception, cognition, and action.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Review
  8. Delusional Unreality and Predictive Processing.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Belief Updating and Paranoia in Individuals With Schizophrenia.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2022
    Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. 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.

Erin J FeeneyDepartment of Psychiatry, Ribicoff Research Facilities, Connecticut Mental Health Center, Yale University, Park Street, New Haven, CT, USA.
Stephanie M GromanDepartment of Psychiatry, Ribicoff Research Facilities, Connecticut Mental Health Center, Yale University, Park Street, New Haven, CT, USA.
Jane R TaylorDepartment of Psychiatry, Ribicoff Research Facilities, Connecticut Mental Health Center, Yale University, Park Street, New Haven, CT, USA.
Philip R CorlettDepartment of Psychiatry, Ribicoff Research Facilities, Connecticut Mental Health Center, Yale University, Park Street, New Haven, CT, USA.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007205 · NIGMS · YALE UNIVERSITY · PI KAZMIERCZAK, BARBARA I · 1985 to 2019
$42.9M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
NEUROBIOLOGY OF CORTICAL SYSTEMST32NS007224 · NINDS · YALE UNIVERSITY · PI CARDIN, JESSICA A · 1985 to 2025
$4.6M
Decision-Making Dysfunction and Chronic CocaineR01DA041480 · NIDA · YALE UNIVERSITY · PI TAYLOR, JANE R · 2017 to 2021
$1.7M
NCATS NIH HHS UL1 TR000142NIDA NIH HHS R01 DA041480NIGMS NIH HHS T32 GM007205NIMH NIH HHS T32 MH014276NINDS NIH HHS T32 NS007224
6 · The paper itself

Abstract

Delusions, the fixed false beliefs characteristic of psychotic illness, have long defied understanding despite their response to pharmacological treatments (e.g., D2 receptor antagonists). However, it can be challenging to discern what makes beliefs delusional compared with other unusual or erroneous beliefs. We suggest mapping the putative biology to clinical phenomenology with a cognitive psychology of belief, culminating in a teleological approach to beliefs and brain function supported by animal and computational models. We argue that organisms strive to minimize uncertainty about their future states by forming and maintaining a set of beliefs (about the organism and the world) that are robust, but flexible. If uncertainty is generated endogenously, beliefs begin to depart from consensual reality and can manifest into delusions. Central to this scheme is the notion that formal associative learning theory can provide an explanation for the development and persistence of delusions. Beliefs, in animals and humans, may be associations between representations (e.g., of cause and effect) that are formed by minimizing uncertainty via new learning and attentional allocation. Animal research has equipped us with a deep mechanistic basis of these processes, which is now being applied to delusions. This work offers the exciting possibility of completing revolutions of translation, from the bedside to the bench and back again. The more we learn about animal beliefs, the more we may be able to apply to human beliefs and their aberrations, enabling a deeper mechanistic understanding.

Indexed as

UncertaintyAnimalsAssociation LearningComputational BiologyDelusionsHumansNeurosciencesassociative learningbehavioral neurosciencecognitive neurosciencecomputational psychiatrydelusions

Identifiers

PMID28177090
PMCPMC5605246

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.