2017
DOI: 10.1016/j.tics.2017.02.001
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Oculomotor Prediction: A Window into the Psychotic Mind

Abstract: Psychosis—an impaired contact with reality—is a hallmark of schizophrenia. Many psychotic symptoms are associated with disruptions in agency—the sense that I cause my actions. A failure to predict sensory consequences of one’s own actions may underlie agency disturbances. Such predictions rely on corollary discharge (CD) signals, “copies” of movement commands sent to sensory regions prior to action execution. Here, we make a case that the oculomotor system is a promising model for understanding CD in psychosis… Show more

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Cited by 55 publications
(54 citation statements)
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References 117 publications
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“…Similar misperceptions and perceptual estimation errors have been reported in patients with schizophrenia across oculomotor tasks, and have been attributed to CD failure . In the pursuit system, patients showed deficits in a task that involved predictive judgments about object motion trajectories during pursuit versus fixation .…”
Section: Failure Of Sensory Predictionssupporting
confidence: 68%
See 1 more Smart Citation
“…Similar misperceptions and perceptual estimation errors have been reported in patients with schizophrenia across oculomotor tasks, and have been attributed to CD failure . In the pursuit system, patients showed deficits in a task that involved predictive judgments about object motion trajectories during pursuit versus fixation .…”
Section: Failure Of Sensory Predictionssupporting
confidence: 68%
“…We will highlight experimental paradigms illustrating both the function and potential failure in sensory predictive mechanisms, central tenets of sense of agency. There are recent reviews covering aspects of CD failures, but these focus on individual sensory domains and are largely specific to symptoms of schizophrenia . Our review synthesizes evidence of CD function and failure collected across sensory modalities and attempts to generalize to other disorders involving prediction failure.…”
Section: The Function and Failure Of Sensory Predictionsmentioning
confidence: 99%
“…These motivations are not isolated. There is a vivid history of studying the oculomotor system in the context of schizophrenia and psychosis, in part because of the ready translational framework, and because motor control (or lack thereof) within the eye movement system can provide fundamental insights into the bases of psychosis (20). Thus, a framework involving motor dysfunction measured by neuroimaging of both neurotransmitter systems and brain activity may reconcile and delineate nonhomogeneous findings and help in categorizing endophenotypes of the disease.…”
Section: Implications and Conclusionmentioning
confidence: 99%
“…In this way motor function is a foundation for higher-level cognitive function. Indeed, impairments in extended domains of the motor system, including oculomotor deficits, have been directly linked to the core pathophysiology of psychosis itself (20). The motor system itself, provides a tractable framework for studying brain networks, as the simplest of tasks evoke sophisticated interactions between regions such as the anterior cingulate, supplementary motor area and primary motor cortex (21-23).…”
Section: Introductionmentioning
confidence: 99%
“…Another form of eye movements called pursuit (tracking movements of the eyes toward the moving target) was found to be abnormal in some schizophrenic patients . Saccade, a rapid type of eye movement, has also been reported to differ in such patients compared with healthy controls …”
Section: Resultsmentioning
confidence: 99%