A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia

Language and thought dysfunction are central to the schizophrenia syndrome. They are evident in the major symptoms of psychosis itself, particularly as disorganized language output (positive thought disorder) and auditory verbal hallucinations, and they also manifest as abnormalities in both high-le...

Full description

Bibliographic Details
Main Authors: Meredith eBrown, Gina R Kuperberg
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-11-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnhum.2015.00643/full
_version_ 1819105788399976448
author Meredith eBrown
Meredith eBrown
Gina R Kuperberg
Gina R Kuperberg
author_facet Meredith eBrown
Meredith eBrown
Gina R Kuperberg
Gina R Kuperberg
author_sort Meredith eBrown
collection DOAJ
description Language and thought dysfunction are central to the schizophrenia syndrome. They are evident in the major symptoms of psychosis itself, particularly as disorganized language output (positive thought disorder) and auditory verbal hallucinations, and they also manifest as abnormalities in both high-level semantic and contextual processing and low-level perception. However, the literatures characterizing these abnormalities have largely been separate and have sometimes provided mutually exclusive accounts of aberrant language in schizophrenia. In this review, we propose that recent generative probabilistic frameworks of language processing can provide crucial insights that link these four lines of research. We first outline neural and cognitive evidence that real-time language comprehension and production normally involve internal generative circuits that propagate probabilistic predictions to perceptual cortices — predictions that are incrementally updated based on prediction error signals as new inputs are encountered. We then explain how disruptions to these circuits may compromise communicative abilities in schizophrenia by reducing the efficiency and robustness of both high-level language processing and low-level speech perception. We also argue that such disruptions may contribute to the phenomenology of thought-disordered speech and false perceptual inferences in the language system (i.e., auditory verbal hallucinations). This perspective suggests a number of productive avenues for future research that may elucidate not only the mechanisms of language abnormalities in schizophrenia, but also promising directions for cognitive rehabilitation.
first_indexed 2024-12-22T02:27:49Z
format Article
id doaj.art-ca2a36aba53f49ca8538843a106763b9
institution Directory Open Access Journal
issn 1662-5161
language English
last_indexed 2024-12-22T02:27:49Z
publishDate 2015-11-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Human Neuroscience
spelling doaj.art-ca2a36aba53f49ca8538843a106763b92022-12-21T18:41:57ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612015-11-01910.3389/fnhum.2015.00643159808A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophreniaMeredith eBrown0Meredith eBrown1Gina R Kuperberg2Gina R Kuperberg3Massachusetts General HospitalTufts UniversityMassachusetts General HospitalTufts UniversityLanguage and thought dysfunction are central to the schizophrenia syndrome. They are evident in the major symptoms of psychosis itself, particularly as disorganized language output (positive thought disorder) and auditory verbal hallucinations, and they also manifest as abnormalities in both high-level semantic and contextual processing and low-level perception. However, the literatures characterizing these abnormalities have largely been separate and have sometimes provided mutually exclusive accounts of aberrant language in schizophrenia. In this review, we propose that recent generative probabilistic frameworks of language processing can provide crucial insights that link these four lines of research. We first outline neural and cognitive evidence that real-time language comprehension and production normally involve internal generative circuits that propagate probabilistic predictions to perceptual cortices — predictions that are incrementally updated based on prediction error signals as new inputs are encountered. We then explain how disruptions to these circuits may compromise communicative abilities in schizophrenia by reducing the efficiency and robustness of both high-level language processing and low-level speech perception. We also argue that such disruptions may contribute to the phenomenology of thought-disordered speech and false perceptual inferences in the language system (i.e., auditory verbal hallucinations). This perspective suggests a number of productive avenues for future research that may elucidate not only the mechanisms of language abnormalities in schizophrenia, but also promising directions for cognitive rehabilitation.http://journal.frontiersin.org/Journal/10.3389/fnhum.2015.00643/fullLanguageSchizophreniaSpeech PerceptionAuditory verbal hallucinationsGenerative modelsthought disorder
spellingShingle Meredith eBrown
Meredith eBrown
Gina R Kuperberg
Gina R Kuperberg
A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia
Frontiers in Human Neuroscience
Language
Schizophrenia
Speech Perception
Auditory verbal hallucinations
Generative models
thought disorder
title A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia
title_full A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia
title_fullStr A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia
title_full_unstemmed A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia
title_short A hierarchical generative framework of language processing: Linking language perception, interpretation, and production abnormalities in schizophrenia
title_sort hierarchical generative framework of language processing linking language perception interpretation and production abnormalities in schizophrenia
topic Language
Schizophrenia
Speech Perception
Auditory verbal hallucinations
Generative models
thought disorder
url http://journal.frontiersin.org/Journal/10.3389/fnhum.2015.00643/full
work_keys_str_mv AT meredithebrown ahierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT meredithebrown ahierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT ginarkuperberg ahierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT ginarkuperberg ahierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT meredithebrown hierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT meredithebrown hierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT ginarkuperberg hierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia
AT ginarkuperberg hierarchicalgenerativeframeworkoflanguageprocessinglinkinglanguageperceptioninterpretationandproductionabnormalitiesinschizophrenia