Hierarchical temporal processing deficit model of reality distortion and psychoses.

Abstract:

:We posit in this article that hierarchical temporal processing deficit is the underlying basis of reality distortion and psychoses. Schizophrenia is a prototypical reality distortion disorder in which the patient manifests with auditory hallucinations, delusions, disorganized speech and thinking, cognitive impairment, avolition and social and occupational dysfunction. Reality distortion can be present in many other disorders including bipolar disorder, major depression and even dementia. Conceptually, schizophrenia is a heterogeneous entity likely to be because of numerous causes similar to dementia. Although no single symptom or set of symptoms is pathognomonic, a cardinal feature in all patients with schizophrenia is chronic distortion of reality. The model that we have proposed accounts for the varied manifestations of reality distortion including hallucinations and delusions. In this paper we consider the implications of this model for the underlying biology of psychoses and also for the neurobiology of schizophrenia and suggest potential targets to consider for the etiology and pathophysiology of reality distortion, especially in the context of schizophrenia.

journal_name

Mol Psychiatry

journal_title

Molecular psychiatry

authors

Krishnan RR,Fivaz M,Kraus MS,Keefe RS

doi

10.1038/mp.2010.63

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

129-44

issue

2

eissn

1359-4184

issn

1476-5578

pii

mp201063

journal_volume

16

pub_type

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