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Everything is connected: Inference and attractors in delusions

Adams, RA; Vincent, P; Benrimoh, D; Friston, KJ; Parr, T; (2021) Everything is connected: Inference and attractors in delusions. Schizophrenia Research 10.1016/j.schres.2021.07.032. (In press). Green open access

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Abstract

Delusions are, by popular definition, false beliefs that are held with certainty and resistant to contradictory evidence. They seem at odds with the notion that the brain at least approximates Bayesian inference. This is especially the case in schizophrenia, a disorder thought to relate to decreased – rather than increased – certainty in the brain's model of the world. We use an active inference Markov decision process model (a Bayes-optimal decision-making agent) to perform a simple task involving social and non-social inferences. We show that even moderate changes in some model parameters – decreasing confidence in sensory input and increasing confidence in states implied by its own (especially habitual) actions – can lead to delusions as defined above. Incorporating affect in the model increases delusions, specifically in the social domain. The model also reproduces some classic psychological effects, including choice-induced preference change, and an optimism bias in inferences about oneself. A key observation is that no change in a single parameter is both necessary and sufficient for delusions; rather, delusions arise due to conditional dependencies that create ‘basins of attraction’ which trap Bayesian beliefs. Simulating the effects of antidopaminergic antipsychotics – by reducing the model's confidence in its actions – demonstrates that the model can escape from these attractors, through this synthetic pharmacotherapy.

Type: Article
Title: Everything is connected: Inference and attractors in delusions
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.schres.2021.07.032
Publisher version: https://doi.org/10.1016/j.schres.2021.07.032
Language: English
Additional information: © 2021 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Delusions, Active inference, Paranoia, Bayesian, Computational psychiatry, Choice-induced preference change
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Imaging Neuroscience
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10133795
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