Schizophrenia is a mental health illness that affects approximately 24 million people worldwide, which statistically means 1 in every 300 people suffer from this chronic condition (World Health Organization, 2023). The Diagnostic and Statistical Manual of Mental Disorders classifies the disorder as a chronic mental illness that can involve positive symptoms (delusions, hallucinations, disorganized speech, and behavior), negative symptoms, and cognitive impairment (American Psychiatric Association, 2013). How it affects perception is something that is being discovered and studied. In the article, Understanding Delusions of Control: How Schizophrenia Alters Perception of Actions, author Mareike Kardinal, discusses a recent research article that showed how the perspective of an individual with schizophrenia may be different (Kardinal, 2023). To better understand the outcome of this research, we need to know the basics of how the disorder works, the ideologies behind perception, and the general interpretation of the results.
Schizophrenia itself impairs one’s ability to live a healthy and independent life by distorting one’s reality due to varying disabling symptoms. Though there is no known direct cause of schizophrenia, there is an association between genetics and environmental factors. (World Health Organization, 2023). Treatment for Schizophrenia is more successful when it is a combination of talk therapy and medications, such as antipsychotics (NCBI, 2014). To how it affects the brain, a research article titled Structural and Function Brain Abnormalities mentions an association of schizophrenia with changes to brain systems, including, prefrontal, and medial temporal lobe regions (Karlsgodt et al., 2010). This demonstrates how schizophrenia physically influences one’s brain and how it functions.
There are different theories when it comes to perception and how they lead to our actions. This ranges between theories that support the ideology by Helmholtz, regularities, and Bayesian inference, which all focus on how different factors such as our past experiences help us determine what we perceive (Goldstein, 2021). We will be focusing on the Bayesian Inference which is that we perceive what is most likely to have created the stimulation we have received based on probability (Goldstein, 2021). In other words, what is most likely to happen will. To better understand the relationship between perception and action, we will reference the experiment by Leslie Ungerleider and Mortimer Mishkin (1982), which concluded the importance and connection of the Temporal lobe and the Parietal lobe. (Goldstein, 2021). The ventral and dorsal pathway shows how what we see or perceive is connected to our temporal lobe which is also affected by schizophrenia. (Karlsgodt et al., 2010).
Following up on the article, Understanding Delusions of Control: How Schizophrenia Alters Perception of Actions, researchers did a controlled experiment to recognize if there is a perspective difference between individuals with schizophrenia and healthy individuals, and there was (Kardinal, 2023). In the experiment, Individuals with schizophrenia perceived the time interval between their action of flipping a switch and a light turning on. If there was even a half-second delay in the lamp turning on, those with the mental condition of schizophrenia reported that external forces controlled the lamp. Kardinal, 2023 states that researchers in this experiment realized that there was an association: the weaker an intentional binding was, the more those individuals with schizophrenia would attribute their actions to an external factor. An interesting factor that is included is that this study was inspired by Bayesian causal inference models, suggesting that blaming external factors could lead to decreased intentional binding. (Kardinal, 2023). This showcases how schizophrenia can lead to changes in perception when compared to healthy individuals.
Overall, this theory of how perception works and the different perspectives behind them helped me better understand the article. I was able to put together how it is all connected and the importance of recognizing the different parts of the brain and how together they influence one’s perception. It was truly so exciting to better understand what I was reading and how this very serious schizophrenia is and how affects those who suffer from it. I would love it if this study could be replicated with a larger pool of participants to see if the results are the same. These results help creates a better understanding of what it is like to be someone who lives with schizophrenia.
References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
Goldstein, E. Bruce. Cognitive Psychology: Connecting Mind, Research, and Everyday Experience. Cengage, 2021.
Kardinal, M. (2023, May 25). Understanding delusions of control: How schizophrenia alters the perception of action. Neuroscience News. https://neurosciencenews.com/schizophrenia-action-perception-23344/
Karlsgodt, Katherine H, et al. “Structural and Functional Brain Abnormalities in Schizophrenia.” Current Directions in Psychological Science, U.S. National Library of Medicine, 1 Aug. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC4235761/#:~:text=Schizophrenia%20is%20associated%20with%20changes,memory%20and%20declarative%20memory%2C%20respectively. Accessed 29 May 2023.
Patel, Krishna R, et al. “Schizophrenia: Overview and Treatment Options.” P & T : A Peer-Reviewed Journal for Formulary Management, Sept. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4159061/.
World Health Organization. (n.d.). Schizophrenia. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/schizophrenia#:~:text=Schizophrenia%20affects%20approximately%2024%20million,as%20many%20other%20mental%20disorders.