OBJECTIVE: It has been suggested that auditory hallucinations and
delusions of control in persons with schizophrenia could involve a
disconnection between an "intention center" and a "monitoring center."
METHOD: To test this model directly, the authors used a delayed auditory
feedback paradigm in which the subject hears his or her own speech delayed
electronically by a fraction of a second. In normal, subjects this produces
dysfluency, which is thought to occur because an expectancy about the
perceptual arrival of speech, formed in a monitoring center on the basis of
corollary discharge from an intention center, is violated. If, however, a
disconnection were present in schizophrenia, such an expectancy would not
be formed; hence, less dysfluency should occur. Fifteen patients with
chronic schizophrenia (10 of whom experienced auditory hallucinations
and/or delusions of control) and 19 normal subjects were studied. RESULTS:
Rather than exhibiting less dysfluency than the normal subjects, patients
with delusions and/or hallucinations exhibited significantly more
dysfluency. CONCLUSIONS: These results do not support a cognitive model of
disconnection.
Abstract Teaser