Hypothesis and Theory Article

Why do delusions persist?

1
Connecticut Mental Health Center, Deparment of Psychiatry, School of Medicine, Yale University, USA
2
Brain Mapping Unit and Behavioural and Clinical Neurosciences Institute, Department of Psychiatry, School of Clinical Medicine, University of Cambridge, UK

Delusions are bizarre and distressing beliefs that characterize certain mental illnesses. They arise without clear reasons and are remarkably persistent. Recent models of delusions, drawing on a neuroscientific understanding of learning, focus on how delusions might emerge from abnormal experience. We believe that these models can be extended to help us understand why delusions persist. We consider prediction error, the mismatch between expectancy and experience, to be central. Surprising events demand a change in our expectancies. This involves making what we have learned labile, updating and binding the memory anew: a process of memory reconsolidation. We argue that, under the influence of excessive prediction error, delusional beliefs are repeatedly reconsolidated, strengthening them so that they persist, apparently impervious to contradiction.

Keywords: salience, Delusions, prediction error, Extinction, habit, Reconsolidation

Citation: Corlett PR, Krystal JH, Taylor JR and Fletcher PC (2009) Why do delusions persist?. Front. Hum. Neurosci. 3:12. doi:10.3389/neuro.09.012.2009

Received: 01 April 2009; Paper pending published: 17 May 2009; Accepted: 16 June 2009; Published online: 10 July 2009.

Edited by: 
Neal J. Cohen, University of Illinois, USA

Reviewed by: 
Anthony Wagner, Stanford University, USA
Stephan Heckers, Vanderbilt University, USA

Copyright: © 2009 Corlett, Krystal, Taylor and Fletcher. This is an open-access article subject to an exclusive license agreement between the authors and the Frontiers Research Foundation, which permits unrestricted use, distribution, and reproduction in any medium, provided the original authors and source are credited.

*Correspondence: Dr. Philip R. Corlett ( PhD) e-mail: philip.corlett@yale.edu Yale University School of Medicine Department of Psychiatry Connecticut Mental Health Centre Abraham Ribicoff Research Facility 34 Park Street New Haven CT 06519

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