When Proactivity Fails: An Electrophysiological Study of Establishing Reference in Schizophrenia.

BACKGROUND: Schizophrenia is characterized by abnormalities in referential communication, which may be linked to more general deficits in proactive cognitive control. We used event-related potentials to probe the timing and nature of the neural mechanisms engaged as people with schizophrenia linked pronouns to their preceding referents during word-by-word sentence comprehension. METHODS: We measured event-related potentials to pronouns in two-clause sentences in 16 people with schizophrenia and 20 demographically matched control participants. Our design crossed the number of potential referents (1-referent, 2-referent) with whether the pronoun matched the gender of its preceding referent(s) (matching, mismatching). This gave rise to four conditions: 1) 1-referent matching ("Edward took courses in accounting but he . . ."); 2) 2-referent matching ("Edward and Phillip took courses but he . . . "); 3) 1-referent mismatching ("Edward took courses in accounting but she . . ."); and 4) 2-referent mismatching ("Edward and Phillip took courses but she . . ."). RESULTS: Consistent with previous findings, healthy control participants produced a larger left anteriorly distributed negativity between 400 and 600 ms to 2-referent matching than to 1-referent matching pronouns (the "Nref effect"). In contrast, people with schizophrenia produced a larger centroposterior positivity effect between 600 and 800 ms. Both patient and control groups produced a larger positivity between 400 and 800 ms to mismatching than to matching pronouns. CONCLUSIONS: These findings suggest that proactive mechanisms of referential processing, reflected by the Nref effect, are impaired in schizophrenia, while reactive mechanisms, reflected by the positivity effects, are relatively spared. Indeed, patients may compensate for proactive deficits by retroactively engaging with context to influence the processing of inputs at a later stage of analysis.

Mentally simulating narrative perspective is not universal or necessary for language comprehension.

Readers differentially adopt an agent's perspective as a function of pronouns encountered during reading. The present study assessed the reliability of this effect across narrative contexts and self-reported variation in levels of engagement during reading. Experiment 1 used an extended sample (N = 263) and replicated an interactive influence of pronouns on perspectives adopted during reading simple action sentences (e.g., You are peeling the cucumber.), with You promoting an agent's perspective, and He promoting an onlooker's external perspective. The magnitude of this effect was partially accounted for by individual differences in the tendency to get actively engaged during reading. Specifically, readers who self-reported greater empathic engagement during reading also showed a higher likelihood to adopt an agent's perspective when sentences used the pronoun You or I. Experiment 2 (N = 217) examined whether these influences of pronouns and individual differences would emerge with relatively realistic, extended narratives; effects were generally less robust than with single sentence scenarios, though empathic engagement still predicted adopting an agent's perspective with the pronoun You or I. Furthermore, even in the absence of perspective modulation in response to pronouns, comprehension was maintained. These results demonstrate that differentially adopting perspectives as a function of pronouns is not universal or necessary for comprehension, but rather influenced by narrative context and individuals' propensity to find themselves immersed in described events. Results are considered within the framework of embodied cognition, representational pluralism, individual differences, and high-powered replication projects. (PsycINFO Database Record

The fabric of thought: priming tactile properties during reading influences direct tactile perception.

The present studies examined whether implied tactile properties during language comprehension influence subsequent direct tactile perception, and the specificity of any such effects. Participants read sentences that implicitly conveyed information regarding tactile properties (e.g., Grace tried on a pair of thick corduroy pants while shopping) that were either related or unrelated to fabrics and varied in implied texture (smooth, medium, rough). After reading each sentence, participants then performed an unrelated rating task during which they felt and rated the texture of a presented fabric. Results demonstrated that the texture properties implied in sentences influence direct tactile perception. Specifically, after reading about a smooth or rough texture, subsequent fabric ratings became notably smoother or rougher, respectively. However, we also show that there was some specificity to these effects: Fabric-related sentences elicited more specific and interactive effects on subsequent ratings. Together, we demonstrate that under certain circumstances, language comprehension can prime tactile representations and affect direct tactile perception. Results are discussed with regard to the nature and scope of multimodal mental simulation during reading.

Caffeine enhances real-world language processing: evidence from a proofreading task.

Caffeine has become the most prevalently consumed psychostimulant in the world, but its influences on daily real-world functioning are relatively unknown. The present work investigated the effects of caffeine (0 mg, 100 mg, 200 mg, 400 mg) on a commonplace language task that required readers to identify and correct 4 error types in extended discourse: simple local errors (misspelling 1- to 2-syllable words), complex local errors (misspelling 3- to 5-syllable words), simple global errors (incorrect homophones), and complex global errors (incorrect subject-verb agreement and verb tense). In 2 placebo-controlled, double-blind studies using repeated-measures designs, we found higher detection and repair rates for complex global errors, asymptoting at 200 mg in low consumers (Experiment 1) and peaking at 400 mg in high consumers (Experiment 2). In both cases, covariate analyses demonstrated that arousal state mediated the relationship between caffeine consumption and the detection and repair of complex global errors. Detection and repair rates for the other 3 error types were not affected by caffeine consumption. Taken together, we demonstrate that caffeine has differential effects on error detection and repair as a function of dose and error type, and this relationship is closely tied to caffeine's effects on subjective arousal state. These results support the notion that central nervous system stimulants may enhance global processing of language-based materials and suggest that such effects may originate in caffeine-related right hemisphere brain processes. Implications for understanding the relationships between caffeine consumption and real-world cognitive functioning are discussed.

Slow and steady: sustained effects of lexico-semantic associations can mediate referential impairments in schizophrenia.

The present study investigated the contribution of lexico-semantic associations to impairments in establishing reference in schizophrenia. We examined event-related potentials as schizophrenia patients and healthy, demographically matched controls read five-sentence scenarios. Sentence 4 introduced a noun that referred back to three possible referents introduced in Sentences 1-3. These referents were contextually appropriate, contextually inappropriate but lexico-semantically associated, and contextually inappropriate and lexico-semantically nonassociated. In order to determine whether participants had correctly linked the anaphor to its referent, the final sentence reintroduced each referent, and participants indicated whether the last two sentences referred to the same entity. Results indicated that between 300 and 400 ms, patients, like healthy controls, used discourse context to link the noun with its preceding referent. However, between 400 and 500 ms, neural activity in patients was modulated only by lexico-semantic associations, rather than by discourse context. Moreover, patients were also more likely than controls to incorrectly link the noun with contextually inappropriate but lexico-semantically associated referents. These results suggest that at least some types of referential impairments may be driven by sustained activation of contextually inappropriate lexico-semantic associations.

Establishing causal coherence across sentences: an ERP study.

This study examined neural activity associated with establishing causal relationships across sentences during on-line comprehension. ERPs were measured while participants read and judged the relatedness of three-sentence scenarios in which the final sentence was highly causally related, intermediately related, and causally unrelated to its context. Lexico-semantic co-occurrence was matched across the three conditions using a Latent Semantic Analysis. Critical words in causally unrelated scenarios evoked a larger N400 than words in both highly causally related and intermediately related scenarios, regardless of whether they appeared before or at the sentence-final position. At midline sites, the N400 to intermediately related sentence-final words was attenuated to the same degree as to highly causally related words, but otherwise the N400 to intermediately related words fell in between that evoked by highly causally related and intermediately related words. No modulation of the late positivity/P600 component was observed across conditions. These results indicate that both simple and complex causal inferences can influence the earliest stages of semantically processing an incoming word. Further, they suggest that causal coherence, at the situation level, can influence incremental word-by-word discourse comprehension, even when semantic relationships between individual words are matched.

On the incrementality of pragmatic processing: An ERP investigation of informativeness and pragmatic abilities.

In two event-related potential (ERP) experiments, we determined to what extent Grice's maxim of informativeness as well as pragmatic ability contributes to the incremental build-up of sentence meaning, by examining the impact of underinformative versus informative scalar statements (e.g. "Some people have lungs/pets, and…") on the N400 event-related potential (ERP), an electrophysiological index of semantic processing. In Experiment 1, only pragmatically skilled participants (as indexed by the Autism Quotient Communication subscale) showed a larger N400 to underinformative statements. In Experiment 2, this effect disappeared when the critical words were unfocused so that the local underinformativeness went unnoticed (e.g., "Some people have lungs that…"). Our results suggest that, while pragmatic scalar meaning can incrementally contribute to sentence comprehension, this contribution is dependent on contextual factors, whether these are derived from individual pragmatic abilities or the overall experimental context.

You heard it here first: readers mentally simulate described sounds.

The present experiments examined whether readers spontaneously simulate implied auditory elements of sentences. Participants read sentences that implicitly conveyed details that could provoke auditory imagery (e.g., The engine clattered as the truck driver warmed up his rig.), and then performed an unrelated sound categorization task during which they classified sounds as real (occurring in the world) or fake (computer generated). In Experiment 1 these two tasks were performed in sequence; in Experiment 2 they were separated into three experimental blocks to rule out the possibility that readers strategically formed auditory imagery as a result of task demands. In both studies, readers were faster to correctly categorize sounds as 'real' when the sounds had been implied by a preceding sentence. These results suggest that readers mentally simulate the implied auditory characteristics of sentences, even in the absence of tasks that promote mental simulation. Mentally simulating described events is not limited to visual and action-based modalities, further demonstrating the multimodal nature of the perceptual symbols spontaneously activated during reading.

Building coherence: A framework for exploring the breakdown of links across clause boundaries in schizophrenia.

Clinically, patients with schizophrenia show prominent abnormalities at the discourse level, with production characterized by tangential and illogical relationships between ideas and unclear references. Despite these clinical manifestations, most studies of language in schizophrenia have focused on semantic relationships between single words and the build-up of meaning within single-clause sentences. The present paper discusses the few studies that have gone beyond clause boundaries to fully understand language impairments in schizophrenia. We also give an overview of a relevant literature that considers the neurocognitive mechanisms by which coherence links are established across clauses in healthy adults, providing a framework that may guide future research in this area.

Electrophysiological insights into the processing of nominal metaphors.

We used event-related potentials (ERPs) to examine the time-course of processing metaphorical and literal sentences in the brain. ERPs were measured to sentence-final (Experiment 1) and mid-sentence (Experiment 2) critical words (CWs) as participants read and made plausibility judgments about familiar nominal metaphors ("A is a B") as well as literal and semantically anomalous sentences of the same form. Unlike the anomalous words, which evoked a robust N400 effect (on the CW in experiments 1 and 2 as well as on the sentence-final word in experiment 2), CWs in the metaphorical, relative to the literal, sentences only evoked an early, localized N400 effect that was over by 400ms after CW onset, suggesting that, by this time, their metaphorical meaning had been accessed. CWs in the metaphorical sentences also evoked a significantly larger LPC (Late Positive Component) than in the literal sentences. We suggest that this LPC reflected additional analysis that resolved a conflict between the implausibility of the literal sentence interpretation and the match between the metaphorical meaning of the CW, the context and stored information within semantic memory, resulting from early access to both literal and figurative meanings of the CWs.

What can Event-related Potentials tell us about language, and perhaps even thought, in schizophrenia?

Disturbances of thought and language are fundamental to schizophrenia. Cognitive behavioral and electrophysiological research has implicated problems in two different neurocognitive mechanisms: abnormalities in the structure and function of semantic memory, and abnormalities in combining and integrating words together to build up sentence and discourse context. This review discusses recent electrophysiological evidence suggesting that these two deficits are not completely distinct, but rather that language impairment in schizophrenia results from a dysfunctional interaction between these systems in an effort to build up higher-order meaning. Moreover, although language abnormalities are more pronounced in patients with positive thought disorder, they manifest themselves in all patients when increased demands are placed on the comprehension system. Further investigation of language dysfunction may also provide insights into other aspects of psychotic thought.

Simulating an enactment effect: Pronouns guide action simulation during narrative comprehension.

Recent research has suggested that reading involves the mental simulation of events and actions described in a text. It is possible however that previous findings did not tap into processes engaged during natural reading but rather those triggered by task demands. The present study examined whether readers spontaneously mentally simulate the actions described in simple narratives by using a memory task that did not encourage the formation of mental images. During encoding, participants read event scenarios preceded by 'I', 'You', or 'He', and then 10 min (Experiment 1) or 3 days later (Experiment 2), we examined memory for action and descriptive elements of these scenarios. Given previous research demonstrating that readers simulate described actions preceded by 'You' from an actor's perspective, we predicted that such action statements would be better remembered than those preceded by 'He' or 'I' - a simulated enactment effect. Results of both experiments supported this prediction; readers had better memory for actions but not descriptive information (10 min and 3 days later) after reading statements preceded by 'You'. Results demonstrate that readers spontaneously mentally simulate actions during language comprehension and take different mental perspectives, even when doing so is not necessary to perform the task.

When you and I share perspectives: pronouns modulate perspective taking during narrative comprehension.

Readers mentally simulate the objects and events described in narratives. One common assumption is that readers mentally embody an actor's perspective; alternatively, readers might mentally simulate events from an external "onlooker" perspective. Two experiments examined the role of pronouns in modulating a reader's adopted perspective when comprehending simple event sentences. Experiment 1 demonstrated that readers embody an actor's perspective when the pronoun you or I is used, but take an external perspective when he is used. Experiment 2, however, found that a short discourse context preceding the event sentence led readers to adopt an external perspective with the pronoun I. These experiments demonstrate that pronoun variation and discourse context mediate the degree of embodiment experienced during narrative comprehension: In all cases, readers mentally simulate objects and events, but they embody an actor's perspective only when directly addressed as the subject of a sentence.

Time travel through language: temporal shifts rapidly decrease information accessibility during reading.

The present study dissociated the immediate neural costs from the subsequent neural consequences of integrating time shifts into our mental representations of events. Event-related potentials were recorded as participants read scenarios that included words referring to short temporal shifts (e.g., after one second), moderate temporal shifts (e.g., after one hour), or long temporal shifts (e.g., after one year). These words were followed by repeated noun-phrase anaphors, which are preferred as referents for information no longer in attentional focus. The N400 was measured as an index of online conceptual integration. As the discourse unfolded, the N400 was larger for long- (e.g.,year) than for short- (e.g., second) shift words. For the anaphor, the N400 was modulated in the opposite direction. Thus, the introduction of a temporal discontinuity leads to immediate neural integration costs, as well as to decreased accessibility of earlier information.

An investigation of concurrent ERP and self-paced reading methodologies.

Traditionally, event-related brain potential (ERP) studies of language processing have presented words at a fixed rate using rapid serial visual presentation. Recent studies suggest, however, that the processes engaged during sentence comprehension are contingent on word presentation rate. These findings underscore the importance of allowing participants to read at a natural pace. The present study employed simultaneous self-paced reading and ERP methodologies to examine behavioral and neural responses while participants read sentences containing pragmatic or morphosyntactic violations or no violations. ERP and self-paced reading results replicated previous findings. This novel combination of behavioral and ERP methodologies combines the high temporal resolution and direct neural measures offered by ERPs with the more natural reading environment and information about processing load provided by self-paced reading.

The time course of building discourse coherence in schizophrenia: an ERP investigation.

Impairments in the buildup and use of context may lead to disorders of thought and language in schizophrenia. To test this hypothesis, event-related potentials (ERPs) were measured while patients and healthy controls read sentences that were highly causally related, intermediately related, or unrelated to preceding contexts. Although patients were slower than controls, both groups used the discourse context similarly as evidenced by similar reaction time patterns across conditions. Neurally however, different patterns emerged between patients and controls: within the N400 time window, patients failed to modulate their neural responses across conditions. This failure to differentiate between conditions was specifically correlated with positive thought disorder. Results suggest that schizophrenia patients, particularly those with positive thought disorder, fail to make immediate use of discourse context to build up semantic coherence in the brain.

Fronto-hippocampal function during temporal context monitoring in schizophrenia.

BACKGROUND: Patients with schizophrenia have difficulty using contextual information to recall the source of information. Given the importance of the hippocampus and prefrontal cortex (PFC) in this type of memory, we hypothesized that this cognitive deficit stemmed from aberrant fronto-hippocampal activation during memory retrieval. METHODS: Patients with schizophrenia (n = 16) and age-matched comparison subjects (n = 16) underwent functional magnetic resonance imaging while performing a verbal memory task that requires intact use of temporal context. Blood oxygen-level dependent (BOLD) signal during correct memory decisions was compared between the two groups with statistical parametric mapping. RESULTS: Contrary to our hypotheses, patients with schizophrenia demonstrated nearly identical memory performance to that of the comparison subjects. Despite this, there were significant between-group BOLD signal differences, including a pattern of task-dependent hypofrontality or hyperfrontality. In addition, whereas the highest-performing subset of the comparison group demonstrated robust modulation of hippocampal activity, this pattern was not seen in the highest-performing patients with schizophrenia. CONCLUSIONS: Despite memory performance similar to that of comparison subjects, patients with schizophrenia activated different neural pathways to achieve this success. This might reflect underlying neuropathology in fronto-hippocampal circuitry, the use of an alternate cognitive strategy to accomplish task performance, or both.

Hippocampal and parahippocampal volumes in schizophrenia: a structural MRI study.

Smaller medial temporal lobe volume is a frequent finding in studies of patients with schizophrenia, but the relative contributions of the hippocampus and three surrounding cortical regions (entorhinal cortex, perirhinal cortex, and parahippocampal cortex) are poorly understood. We tested the hypothesis that the volumes of medial temporal lobe regions are selectively changed in schizophrenia. We studied 19 male patients with schizophrenia and 19 age-matched male control subjects. Hippocampal and cortical volumes were estimated using a three-dimensional morphometric protocol for the analysis of high-resolution structural magnetic resonance images, and repeated measures ANOVA was used to test for region-specific differences. Patients had smaller overall medial temporal lobe volumes compared to controls. The volume difference was not specific for either region or hemisphere. The finding of smaller medial temporal lobe volumes in the absence of regional specificity has important implications for studying the functional role of the hippocampus and surrounding cortical regions in schizophrenia.

A source-monitoring account of auditory verbal hallucinations in patients with schizophrenia.

Auditory verbal hallucinations are a common and distressing symptom experienced by patients with schizophrenia. They can be understood as arising from an impairment in reality monitoring-the process by which internally and externally generated events are distinguished. This impairment might arise through primary abnormalities in the reality-monitoring mechanism or through secondary mechanisms (abnormalities in the perceptual characteristics of internally generated events or in the perception of externally generated events). This article examines evidence for and against an association between abnormalities in reality monitoring and auditory verbal hallucinations in schizophrenia. A comprehensive review of the psychological literature suggests that there is little evidence for an association between auditory verbal hallucinations and secondary mechanisms leading to abnormalities in reality monitoring. There is some evidence suggesting that hallucinators show a primary reality-monitoring abnormality that is most apparent when patients are required to distinguish self from other in real time. To draw firmer conclusions, however, it is imperative that future studies select patient populations precisely, match control groups, and use consistent criteria for defining hallucinators.

Hippocampal activation during processing of previously seen visual stimulus pairs.

Activity in the hippocampus is modulated by novelty detection, and by the processing of conjunctions between two stimuli. We investigated whether the hippocampus is activated by discrimination of stimulus-stimulus relationships in novel versus familiar pairs of visual stimuli in 15 healthy subjects using functional magnetic resonance imaging. Subjects were asked to recognize the previously rewarded stimulus in each case. We found significantly greater activation of the right hippocampus when discriminating previously seen compared with novel pairs of visual stimuli. This activation was evident in individual subjects and was not related to stimulus novelty, reward contingency, or task instruction. Right hippocampal activation during discrimination of previously seen pairs of objects was correlated with activity in the anteromedial thalamus, cingulate cortex, and contralateral hippocampus.