Altered ‘three-flash’ illusion in response to two light pulses in schizophrenia
Open accessAbstract
Background Disorganization is a core dysfunction in schizophrenia. Coherent thought and behavior rely on the interactive neural responses to temporally discrete external events. Previous studies have demonstrated that a single visual stimulus (event) is abnormally affected by another (as in backward masking), but the integration (or 'synthesis') of temporally discrete events remains largely unexplored in schizophrenia. We examined the perceived interaction of two elementary visual events in schizophrenia patients, using a psychophysical approach.Methods Two brief, spatially-coincident foveal light pulses (5 ms) were presented with different inter-stimulus intervals (ISIs). At ISIs around 100 ms, a substantial proportion of the light pulse pairs was paradoxically perceived as three flashes, a known phenomenon in normal subjects. The subjects reported the number of flashes perceived ('one', 'two' or 'three').Results Schizophrenia patients (n=28) reported fewer 'three flashes' than normal controls (n=26) at the ISIs where 'three flash' reports were greatest in normal subjects (90 to 110 ms). On the other hand, at longer ISIs (130-310 ms) patients reported 'three flashes' in more trials than did normal subjects. The perception of three flashes in patients was correlated with certain aspects of clinical status, including the positive and general subscales of the PANSS.Discussion The alteration of the 'three-flash' illusion in schizophrenia suggests that the synthesis of discrete visual events is temporally 'dilated' or distorted, which might contribute to disorganized thought and behavior.
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Norton et al. (2008) reported that the Three-flash illusion peaked at a longer inter-stimulus interval in patients with schizophrenia compared with healthy controls.
“The authors reported the illusion peaked to a longer inter-stimulus interval when presented to patients with schizophrenia compared with healthy controls.”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Norton et al., 2008
Norton et al. argued that the temporal alteration in the Three-flash illusion may rely on a faulty sensory-integration within the very first stages of the visual stream.
“They argued that this temporal alteration may rely on a faulty sensory-integration within the very first stages of the visual stream.”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Norton et al., 2008
Other authors identified an inverse correlation between visual illusions and either positive or negative symptom dimensions.
“other authors identified an inverse correlation with either positive (Norton et al., 2008; Keane et al., 2013; Silverstein et al., 2013) or negative (Tadin et al., 2006; Silverstein et al., 2013) symptom dimensions.”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Norton et al., 2008
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- Authors
- Norton, D., Ongur, D., Stromeyer, C., & Chen, Y.
- Affiliations
- Harvard University (US)
- Corresponding author
- Chen, Yue
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 103
- Issue
- 1-3
- Pages
- 275-282
- ISSN
- 0920-9964 (ISSN-L)
- PMC
- PMC2553681
- OpenAlex
- W2073304134
- Cited by
- 18
- References
- 33
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 1 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 2 · 2014: 2 · 2012: 1
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Public Health Service (61824)
- National Institute of Mental Health (R01MH061824)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Visual perception and processing mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Keywords
- schizophrenia
- MeSH terms
- Adult, Discrimination Learning, Female, Humans, Male, Middle Aged, Optical Illusions, Photic Stimulation, Psychiatric Status Rating Scales, Psychotic Disorders, Reaction Time, Reference Values, Schizophrenia, Schizophrenic Psychology, Contrast Sensitivity
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