Reduced binocular depth inversion in schizophrenic patients
Abstract
Binocular depth inversion represents an illusion of visual perception, serving to invert the perception of implausible hollow objects, e.g. a hollow face into a normal face. Such inversion occurs frequently, especially when objects with a high degree of familiarity (e.g. photographs of faces) are displayed. Under normal conditions, cognitive factors apparently override the binocular disparity cues of stereopsis. This internal mechanism--a kind of "censorship" of perception balancing "top-down" and "bottom-up" processes of perception--appears to be disturbed in psychotic states. The clinical and neuropsychological performance of schizophrenic patients was assessed using the Brief Psychiatric Rating Scale (BPRS), the Positive And Negative Symptoms Scale (PANSS), the Clinical Global Impression Scale (CGI), the Mehrfach-Wahlwortschatz Intelligence Test (MWT-B) and the binocular depth inversion test (BDIT) using pictures with a high degree of familiarity. In schizophrenic patients, the performance in the BDIT differed significantly from healthy controls and from patients with major depression. The schizophrenic patients were more veridical in their judgements in the BDIT. During antipsychotic treatment, BPRS and PANSS scores improved and the inversed faces were seen as more illusionary, driven by an increase in top-down processing. At the end of treatment, there was no significant difference between the patient group and the healthy controls in the score of binocular depth inversion. These findings suggest that testing of binocular depth inversion can detect specific dysfunctions in visual perception and might be useful as a state-marker for psychotic states.
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The findings are not at odds with the decreased susceptibility to some visual illusions observed in schizophrenic patients.
“Our findings are therefore not at odds with decreased susceptibility to some visual illusions in schizophrenic patients (37,38,40,41).”
From Shift toward prior knowledge confers a perceptual advantage in early psychosis and psychosis-prone healthy individuals (2015) · cites this paper as [40]
Some authors argue that certain visual illusions rely on some form of top-down processing, a claim that has been contested.
“some authors argue that certain illusions rely on some form of top-down processing (40,41), a claim that has been contested (42,43).”
From Shift toward prior knowledge confers a perceptual advantage in early psychosis and psychosis-prone healthy individuals (2015) · cites this paper as [40]
Patients with schizophrenia failed to correct for the inverted Hollow Mask to a more plausible interpretation, which can be explained by an underweighting of prior knowledge during perceptual inferences.
“The fact that patients with schizophrenia failed to correct for the inverted Hollow Mask to a more plausible (or predictable) interpretation can also be explained by an underweighting of prior knowledge during perceptual inferences (Schmeider et al., 1996; Schneider et al., 2002; Koethe et al., 2009).”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Schneider et al., 2002
Studies comparing schizophrenia with bipolar or major depressive disorder found that the latter two groups were normally sensitive to Binocular depth inversion and Contrast modulation, significantly different from schizophrenia patients.
“studies that directly compared patients who suffered from schizophrenia with patients who suffered from bipolar or major depressive disorders found that the latter two groups were normally sensitive to Binocular depth inversion (Schneider et al., 2002; Koethe et al., 2009; Wang et al., 2013) and Contrast modulation (Dakin et al., 2005; Yang et al., 2013), which was significantly different from the”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Schneider et al., 2002
In two prospective experiments, sensitivity to illusions normalized in schizophrenia groups receiving inpatient treatment, becoming comparable to controls.
“In two experiments that prospectively assessed how clinical evolution impacts VI perception, a normalization of sensitivity to illusions was observed in the schizophrenia groups that received inpatient treatment, which became comparable to controls (Schneider et al., 2002; Silverstein et al., 2013).”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Schneider et al., 2002
The interpretation of reduced visual illusion sensitivity as a trait or early state characteristic was not confirmed by longitudinal studies.
“However, this assumption was not confirmed by longitudinal studies.”
From What visual illusions teach us about schizophrenia (2014) · cites this paper as Schneider et al., 2002
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- Authors
- Schneider, U., Borsutzky, M., Seifert, J., Leweke, F. M., Huber, T. J., Rollnik, J. D., & Emrich, H. M.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- Corresponding author
- Schneider, U.
- Venue
- Schizophrenia Research
- Publisher
- Elsevier BV
- Published
- 2002-01
- Volume
- 53
- Issue
- 1-2
- Pages
- 101-108
- ISSN
- 0920-9964 (ISSN-L)
- OpenAlex
- W2051195017
- Cited by
- 108
- References
- 32
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 8 · 2019: 2 · 2018: 4 · 2017: 8 · 2016: 9 · 2015: 4 · 2014: 9 · 2013: 11 · 2012: 9
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Schizophrenia Research (publishedVersion)
- PubMed (publishedVersion)
- 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, Depth Perception, Female, Humans, Male, Middle Aged, Optical Illusions, Orientation, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Vision Disparity
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