Cited by 81Posttraumatic Stress Disorder ResearchEmbodied and Extended CognitionPsychoanalysis and Psychopathology Research

Reframing PTSD for computational psychiatry with the active inference framework

Open access
Linson, Adam, Friston, Karl·2019·Cognitive Neuropsychiatry

Abstract

Introduction: Recent advances in research on stress and, respectively, on disorders of perception, learning, and behaviour speak to a promising synthesis of current insights from (i) neurobiology, cognitive neuroscience and psychology of stress and post-traumatic stress disorder (PTSD), and (ii) computational psychiatry approaches to pathophysiology (e.g. of schizophrenia and autism).Methods: Specifically, we apply this synthesis to PTSD. The framework of active inference offers an embodied and embedded lens through which to understand neuronal mechanisms, structures, and processes of cognitive function and dysfunction. In turn, this offers an explanatory model of how healthy mental functioning can go awry due to psychopathological conditions that impair inference about our environment and our bodies. In this context, auditory phenomena—known to be especially relevant to studies of PTSD and schizophrenia—and traditional models of auditory function can be viewed from an evolutionary perspective based on active inference.Results: We assess and contextualise a range of evidence on audition, stress, psychosis, and PTSD, and bring some existing partial models of PTSD into multilevel alignment.Conclusions: The novel perspective on PTSD we present aims to serve as a basis for new experimental designs and therapeutic interventions that integrate fundamentally biological, cognitive, behavioural, and environmental factors.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1080/13546805.2019.1665994

Cites

28 of 28 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 57

  1. Barber T. X., & Calverley D. S. (1964). An experimental study of ‘hypnotic’ (auditory and visual) hallucinations. The Journal of Abnormal and Social Psychology, 68(1), 13– 20. doi: 10.1037/h0042175 14105174 · DOI
  2. Best V., Ozmeral E. J., & Shinn-Cunningham B. G. (2007). Visually-guided attention enhances target identification in a complex auditory scene. Journal for the Association for Research in Otolaryngology, 8(2), 294– 304. doi: 10.1007/s10162-007-0073-z PMC2538357 17453308 · DOI
  3. Bordi F., & LeDoux J. (1992). Sensory tuning beyond the sensory system: An initial analysis of auditory response properties of neurons in the lateral amygdaloid nucleus and overlying areas of the striatum. The Journal of Neuroscience, 12(7), 2493– 2503. doi: 10.1523/JNEUROSCI.12-07-02493.1992 1613543 PMC6575825 · DOI
  4. Braakman M. H., Kortmann F. A. M., & Van Den Brink W. (2008). Validity of ‘post-traumatic stress disorder with secondary psychotic features’: A review of the evidence. Acta Psychiatrica Scandinavica, 119(1), 15– 24. doi: 10.1111/j.1600-0447.2008.01252.x 18764840 · DOI · Paper page
  5. Bracha H. S., Ralston T. C., Matsukawa J. M., Williams A. E., & Bracha A. S. (2004). Does “fight or flight” need updating? Psychosomatics, 45(5), 448– 449. doi: 10.1176/appi.psy.45.5.448 15345792 · DOI · Paper page
  6. Brewin C. R. (2015). Re-experiencing traumatic events in PTSD: New avenues in research on intrusive memories and flashbacks. European Journal of Psychotraumatology, 6(1), 27180. doi: 10.3402/ejpt.v6.27180 25994019 PMC4439411 · DOI · Paper page
  7. Brown H., Adams R. A., Parees I., Edwards M., & Friston K. (2013). Active inference, sensory attenuation and illusions. Cognitive Processing, 14(4), 411– 427. doi: 10.1007/s10339-013-0571-3 23744445 PMC3824582 · DOI · Paper page
  8. Chawla D., Lumer E. D., & Friston K. (1999). The relationship between synchronization among neuronal populations and their mean activity levels. Neural Computation, 11(6), 1389– 1411. 10423500
  9. Chawla D., Lumer E. D., & Friston K. (2000). Relating macroscopic measures of brain activity to fast, dynamic neuronal interactions. Neural Computation, 12(12), 2805– 2821. doi: 10.1162/089976600300014737 11112256 · DOI
  10. Cherry E. C. (1953). Some experiments on the recognition of speech, with one and with two ears. The Journal of the Acoustical Society of America, 25(5), 975– 979. doi: 10.1121/1.1907229 · DOI
  11. Clark A. (2016). Surfing uncertainty: Prediction, action, and the embodied mind. New York: Oxford University Press.
  12. Clinchy M., Sheriff M. J., & Zanette L. Y. (2013). Predator-induced stress and the ecology of fear. Functional Ecology, 27(1), 56– 65. doi: 10.1111/1365-2435.12007 · DOI
  13. Dodgson G., & Gordon S. (2009). Avoiding false negatives: Are some auditory hallucinations an evolved design flaw? Behavioural and Cognitive Psychotherapy, 37(3), 325– 334. doi: 10.1017/S1352465809005244 19371459 · DOI · Paper page
  14. Feldman H., & Friston K. (2010). Attention, uncertainty, and free-energy. Frontiers in Human Neuroscience, 4. doi: 10.3389/fnhum.2010.00215 21160551 PMC3001758 · DOI · Paper page
  15. Fries P. (2005). A mechanism for cognitive dynamics: Neuronal communication through neuronal coherence. Trends in Cognitive Sciences, 9, 476– 480. 16150631
  16. Friston K. (2009). The free-energy principle: A rough guide to the brain? Trends in Cognitive Sciences, 13(7), 293– 301. doi: 10.1016/j.tics.2009.04.005 19559644 · DOI · Paper page
  17. Friston K. (2017). Precision psychiatry. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 2(8), 640– 643. doi: 10.1016/j.bpsc.2017.08.007. 29560899 · DOI
  18. Friston K., FitzGerald T., Rigoli F., Schwartenbeck P., O’Doherty J., & Pezzulo G. (2016). Active inference and learning. Neuroscience & Biobehavioral Reviews, 68, 862– 879. doi: 10.1016/j.neubiorev.2016.06.022 27375276 PMC5167251 · DOI · Paper page
  19. Friston K., Lin M., Frith C. D., Pezzulo G., Hobson J. A., & Ondobaka S. (2017). Active inference, curiosity and insight. Neural Computation, 29(10), 2633– 2683. doi: 10.1162/neco_a_00999 28777724 · DOI
  20. Godsil B. P., Kiss J. P., Spedding M., & Jay T. M. (2013). The hippocampal–prefrontal pathway: The weak link in psychiatric disorders? European Neuropsychopharmacology, 23(10), 1165– 1181. doi: 10.1016/j.euroneuro.2012.10.018 23332457 · DOI
  21. Grant P., Balser M., Munk A. J. L., Linder J., & Hennig J. (2014). A false-positive detection bias as a function of state and trait schizotypy in interaction with intelligence. Frontiers in Psychiatry, 5. doi: 10.3389/fpsyt.2014.00135 25309464 PMC4174737 · DOI
  22. Grillon C., Pine D. S., Lissek S., Rabin S., Bonne O., & Vythilingam M. (2009). Increased anxiety during anticipation of unpredictable aversive stimuli in posttraumatic stress disorder but not in generalized anxiety disorder. Biological Psychiatry, 66(1), 47– 53. doi: 10.1016/j.biopsych.2008.12.028 19217076 PMC2696581 · DOI · Paper page
  23. Hammack S. E., Cooper M. A., & Lezak K. R. (2012). Overlapping neurobiology of learned helplessness and conditioned defeat: Implications for PTSD and mood disorders. Neuropharmacology, 62(2), 565– 575. doi: 10.1016/j.neuropharm.2011.02.024 21396383 PMC3433056 · DOI · Paper page
  24. Hamner M. B., Frueh B. C., Ulmer H. G., & Arana G. W. (1999). Psychotic features and illness severity in combat veterans with chronic posttraumatic stress disorder. Biological Psychiatry, 45(7), 846– 852. doi: 10.1016/S0006-3223(98)00301-1 10202572 · DOI
  25. Heffner R. S. (2004). Primate hearing from a mammalian perspective. The Anatomical Record Part A: Discoveries in Molecular, Cellular, and Evolutionary Biology, 281A(1), 1111– 1122. doi: 10.1002/ar.a.20117 15472899 · DOI
  26. Hellawell S. J., & Brewin C. R. (2002). A comparison of flashbacks and ordinary autobiographical memories of trauma: Cognitive resources and behavioural observations. Behaviour Research and Therapy, 40(10), 1143– 1156. doi: 10.1016/S0005-7967(01)00080-8 12375723 · DOI · Paper page
  27. Johnsrude I. S., Mackey A., Hakyemez H., Alexander E., Trang H. P., & Carlyon R. P. (2013). Swinging at a cocktail party: Voice familiarity aids speech perception in the presence of a competing voice. Psychological Science, 24(10), 1995– 2004. doi: 10.1177/0956797613482467 23985575 · DOI
  28. Joyce D. W., Averbeck B. B., Frith C. D., & Shergill S. S. (2013). Examining belief and confidence in schizophrenia. Psychological Medicine, 43(11), 2327– 2338. 23521846 PMC5873321
  29. Khoshkhoo S., Leonard M. K., Mesgarani N., & Chang E. F. (2018). Neural correlates of sine-wave speech intelligibility in human frontal and temporal cortex. Brain and Language. doi: 10.1016/j.bandl.2018.01.007 PMC6067983 29397190 · DOI
  30. Kopp-Scheinpflug C., & Tempel B. L. (2015). Decreased temporal precision of neuronal signaling as a candidate mechanism of auditory processing disorder. Hearing Research, 330, 213– 220. doi: 10.1016/j.heares.2015.06.014 26119177 PMC4689642 · DOI
  31. Kvavilashvili L. (2014). Solving the mystery of intrusive flashbacks in posttraumatic stress disorder: Comment on Brewin (2014). Psychological Bulletin, 140(1), 98– 104. doi: 10.1037/a0034677 24364748 · DOI
  32. Laughlin S. B., de Ruyter van Steveninck R. R., & Anderson J. C. (1998). The metabolic cost of neural information. Nature Neuroscience, 1(1), 36– 41. doi: 10.1038/236 10195106 · DOI
  33. Liberzon I., & Abelson J. L. (2016). Context processing and the neurobiology of post-traumatic stress disorder. Neuron, 92(1), 14– 30. doi: 10.1016/j.neuron.2016.09.039 27710783 PMC5113735 · DOI
  34. Linson A., Clark A., Ramamoorthy S., & Friston K. (2018). The active inference approach to ecological perception: General information dynamics for natural and artificial embodied cognition. Frontiers in Robotics and AI, 5. doi: 10.3389/frobt.2018.00021 PMC7805975 33500908 · DOI
  35. Linson A., Parr T., & Friston K. (in review). Active inference, stressors, and psychological trauma: A neuroethological model of (mal)adaptive explore-exploit dynamics in ecological context. PMC6961115 31830495
  36. Lommen M. J. J., Duta M., Vanbrabant K., de Jong R., Juechems K., & Ehlers A. (2017). Training discrimination diminishes maladaptive avoidance of innocuous stimuli in a fear conditioning paradigm. PLOS ONE, 12(10), e0184485. doi: 10.1371/journal.pone.0184485 29023466 PMC5638232 · DOI
  37. Longden K. D., Muzzu T., Cook D. J., Schultz S. R., & Krapp H. G. (2014). Nutritional state modulates the neural processing of visual motion. Current Biology, 24(8), 890– 895. doi: 10.1016/j.cub.2014.03.005 24684935 · DOI
  38. Merckelbach H., & van de Ven V. (2001). Another White Christmas: Fantasy proneness and reports of ‘hallucinatory experiences’ in undergraduate students. Journal of Behavior Therapy and Experimental Psychiatry, 32(3), 137– 144. doi: 10.1016/S0005-7916(01)00029-5 11934126 · DOI
  39. Mirza M. B., Adams R. A., Mathys C. D., & Friston K. (2016). Scene construction, visual foraging, and active inference. Frontiers in Computational Neuroscience, 10. doi: 10.3389/fncom.2016.00056 27378899 PMC4906014 · DOI · Paper page
  40. Nicholson A. A., Friston K., Zeidman P., Harricharan S., McKinnon M. C., Densmore M., … Lanius R. A. (2017). Dynamic causal modeling in PTSD and its dissociative subtype: Bottom–up versus top–down processing within fear and emotion regulation circuitry. Human Brain Mapping, 38(11), 5551– 5561. doi: 10.1002/hbm.23748 28836726 PMC6866710 · DOI · Paper page
  41. Niven J. E. (2016). Neuronal energy consumption: Biophysics, efficiency and evolution. Current Opinion in Neurobiology, 41, 129– 135. doi: 10.1016/j.conb.2016.09.004 27664945 · DOI
  42. Niven J. E., & Laughlin S. B. (2008). Energy limitation as a selective pressure on the evolution of sensory systems. Journal of Experimental Biology, 211(11), 1792– 1804. doi: 10.1242/jeb.017574 18490395 · DOI · Paper page
  43. Oestreich L. K., Mifsud N. G., Ford J. M., Roach B. J., Mathalon D. H., & Whitford T. J. (2015). Subnormal sensory attenuation to self-generated speech in schizotypy: Electrophysiological evidence for a ‘continuum of psychosis’. International Journal of Psychophysiology, 97(2), 131– 138. doi: 10.1016/j.ijpsycho.2015.05.014 26027781 PMC4607510 · DOI
  44. Parr T., & Friston K. J. (2018). The anatomy of inference: Generative models and brain structure. Frontiers in Computational Neuroscience, 12, 90. doi: 10.3389/fncom.2018.00090 30483088 PMC6243103 · DOI
  45. Parr T., Rees G., & Friston K. (2018). Computational neuropsychology and Bayesian inference. Frontiers in Human Neuroscience, 12). doi: 10.3389/fnhum.2018.00061 PMC5829460 29527157 · DOI
  46. Plakke B., & Romanski L. M. (2014). Auditory connections and functions of prefrontal cortex. Frontiers in Neuroscience, 8. doi: 10.3389/fnins.2014.00199 25100931 PMC4107948 · DOI
  47. Rhue J. W., & Lynn S. J. (1987). Fantasy proneness and psychopathology. Journal of Personality and Social Psychology, 53(2), 327– 336. doi: 10.1037/0022-3514.53.2.327 3625470 · DOI
  48. Robinson P. A. (2006). Patchy propagators, brain dynamics, and the generation of spatially structured gamma oscillations. Physical Review E, 73(4), 041904. doi: 10.1103/PhysRevE.73.041904 16711833 · DOI
  49. Rosen J. B., & Schulkin J. (2004). Adaptive fear, allostasis, and the pathology of anxiety and depression. In Allostasis, homeostasis, and the costs of physiological adaptation (pp. 164– 227). New York, NY: Cambridge University Press.
  50. Shalev A. Y., Peri T., Brandes D., Freedman S., Orr S. P., & Pitman R. K. (2000). Auditory startle response in trauma survivors with posttraumatic stress disorder: A prospective study. American Journal of Psychiatry, 157(2), 255– 261. doi: 10.1176/appi.ajp.157.2.255 10671396 · DOI · Paper page
  51. Sotiropoulos G., Seitz A. R., & Seriès P. (2011). Perceptual learning in visual hyperacuity: A reweighting model. Vision Research, 51(6), 585– 599. doi: 10.1016/j.visres.2011.02.004 21316384 · DOI
  52. van de Ven V., & Merckelbach H. (2003). The role of schizotypy, mental imagery, and fantasy proneness in hallucinatory reports of undergraduate students. Personality and Individual Differences, 35(4), 889– 896. doi: 10.1016/S0191-8869(02)00304-5 · DOI
  53. Vugt B. V., Dagnino B., Vartak D., Safaai H., Panzeri S., Dehaene S., & Roelfsema P. R. (2018). The threshold for conscious report: Signal loss and response bias in visual and frontal cortex. Science, eaar7186. doi: 10.1126/science.aar7186 29567809 · DOI · Paper page
  54. Whalen P. J. (1998). Fear, vigilance, and ambiguity: Initial neuroimaging studies of the human amygdala. Current Directions in Psychological Science, 7(6), 177– 188.
  55. Wilkinson S., Dodgson G., & Meares K. (2017). Predictive processing and the varieties of psychological trauma. Frontiers in Psychology, 8. doi: 10.3389/fpsyg.2017.01840 PMC5651022 29089916 · DOI · Paper page
  56. Yehuda R. (2006). Advances in understanding neuroendocrine alterations in PTSD and their therapeutic implications. Annals of the new York Academy of Sciences, 1071(1), 137– 166. 16891568
  57. Zion Golumbic E. M., Ding N., Bickel S., Lakatos P., Schevon C. A., McKhann G. M., … Schroeder C. E. (2013). Mechanisms underlying selective neuronal tracking of attended speech at a “cocktail party”. Neuron, 77(5), 980– 991. doi: 10.1016/j.neuron.2012.12.037 23473326 PMC3891478 · DOI · Paper page

Cited by

Sorted by citations

Authors
Linson, A., & Friston, K.
Affiliations
  • University of Stirling (GB)
  • Wellcome Centre for Human Neuroimaging (GB)
Corresponding author
Linson, Adam
Venue
Cognitive Neuropsychiatry
Published
2019-09-03
Volume
24
Issue
5
Pages
347-368
ISSN
  • 1354-6805 (ISSN-L)
  • 1464-0619
OpenAlex
W2978638612
Cited by
81
References
28
Citations by year
2026: 12 · 2025: 7 · 2024: 12 · 2023: 24 · 2022: 10 · 2021: 7 · 2020: 8 · 2019: 1
FWCI
7.59
Type
journal article
Language
en
Open access
Locations
  • Cognitive Neuropsychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Open Research Online (The Open University) (acceptedVersion)
  • Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by)
  • UCL Discovery (University College London) (submittedVersion)
Funders
Wellcome Trust (088130/Z/09/Z)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Embodied and Extended Cognition
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
post-traumatic stress disorder, active inference, computational psychiatry, stress, auditory perception, psychosis, schizophrenia, embodied cognition, evolutionary perspective, auditory function
MeSH terms
Auditory Perception, Humans, Models, Biological, Psychiatry, Psychotic Disorders, Stress Disorders, Post-Traumatic

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review