Personality correlates of reporting Chinese words from the Deutsch "high-low" word illusion by Chinese-speaking people

Involvement of ordinary what and where auditory cortical areas during illusory perception

The focus of the present study is on the relationships between illusory and non-illusory auditory perception analyzed at a biological level. To this aim, we investigate neural mechanisms underlying the Deutsch's illusion, a condition in which both sound identity ("what") and origin ("where") are deceptively perceived. We recorded magnetoencephalogram from healthy subjects in three conditions: (a) listening to the acoustic sequence eliciting the illusion (ILL), (b) listening to a monaural acoustic sequence mimicking the illusory percept (MON), and (c) listening to an acoustic sequence similar to (a) but not eliciting the illusion (NIL). Results show that the areas involved in the illusion were the Heschl's gyrus, the insular cortex, the inferior frontal gyrus, and the medial-frontal gyrus bilaterally, together with the left inferior-parietal lobe. These areas belong to the two main auditory streams known as the what and where pathways. The neural responses there observed indicate that the sound sequence eliciting the illusion is associated to larger activity at early and middle latencies and to a dynamic lateralization pattern net in favor of the left hemisphere. The present findings extend to illusory perception the well-known what-where auditory processing mechanism, especially as regards tardy latency activity.

Event-related potentials elicited by the Deutsch "high-low" word illusion in the patients with first-episode schizophrenia with auditory hallucinations

BACKGROUND

The exact cerebral structural and functional mechanisms under the auditory verbal hallucinations (AVHs) in schizophrenia are still unclear. The Deutsch "high-low" word illusion might trigger attentional responses mimicking those under AVHs.

METHODS

We therefore have invited 16 patients with first-episode, paranoid schizophrenia, and 16 age- and gender-matched healthy volunteers to undergo the "oddball" event-related potentials elicited by the illusion. The clinical characteristics of patients were measured with the positive and negative symptom scale.

RESULTS

Besides the longer reaction time to the illusion, the standard P2 latency was shortened, the N2 latency was prolonged, and both N1 and P3 amplitudes were reduced in patients. The P3 source analyses showed the activated bilateral temporal lobes, parietal lobe and cingulate cortex in both groups, left inferior temporal gyrus in controls, and left postcentral gyrus in schizophrenia. Moreover, the N1 amplitude was positively correlated with the paranoid score in patients.

CONCLUSIONS

Our results were in line with previous neurophysiological and neuroimaging reports of hallucination or auditory processing in schizophrenia, and illustrated a whole process of cerebral information processing from N1 to P3, indicating this illusion had triggered a dynamic cerebral response similar to that of the AVHs had engaged.

EEG theta power and coherence to octave illusion in first-episode paranoid schizophrenia with auditory hallucinations

BACKGROUND

The exact mechanism behind auditory hallucinations in schizophrenia remains unknown. A corollary discharge dysfunction hypothesis has been put forward, but it requires further confirmation. Electroencephalography (EEG) of the Deutsch octave illusion might offer more insight, by demonstrating an abnormal cerebral activation similar to that under auditory hallucinations in schizophrenic patients.

METHODS

We invited 23 first-episode schizophrenic patients with auditory hallucinations and 23 healthy participants to listen to silence and two sound sequences, which consisted of alternating 400- and 800-Hz tones. EEG spectral power and coherence values of different frequency bands, including theta rhythm (3.5-7.5 Hz), were computed using 32 scalp electrodes. Task-related spectral power changes and task-related coherence differences were also calculated. Clinical characteristics of patients were rated using the Positive and Negative Syndrome Scale.

RESULTS

After both sequences of octave illusion, the task-related theta power change values of frontal and temporal areas were significantly lower, and the task-related theta coherence difference values of intrahemispheric frontal-temporal areas were significantly higher in schizophrenic patients than in healthy participants. Moreover, the task-related power change values in both hemispheres were negatively correlated and the task-related coherence difference values in the right hemisphere were positively correlated with the hallucination score in schizophrenic patients.

LIMITATIONS

We only tested the Deutsch octave illusion in primary schizophrenic patients with acute first episode. Further studies might adopt other illusions or employ other forms of schizophrenia.

CONCLUSION

Our results showed a lower activation but higher connection within frontal and temporal areas in schizophrenic patients under octave illusion. This suggests an oversynchronized but weak frontal area to exert an action to the ipsilateral temporal area, which supports the corollary discharge dysfunction hypothesis.