Increased semantic and repetition priming in schizophrenic patients

N400 to lexical ambiguity and semantic incongruity in schizophrenia

Our previous work showed a semantic bias in interpreting ambiguous words in schizophrenia, with disproportionate misinterpretation of subordinate meanings (toast at a wedding). We proposed pre-selection in schizophrenia of dominant-meaning networks at points of lexical ambiguity, thereby misleading thought. This selection bias may be due to semantic memory hyper-priming causing strong associates to dominate cognition. Alternately, later verbal memory maintenance failure may cause weaker associates to fade more quickly than stronger associates from memory due to less initial activation. To further examine this semantic bias, patients and controls were presented short 4 word long sentences (The toast was buttered). The second word was a homograph or unambiguous noun. The last word disambiguated homographs (dominant or subordinate meaning) or was congruent or incongruent with unambiguous nouns. Previously, we showed increasingly larger N400 from unambiguous associates to dominate associates to subordinate associates to unambiguous non-associates in controls. Pre-selection of dominant meanings predicts that schizophrenia patients would show small N400 to dominant associates and as large N400 to subordinate associates as to incongruous endings. Here, controls again showed graded N400 amplitudes. Patients with schizophrenia showed small N400 to congruent and dominant endings and large N400 to subordinate and incongruous endings. These data suggest early pre-selection of dominant associates in schizophrenia. This effect is unlikely solely due to verbal memory maintenance failure, as patients were able to detect incongruity, albeit with a smaller N400 effect, and displayed generally larger N400 to all stimuli. These results suggest alterations in semantic memory associative networks coupled with verbal working memory maintenance decay in schizophrenia.

Semantic activation and verbal working memory maintenance in schizophrenic thought disorder: insights from electrophysiology and lexical ambiguity

We have examined language processing using ambiguous words (homographs like panel or toast) and rapid or slow presentation rates while recording event-related brain potentials (ERPs). Homographs allow for tracking the train of thought at points of lexical ambiguity and detecting modulation of associative threads by previous context. Rapid presentation rates stress automatic semantic activation, and slow rates stress controlled verbal working memory contextual modulation. In conjunction with reaction times and performance, ERPs allow for objective measurement of activity related to language processing from word presentation through overt behavioral response. Smaller N400 to related and unrelated items at short stimulus onset asynchronies (SOAs), the presence of a semantic bias, and large N400 to related and unrelated items at long SOAs are present in schizophrenia. We describe a model of initial semantic memory hyper-priming and subsequent decay of information in verbal working memory stores, the activation-maintenance model of schizophrenic thought disorder hypothesized to underlie the thought disorder in schizophrenia.