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Corollary Discharge and Psychosis—Origin of the Model
JAMA Psychiatry ( IF 25.8 ) Pub Date : 2018-03-01 , DOI: 10.1001/jamapsychiatry.2017.4012
Irwin Feinberg 1
Affiliation  

To the Editor I recognize that an educational review cannot include exhaustive citations. However, I believe that these articles could briefly acknowledge the origin of their major ideas. The review by Poletti et al1 in JAMA Psychiatry on abnormal corollary discharge and psychosis cites only relatively recent articles. The idea that corollary discharge mechanisms exist in the control systems of thought was first proposed in 1978.2 At the levels of consciousness, these mechanisms would distinguish endogenous from environmentally stimulated mental activity. The 1978 article2 outlined the reasoning and evidence pointing to the operation of corollary discharge feed-forward systems at the highest sensory-motor levels (in the conceptualization by John Hughlings Jackson, FRS). It illustrated how impairment of such mechanisms would produce many psychotic symptoms, including auditory hallucinations, thought control, and other confusions of self and agency.



中文翻译:

推论和精神病-模型的起源

对于编辑,我认识到教育评论不能包含详尽的引用。但是,我相信这些文章可以简要地承认其主要思想的起源。Poletti等[ 1]在《JAMA精神病学》中对异常推论和精神病的评论仅引用了相对较新的文章。思维控制系统中存在必然的放电机制的想法最早是在1978年提出的。2在意识层面,这些机制将区分内源性和环境性刺激的精神活动。1978年第2条概述了推理和证据,指出在最高的感觉运动水平下,强制放电前馈系统的运行(在FRS的John Hughlings Jackson的构想中)。它说明了这种机制的损害将如何产生许多精神病症状,包括幻听,思想控制以及其他自我和代理混乱。

更新日期:2018-03-08
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