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10.1159/000438675

http://scihub22266oqcxt.onion/10.1159/000438675
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suck abstract from ncbi


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pmid26361209
      Psychopathology 2015 ; 48 (6 ): 376-85
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  • Ketamine-Induced Hallucinations #MMPMID26361209
  • Powers AR 3rd ; Gancsos MG ; Finn ES ; Morgan PT ; Corlett PR
  • Psychopathology 2015[]; 48 (6 ): 376-85 PMID26361209 show ga
  • BACKGROUND: Ketamine, the NMDA glutamate receptor antagonist drug, is increasingly employed as an experimental model of psychosis in healthy volunteers. At subanesthetic doses, it safely and reversibly causes delusion-like ideas, amotivation and perceptual disruptions reminiscent of the aberrant salience experiences that characterize first-episode psychosis. However, auditory verbal hallucinations, a hallmark symptom of schizophrenia, have not been reported consistently in healthy volunteers even at high doses of ketamine. SAMPLING AND METHODS: Here we present data from a set of healthy participants who received moderately dosed, placebo-controlled ketamine infusions in the reduced stimulation environment of the magnetic resonance imaging (MRI) scanner. We highlight the phenomenological experiences of 3 participants who experienced particularly vivid hallucinations. RESULTS: Participants in this series reported auditory verbal and musical hallucinations at a ketamine dose that does not induce auditory hallucination outside of the scanner. CONCLUSIONS: We interpret the observation of ketamine-induced auditory verbal hallucinations in the context of the reduced perceptual environment of the MRI scanner and offer an explanation grounded in predictive coding models of perception and psychosis - the brain fills in expected perceptual inputs, and it does so more in situations of altered perceptual input. The altered perceptual input of the MRI scanner creates a mismatch between top-down perceptual expectations and the heightened bottom-up signals induced by ketamine. Such circumstances induce aberrant percepts, including musical and auditory verbal hallucinations. We suggest that these circumstances might represent a useful experimental model of auditory verbal hallucinations and highlight the impact of ambient sensory stimuli on psychopathology.
  • |Adult [MESH]
  • |Delusions/chemically induced [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Female [MESH]
  • |Frontal Lobe/*drug effects/*physiopathology [MESH]
  • |Hallucinations/*chemically induced/diagnosis [MESH]
  • |Humans [MESH]
  • |Ketamine/administration & dosage/*adverse effects [MESH]
  • |Magnetic Resonance Imaging [MESH]
  • |Male [MESH]
  • |Perception [MESH]
  • |Psychotic Disorders/*drug therapy/pathology [MESH]


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