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It has been argued that social processes are relevant to belief formation and maintenance and thence to persecutory delusions - the fixed false beliefs that others intend harm. We call this the social turn in delusions research. It suggests that paranoia is the purview of a specialized mechanism for coalitional cognition - thinking about group membership and reputation management. Here, we suggest instead that a simpler, pseudosocial learning mechanism may underwrite persecutory and other delusions. We make our case in terms of computations (prediction, not coalition), algorithm (association rather than recursion), and implementation (dopaminergic domain-general rather than social-specific regions). We conclude with suggestions for adversarial collaboration that will clarify the contributions of domain-general versus social-specific processes to delusions.

More information Original publication

DOI

10.1016/j.tics.2025.05.019

Type

Journal article

Publication Date

2025-11-01T00:00:00+00:00

Volume

29

Pages

997 - 1006

Total pages

9

Keywords

computational psychiatry, domain-general, domain-specific, paranoia, psychosis, Humans, Paranoid Disorders, Cognition, Delusions