Overly strong priors for socially meaningful visual signals in psychosis proneness

Predictive coding accounts of psychosis state that an overweighing of high-level priors relative to sensory information may lead to the misperception of meaningful signals underlying the experience of auditory hallucinations and delusions. However, it is currently unclear whether the hypothesized overweighing of priors (1) represents a pervasive alteration that also affects the visual modality, and, (2) takes already effect at early automatic processing stages.\n\nHere, we addressed these questions by studying visual perception of socially meaningful stimuli in healthy individuals with varying degrees of psychosis proneness (n=39). In a first task, we quantified participants prior for detecting faces in visual noise. In a second task, we measured participants prior for detecting direct gaze stimuli that were rendered invisible by continuous flash suppression. We found that the prior for detecting faces in noise correlated with hallucination proneness (rho=0.50, p=0.001) as well as delusion proneness (rho=0.44, p=0.005). Similarly, the prior for detecting invisible direct gaze was significantly associated with hallucination proneness (rho = 0.42, p = 0.010) and trend-wise with delusion proneness (rho = 0.29, p = 0.087). Our results provide evidence for the idea that overly strong high-level priors for automatically detecting socially meaningful stimuli might constitute a generic processing alteration in psychosis.