Next Article in Journal
Systems Biology as a Comparative Approach to Understand Complex Gene Expression in Neurological Diseases
Next Article in Special Issue
The Impact of Precaution and Practice on the Performance of a Risky Motor Task
Previous Article in Journal
St. Augustine’s Reflections on Memory and Time and the Current Concept of Subjective Time in Mental Time Travel
Open AccessArticle

The Reality Monitoring Deficit as a Common Neuropsychological Correlate of Schizophrenic and Affective Psychosis

Department of Neuropsychiatric Sciences, Scientific Institute and University Vita-Salute San Raffaele, Milan, 20127, Italy
Centro di Eccellenza Risonanza Magnetica ad Alto Campo), University Vita-Salute San Raffaele, Milan, 20132, Italy
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Behav. Sci. 2013, 3(2), 244-252;
Received: 5 February 2013 / Revised: 11 April 2013 / Accepted: 29 April 2013 / Published: 3 May 2013
(This article belongs to the Special Issue Functional Perspectives on Emotion, Behavior, and Cognition)
PDF [250 KB, uploaded 6 May 2013]


For many decades, Neuropsychological functioning has been a key point in the study of psychotic disorders. The main aim of these studies is to give a description of the neurocognitive “profile” of schizophrenia, with only little attention being paid to the common and discriminating features of different psychotic disorders. Recent studies support the hypothesis that patients affected by psychiatric disorders with psychotic symptoms have specific abnormalities of reality testing of ongoing perception, which become evident with source monitoring task. Ninety-eight patients and 50 controls were studied. Patients were divided by diagnosis and previous history of psychotic features and were administered Source Monitoring Task to test reality testing of ongoing perception. Frequencies of correct and false attributions were recorded. To obtain measures of observer sensitivity and response biases, a signal detection analysis was performed. Aims: Studying neuropsychological correlate of psychosis in euthymic mood disordered patients and patients with schizophrenia with or without delusions. Results: Patients with psychotic features use more lax criteria in evaluating self-generated, but not perceived stimuli compared to patients without psychotic features. Conclusions: Our findings support the hypothesis of selective biases in reality monitoring as neuropsychological correlates of psychosis. View Full-Text
Keywords: reality monitoring; neuropsychology; psychosis; schizophrenia; affective disorder reality monitoring; neuropsychology; psychosis; schizophrenia; affective disorder

Figure 1

This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

Share & Cite This Article

MDPI and ACS Style

Radaelli, D.; Benedetti, F.; Cavallaro, R.; Colombo, C.; Smeraldi, E. The Reality Monitoring Deficit as a Common Neuropsychological Correlate of Schizophrenic and Affective Psychosis. Behav. Sci. 2013, 3, 244-252.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Behav. Sci. EISSN 2076-328X Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top