Linguistic Manifestations of Predictive Coding Error Responses inPsychotic Disorders: An Integrative Review with Neurophysiological Evidence
DOI:
https://doi.org/10.12923/2353-8627/2025-0022Keywords:
predictive coding, prediction error, language; neurophysiology, psychiatryAbstract
Introduction: Disturbances in predictive coding are increasingly recognized as core mechanisms shaping perception, cognition, and language in mental disorders. However, the linguistic manifestations of prediction error responses have not been systematically integrated with neurophysiological findings. This review aims to synthesize how different forms of predictive error reactivity are expressed in language and how these patterns correspond to neural signatures.
Material and methods: A scoping review was conducted following PRISMAScR guidelines, covering empirical and theoretical studies from PubMed and Scopus from 2010 up to 2026. Studies were included if they examined (1) a psychiatric population, (2) predictive coding or predictionerror mechanisms, (3) linguistic behavior at any structural level, and (4) behavioral and/or neurophysiological data. Extracted information underwent thematic synthesis using open, axial, and selective coding.
Results: Thirteen publications met the inclusion criteria. Six recurring mechanisms of predictive error responses were identified: heightened prediction error precision, weakened prediction error signalling, impaired sensory-motor prediction, disruptions in hierarchical semantic-pragmatic prediction, deficits in predictive source monitoring, and global predictive instability. Each mechanism was associated with specific linguistic manifestations such as semantic entropy, discourse incoherence, and atypical lexical activation. Concurrently, corresponding neurophysiological indices were observed, including reduced N1/N400 modulation, converging with electrophysiological and neurodynamic evidence.
Conclusions: Language provides a sensitive behavioural window into predictive processing disturbances in mental disorders. The correspondence between linguistic patterns and neurophysiological responses highlights the value of integrative, multilevel approaches for characterizing predictive coding dysfunction in clinical populations. These results suggest that predictive processing deficits occur hierarchically across language levels, producing cascading effects paralleling the clinical course of psychotic illness.
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