Schizophrenia and the mirror system: an essay

We analyze how data on the mirror system for grasping in macaque and human ground the mirror system hypothesis for the evolution of the language-ready human brain, and then focus on this putative relation between hand movements and speech to contribute to the understanding of how it may be that a schizophrenic patient generates an action (whether manual or verbal) but does not attribute the generation of that action to himself. We make a crucial discussion between self-monitoring and attribution of agency. We suggest that vebal hallucinations occur when an utterance progresses through verbal creation pathways and returns as a vocalization observed, only to be dismissed as external since no record of its being created has been kept. Schizophrenic patients on this theory then confabulate the agent. (C) 2004 Published by Elsevier Ltd.