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Review
. 2025 Feb;29(2):184-200.
doi: 10.1016/j.tics.2024.09.011. Epub 2024 Nov 19.

Cognitive maps and schizophrenia

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Free article
Review

Cognitive maps and schizophrenia

Matthew M Nour et al. Trends Cogn Sci. 2025 Feb.
Free article

Abstract

Structured internal representations ('cognitive maps') shape cognition, from imagining the future and counterfactual past, to transferring knowledge to new settings. Our understanding of how such representations are formed and maintained in biological and artificial neural networks has grown enormously. The cognitive mapping hypothesis of schizophrenia extends this enquiry to psychiatry, proposing that diverse symptoms - from delusions to conceptual disorganization - stem from abnormalities in how the brain forms structured representations. These abnormalities may arise from a confluence of neurophysiological perturbations (excitation-inhibition imbalance, resulting in attractor instability and impaired representational capacity) and/or environmental factors such as early life psychosocial stressors (which impinge on representation learning). This proposal thus links knowledge of neural circuit abnormalities, environmental risk factors, and symptoms.

Keywords: hippocampal replay; hippocampus; knowledge generalization; neural attractor; neural representation; psychosis.

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Conflict of interest statement

Declaration of interests R.A.M. has received speaker or consultancy fees from Karuna, Janssen, Boehringer Ingelheim, and Otsuka, and co­directs a company that designs digital resources to support treatment of mental ill health. All other authors declare no competing interests.

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