Mechanistic framework explains schizophrenia's symptoms by linking signal failures to labeling pathways.
This paper proposes that schizophrenia is a signal labeling failure rather than a disease of broken reasoning or invented content. When the corollary discharge relay through the mediodorsal thalamus fails, self-generated signals arrive at TRN gate competition without their origin label and win gate access as if externally sourced. The hallucination is real signal constituted as external reality by a gate functioning exactly as designed. The delusion is rational inference from systematically corrupted inputs. The framework explains positive symptoms, negative symptoms, and the partial efficacy of D2 blockade within a single mechanistic account, and distinguishes this condition from other TRN-based disorders by locating the failure in the labeling pathway rather than the gate itself.
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M. Mustafa Akdemir (2026) studied this question.
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