There has been increasing interest in the neurocomputational mechanisms underlying psychotic disorders in recent years. One promising approach is based on the theoretical framework of predictive processing, which proposes that inferences regarding the state of the world are made by combining prior beliefs with sensory signals. Delusions and hallucinations are the core symptoms of psychosis and often co-occur. Yet, different predictive-processing alterations have been proposed for these two symptom dimensions, according to which the relative weighting of prior beliefs in perceptual inference is decreased or increased, respectively. I will present recent behavioural, neuroimaging, and computational work that investigated perceptual decision-making under uncertainty and ambiguity to elucidate the changes in predictive processing that may give rise to psychotic experiences. Based on the empirical findings presented, I will provide a more nuanced predictive-processing account that suggests a common mechanism for delusions and hallucinations at low levels of the predictive-processing hierarchy, but still has the potential to reconcile apparently contradictory findings in the literature. This account may help to understand the heterogeneity of psychotic phenomenology and explain changes in symptomatology over time.

The idea that perception in humans relies on some form of probabilistic computations has become very popular over the last decades. It has been extremely difficult however to characterize the extent and the nature of the probabilistic representations and operations that are manipulated by neural populations in the human cortex. Several theoretical works suggest that probabilistic representations are present from low-level sensory areas to high-level areas. According to this view, the neural dynamics implements some forms of probabilistic message passing (i.e. neural sampling, probabilistic population coding, etc.) which solves the problem of perceptual inference. Here I will present recent experimental evidence that human and non-human primate perception implements some form of message passing. I will first review findings showing probabilistic integration of sensory evidence across space and time in primate visual cortex. Second, I will show that the confidence reports in a hierarchical task reveal that uncertainty is represented both at lower and higher levels, in a way that is consistent with probabilistic message passing both from lower to higher and from higher to lower representations. Finally, I will present behavioral and neural evidence that human perception takes into account pairwise correlations in sequences of sensory samples in agreement with the message passing hypothesis, and against standard accounts such as accumulation of sensory evidence or predictive coding.

Computational and cognitive neuroscience techniques have made great strides towards describing the neural computations underlying perceptual inference and decision-making under uncertainty. These tools tell us how and why perceptual illusions occur, which brain areas may represent noisy information in a probabilistic manner, and so on. However, an understanding of the subjective, qualitative aspects of perception remains elusive: qualia, or the personal, intrinsic properties of phenomenal awareness, have remained out of reach of these computational analytic insights. Here, I propose that metacognitive computations, and the subjective feelings that go along with them, give us a solid starting point for understanding subjective experience in general. Specifically, perceptual metacognition possesses ontological and practical properties that provide a powerful and unique opportunity for studying the studying the neural and computational correlates of subjective experience using established tools of computational and cognitive neuroscience. By capitalizing on decades of developments in formal computational model comparisons as applied to the specific properties of perceptual metacognition, we are now in a privileged position to reveal new and exciting insights about how the brain constructs our subjective conscious experiences.