The Implosion of Reality. Schizophrenia, the Anterior Cingulate Cortex and Anticipation

In contemporary neuroscientific and psychiatric research into schizophrenia, we can observe a shift in focus from the clinical dysfunctions (positive and negative symptoms) towards a mapping of the cognitive function. In this paper we look at a specific cognitive problem area in schizophrenic brain functioning, the Anterior Cingulate Cortex (ACC). We show what the ACC is, what it probably does and how this is relevant in research concerning certain psychiatric disorders. Then we explain the role of the ACC in choice anticipation. In this we underline the possible link between choice anticipation and the lack of 'Error Related Negativity' (ERN) in this specific area. Lastly we incorporate this approach to the problem of schizophrenic anticipation within the neuropsychoanalytical framework and the role it might play in the formation of hallucinations and delusion.