Roya M. Hüppi

Davide Stauba, Finn Rabe, Akhil Misra et al.

Coherence in language requires the brain to satisfy two competing temporal demands: gradual accumulation of meaning across extended context and rapid reconfiguration of representations at event boundaries. Despite their centrality to language and thought, how these processes are implemented in the human brain during naturalistic listening remains unclear. Here, we tested whether these two processes can be captured by annotation-free drift and shift signals and whether their neural expression dissociates across large-scale cortical systems. These signals were derived from a large language model (LLM) and formalized contextual drift and event shifts directly from the narrative input. To enable high-precision voxelwise encoding models with stable parameter estimates, we densely sampled one healthy adult across more than 7 hours of listening to thirteen crime stories while collecting ultra high-field (7T) BOLD data. We then modeled the feature-informed hemodynamic response using a regularized encoding framework validated on independent stories. Drift predictions were prevalent in default-mode network hubs, whereas shift predictions were evident bilaterally in the primary auditory cortex and language association cortex. Furthermore, activity in default-mode and parietal networks was best explained by a signal capturing how meaning accumulates and gradually fades over the course of the narrative. Together, these findings show that coherence during language comprehension is implemented through dissociable neural regimes of slow contextual integration and rapid event-driven reconfiguration, offering a mechanistic entry point for understanding disturbances of language coherence in psychiatric disorders.

Morteza Rohanian, Roya M. Hüppi, Farhad Nooralahzadeh et al.

Capturing subtle speech disruptions across the psychosis spectrum is challenging because of the inherent variability in speech patterns. This variability reflects individual differences and the fluctuating nature of symptoms in both clinical and non-clinical populations. Accounting for uncertainty in speech data is essential for predicting symptom severity and improving diagnostic precision. Speech disruptions characteristic of psychosis appear across the spectrum, including in non-clinical individuals. We develop an uncertainty-aware model integrating acoustic and linguistic features to predict symptom severity and psychosis-related traits. Quantifying uncertainty in specific modalities allows the model to address speech variability, improving prediction accuracy. We analyzed speech data from 114 participants, including 32 individuals with early psychosis and 82 with low or high schizotypy, collected through structured interviews, semi-structured autobiographical tasks, and narrative-driven interactions in German. The model improved prediction accuracy, reducing RMSE and achieving an F1-score of 83% with ECE = 4.5e-2, showing robust performance across different interaction contexts. Uncertainty estimation improved model interpretability by identifying reliability differences in speech markers such as pitch variability, fluency disruptions, and spectral instability. The model dynamically adjusted to task structures, weighting acoustic features more in structured settings and linguistic features in unstructured contexts. This approach strengthens early detection, personalized assessment, and clinical decision-making in psychosis-spectrum research.