
A young woman in a parking lot looking concerned as someone follows her. (Credit: Shutterstock)
NEW HAVEN, Conn. — Feelings of paranoia may not be about what’s going on in your mind — it may actually have more to do with what’s going on in your eyes. A groundbreaking study from Yale University suggests that paranoid thoughts – the feeling that others intend to harm you – might start with something as fundamental as how we see the world.
Using a simple test involving moving dots on a screen, researchers discovered that people who tend toward paranoid thinking were more likely to see sinister patterns that weren’t actually there.
The study, published in the journal Communications Psychology, focused on a deceptively simple task: participants watched dots moving around on a screen and had to determine whether one dot was chasing another. What emerged was a fascinating pattern – individuals who scored higher on measures of paranoia and “teleological thinking” (the tendency to see deeper meaning and purpose in random events) were more likely to confidently claim they saw a chase happening when there wasn’t one.
“We’re really interested in how the mind is organized,” explains study senior author Philip Corlett, an associate professor of psychiatry at Yale School of Medicine, in a university release. “Chasing or other intentional behaviors are what you might think of as experiences perceived at a very high-level in the brain, that someone might have to reason through and deliberate. In this study, we can see them low down in the brain, in vision, which we think is exciting and interesting — and has implications for how those mechanisms might be relevant for schizophrenia.”
The research went deeper by asking participants to identify which dot was the chaser and which was being chased. Interestingly, people with paranoid tendencies particularly struggled to identify which dot was being chased, while those with high teleological thinking had trouble spotting which dot was doing the chasing. This distinction suggests that while both patterns of thinking involve misreading intentions, they may operate through different mechanisms in the brain.

The findings could have significant implications for mental health screening. Currently, diagnosing conditions like schizophrenia relies heavily on psychiatric evaluations and self-reported symptoms.
“Maybe there is some very quick perceptual task that can identify when someone might need to talk to a clinician,” Corlett suggests.
The research team also pointed to an intriguing observation that adds weight to their findings: schizophrenia is extremely rare among people who are born blind.
“Finding these social hallucinations in vision makes me wonder if schizophrenia is something that develops through errors in how people sample the visual world,” lead author Santiago Castiello adds.
While this research doesn’t immediately translate into new treatments, it opens up exciting possibilities for earlier identification of people who might be at risk for developing psychotic symptoms. It also suggests that what we often think of as complex psychological phenomena might have surprisingly simple roots in how our brains process basic sensory information.
The study represents a novel approach to understanding mental health through the lens of perception, suggesting that sometimes, the eyes might truly be windows to the mind – including its struggles.
Paper Summary
Methodology
The study involved a series of experiments where participants, after consenting, were asked to determine if one geometric shape (referred to as the ‘wolf’) was chasing another (the ‘sheep’) on a computer screen. These perceptions were measured under two conditions: when the chase was actually present and when it was absent. This setup helped in evaluating the participants’ tendency to perceive social intentions or animacy where there might be none, effectively simulating social hallucinations. Participants engaged in multiple trials, providing responses that were collected along with their confidence levels regarding each judgment made.
Key Results
Participants with high levels of paranoia or teleological beliefs demonstrated a tendency to perceive chasing even when none was present, indicating higher false alarm rates. Specifically, the study found that such individuals displayed a bias toward detecting action or intent, even in ambiguous or neutral situations. Interestingly, those with paranoia struggled more with identifying the ‘sheep’, while those inclined towards teleological thinking had more difficulty with identifying the ‘wolf’, despite their confidence in these identifications being high.
Study Limitations
One significant limitation of the study is the controlled laboratory setting, which may not fully replicate the complexities of real-world social interactions and perceptions. Additionally, the use of geometric shapes might oversimplify the intricate nature of human social perception. The study’s focus on specific psychological constructs like paranoia and teleological thinking might also not encompass other relevant cognitive or emotional factors influencing social perception.
Discussion & Takeaways
The findings suggest that heightened sensitivity to social cues, as seen in individuals with paranoia or teleological beliefs, could lead to misinterpretations in everyday social interactions. This has implications for understanding social anxiety and other psychological conditions where individuals might misread social signals. The research underscores the fine line between normal social perception and the overinterpretation or misinterpretation of social cues leading to social hallucinations.
Funding & Disclosures
This research was supported by a grant from the Templeton Foundation. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. Corlett, co-founder of Tetricus Labs, a precision psychiatry company, declares that the company did not fund this work. No other competing interests are reported by the authors.







