Source
Linson, Anderson, Markham, Friston & Moutoussis (2025), bioRxiv, LIT-983, version 2, read in NOTE-766 (Results, Discussion and Online Methods; not the figures or the supplement). What the simulations showed is THEORY-285, which this entry extends.
The claim
The paper recasts post-traumatic stress disorder as a failure to tell which context one is in, not a failure of fear extinction. Under active inference an agent chooses policies by expected information gain, so a prior already confident that the context is harmful makes looking at the periphery seem pointless: exploration is “falsely believed to be uninformative due to overly informative prior beliefs”. The agent attenuates the periphery, learns nothing about the harmless context, and keeps the prior: “As long as the sensory attenuation policy is selected, no amount of observations will render prior beliefs obsolete.” The collapse to one basin is “self-maintaining because it precludes epistemic foraging”. Exposure that restores sampling rebalances the prior, while a precision-lowering drug suppresses symptoms that return when precision does, a contrast the authors say “closely matches” the EMDR–fluoxetine trial. They state predictions for people: after cued traumatic recall, peripheral sensing is attenuated more than focal sensing.
What THEORY-285 holds is narrower: one illustrative run per phenotype, under learning and forgetting weights the paper does not report, and a drug arm that makes the attenuation policy less vigorous rather than removing it. The match to the trial is asserted by citation, not fitted.
What would settle it
The promote_when, which QUESTION-303 also asks: the authors’ prediction confirmed in people with context sampling measured directly, or an exposure-matched contrast in which restoring sampling produces lasting change and a precision-lowering drug does not. More simulations cannot settle it.