Recall the peculiar saga of Freud’s friend Wilhelm Fleiss and his notions of the relationship between nasal pathology and psychopathology, about which I have written previously at FmH. Now here is a new twist:

“A University of Melbourne team examined a group of people deemed to be at ultra high risk of developing psychosis and found those that went on to develop schizophrenia, rather than other forms of psychosis, all displayed the inability to identify smells. This deficit was present before the onset of any significant clinical symptoms of psychosis.

The study, the first of its kind, is published in the October 2003 American Journal of Psychiatry…

It has long been known that people suffering schizophrenia and other forms of psychosis are often unable to correctly identify smells. That is, pizza may be mislabelled as orange, or bubblegum as smoke. Before the current findings, however, it was unknown if this difficulty developed later, as a result of the progression of the disorder, or well before any symptoms of psychosis became obvious…

Their results suggest a promising discovery of the first potential marker for schizophrenia, and possibly for other psychoses.

Brewer and Pantelis’ detective work began with the understanding that a person’s sense of smell is intimately linked to the area of your brain that deals with emotions and related non-language functions.

‘It is the only sense that passes straight to this area of the brain, and so any vulnerability involving these neural circuits can affect our labeling of smell,’ says Brewer.

‘This area of the brain deals with the primary emotions. It is the part that processes such things as threat and emotion before transferring this information into the frontal (language) area of the brain,’ he says.

‘It is either the transfer of emotional information to the frontal lobe, or functioning in the frontal lobe itself that appears to be compromised in those suffering from psychosis.'”