
Al Powers
VerifiedYale University · Department of Psychology
Active 1985–2026
About
Dr. Albert Powers is an Associate Professor at the Yale University Department of Psychiatry and serves as the Medical Director and Associate Director of the PRIME Psychosis Risk Clinic at Yale. His clinical work involves treating individuals experiencing symptoms of early psychosis. Dr. Powers employs computational approaches to investigate how sensory systems may malfunction, leading to hallucinations and other psychosis symptoms. His research integrates clinical practice with computational methods to better understand the underlying mechanisms of psychotic disorders, aiming to improve diagnosis and treatment strategies for early psychosis.
Research signals
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Research topics
- Psychology
- Cognitive psychology
- Psychiatry
- Medicine
- Clinical psychology
Selected publications
Biological Psychiatry Cognitive Neuroscience and Neuroimaging · 2026-02-01
articleOpen accessThe rapidly evolving field of computational psychiatry enables quantification of specific cognitive processes and their underlying mechanisms in a translational and potentially scalable manner, using a combination of data collection via mechanistically informed behavioral tasks and theory-driven mathematical modeling. In parallel, transdiagnostic, dimensional approaches to psychiatric diagnostics, such as the Research Domain Criteria and Hierarchical Taxonomy of Psychopathology, seek to facilitate links between clinical research and real-world clinical reality, which rarely respects traditional diagnostic boundaries. These two approaches are seldom combined. In addition, while most psychiatric disorders are defined by their longitudinal course, our ability to predict symptom trajectories and tailor treatments to the individual remains limited, in part due to a dearth of longitudinal data collected using assessments sensitive to individual change over time. To address these gaps, the recently launched IMPACT-Y (Individually Measured Phenotypes to Advance Computational Translation at Yale) study is collecting longitudinal data from a transdiagnostic cohort of 2400 individuals, using a combination of traditional clinical research methods (e.g., health records, standardized assessments) and more novel computational approaches (e.g., behavioral tasks with demonstrated sensitivity to latent constructs and to within-person change, spoken narrative data). Here, we discuss unique challenges and opportunities in study design and analysis considerations of IMPACT-Y. Incorporating both theory- and data-driven analytics, we hope that IMPACT-Y will provide an unprecedented resource for characterizing longitudinal trajectories of core computational psychiatry constructs (e.g., reward learning) within and between individuals for parsing heterogeneity beyond traditional diagnostic categories and for linking inter- and intraindividual clinical variability to underlying mechanisms.
Molecular Psychiatry · 2026-02-14
article20. Upstream Sensory Disruptions Relate to Hallucination Propensity in Dementia With Lewy Bodies
Biological Psychiatry · 2026-04-25
articleSenior author2026-01-24
articleOpen accessBackground Visual distortions (VDs) are frequently reported but insufficiently characterized in early psychosis and may reflect alterations in perceptual processing. Computational accounts emphasize aberrant precision-weighting of sensory evidence and prior expectations, but most empirical work has used simplified laboratory stimuli. It remains unclear whether these mechanistic accounts generalize to more naturalistic perceptual contexts. MethodsWe developed virtual reality (VR) tasks simulating VDs in photorealistic scenes and explored associations between VD perception and psychosis-relevant traits in a non-clinical sample. 120 healthy adults completed three tasks designed to probe complementary aspects of perceptual inference: (1) a naïve detection task (NDT) assessing expectation-driven false percepts of unspecified visual changes; (2) a perceptual uncertainty task (PUT) testing how detection under ambiguous sensory evidence is shaped by recent trial history; and (3) an adaptive two-interval forced-choice task (2-IFC) quantifying bottom-up sensitivity to psychosis-like VDs. Psychosis-relevant traits were assessed using validated questionnaires of delusional ideation, anomalous perceptual experiences, and schizotypal traits. ResultsHigher levels of delusional ideation and schizotypy were associated with stronger expectation effects, reflected in increased false percepts in the NDT trial without changes and enhanced detection of near-threshold distortions when these trials followed distortion-present trials in the PUT. These traits were also linked to reduced 2-IFC perceptual sensitivity to VDs, particularly brightness changes.ConclusionsThese findings demonstrate the feasibility of VR-based VD assessment and provide initial evidence that individual differences in VD perception relate to psychosis-relevant traits. Results suggest contributions from both diminished sensory sensitivity and increased reliance on expectations in naturalistic perceptual contexts.
2026-01-28
articleOpen accessBackground Visual distortions (VDs) are frequently reported but insufficiently characterized in early psychosis and may reflect alterations in perceptual processing. Computational accounts emphasize aberrant precision-weighting of sensory evidence and prior expectations, but most empirical work has used simplified laboratory stimuli. It remains unclear whether these mechanistic accounts generalize to more naturalistic perceptual contexts. MethodsWe developed virtual reality (VR) tasks simulating VDs in photorealistic scenes and explored associations between VD perception and psychosis-relevant traits in a non-clinical sample. 120 healthy adults completed three tasks designed to probe complementary aspects of perceptual inference: (1) a naïve detection task (NDT) assessing expectation-driven false percepts of unspecified visual changes; (2) a perceptual uncertainty task (PUT) testing how detection under ambiguous sensory evidence is shaped by recent trial history; and (3) an adaptive two-interval forced-choice task (2-IFC) quantifying bottom-up sensitivity to psychosis-like VDs. Psychosis-relevant traits were assessed using validated questionnaires of delusional ideation, anomalous perceptual experiences, and schizotypal traits. ResultsHigher levels of delusional ideation and schizotypy were associated with stronger expectation effects, reflected in increased false percepts in the NDT trial without changes and enhanced detection of near-threshold distortions when these trials followed distortion-present trials in the PUT. These traits were also linked to reduced 2-IFC perceptual sensitivity to VDs, particularly brightness changes.ConclusionsThese findings demonstrate the feasibility of VR-based VD assessment and provide initial evidence that individual differences in VD perception relate to psychosis-relevant traits. Results suggest contributions from both diminished sensory sensitivity and increased reliance on expectations in naturalistic perceptual contexts.
Emergence and dynamics of delusions and hallucinations across stages in early psychosis
UNC Libraries · 2026-02-02
articleOpen accessCompensatory hallucinogenesis across three neuropsychiatric disorders: a Bayesian account
Brain Communications · 2026-01-01
articleOpen accessSenior authorEmerging evidence suggests that hallucinations may arise because of an over-reliance on prior knowledge during perception. While best established in psychosis-spectrum illness, data also support the presence of this abnormality in other hallucination-prone neuropsychiatric illnesses that vary in their association with disruption of sensory circuits. In this piece, we ask whether an over-weighting of expectations may be conceived of as a compensatory response to degraded incoming sensory information. We make the case that visual hallucinogenesis across a wide array of neuropsychiatric disorders can be captured within a common Bayesian computational framework, as a compensatory response to sensory signal disruptions at different levels of the visual processing hierarchy. We focus on three specific disorders (Charles Bonnet syndrome, dementia with Lewy Bodies and psychosis) with prominent visual hallucinations and highlight the fact that these disorders describe a spectrum of visual impairment where the overtness and localization of the visual processing disruption is reflected in the characteristics of the emergent visual hallucinations. We examine how discrete sensory disruptions in Charles Bonnet syndrome translate to hallucinations via known circuits, and then how different disruptions in dementia with Lewy Bodies and Schizophrenia may lead to hallucinations with distinct phenomenology, comorbidities and circuit involvement. Finally, we appeal to emerging computational theories to unite these observations under a common conceptual umbrella. Taken together, this work presents a means of understanding how sensory disruptions could interact with other aspects of cognitive and neural architecture to produce hallucinations across neuropsychiatric disease. It is our hope that this framework will help in efforts to identify pathophysiologically distinct patient subgroups and new pharmacological and circuit-based interventions.
UNC Libraries · 2025-12-05
articleOpen accessUNC Libraries · 2025-12-05
articleOpen accessUNC Libraries · 2025-12-05
articleOpen accessIndividuals at clinical high risk for psychosis (CHR) have variable clinical outcomes and low conversion rates, limiting development of novel and personalized treatments. Moreover, given risks of antipsychotic drugs, safer effective medications for CHR individuals are needed. The Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) Program was launched to address this need. Based on past CHR and schizophrenia studies, AMP SCZ assessed electroencephalography (EEG)-based event-related potential (ERP), event-related oscillation (ERO), and resting EEG power spectral density (PSD) measures, including mismatch negativity (MMN), auditory and visual P300 to target (P3b) and novel (P3a) stimuli, 40-Hz auditory steady state response, and resting EEG PSD for traditional frequency bands (eyes open/closed). Here, in an interim analysis of AMP SCZ EEG measures, we assess test-retest reliability and stability over sessions (baseline, month-2 follow-up) in CHR (n = 654) and community control (CON; n = 87) participants. Reliability was calculated as Generalizability (G)-coefficients, and changes over session were assessed with paired t-tests. G-coefficients were generally good to excellent in both groups (CHR: mean = 0.72, range = 0.49–0.85; CON: mean = 0.71, range = 0.44–0.89). Measure magnitudes significantly (p < 0.001) decreased over session (MMN, auditory and visual target P3b, visual novel P3a, 40-Hz ASSR) and/or over runs within sessions (MMN, auditory/visual novel P3a and target P3b), consistent with habituation effects. Despite these small systematic habituation effects, test-retest reliabilities of the AMP SCZ EEG-based measures are sufficiently strong to support their use in CHR studies as potential predictors of clinical outcomes, markers of illness progression, and/or target engagement or secondary outcome measures in controlled clinical trials.
Recent grants
Toward a Computationally-Informed, Personalized Treatment for Hallucinations
NIH · $404k · 2020–2024
A Hearing Test for Hallucinations: Toward Development of Computational Markers for Early Diagnosis
NIH · $983k · 2018–2023
NIH · $112k · 2013
Frequent coauthors
- 80 shared
Scott W. Woods
Yale University
- 48 shared
Catalina Mourgues
Yale University
- 46 shared
Philip R. Corlett
Yale University
- 40 shared
Victoria Fisher
Yale University
- 38 shared
Armin Drusko
University Hospital Heidelberg
- 38 shared
David Baumeister
University Hospital Heidelberg
- 37 shared
Thomas Graven‐Nielsen
Aalborg University
- 36 shared
Megan Elizabeth McPhee Christensen
University Hospital Heidelberg
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