Well-established findings in schizophrenics suggest that they have dif
ficulties in interpreting contextual information. We used electrophysi
ological means to investigate this hypothesis. The N 400 paradigm was
used in 29 acute schizophrenic patients and 28 controls. The main find
ings were a changed topographical distribution of amplitude in the sch
izophrenic group; that is, a reduced amplitude at the frontal sites an
d a pronunciation at the occipital sites. We did not find latency diff
erences. When remitted patients (n = 17) were reinvestigated, a negati
ve correlation of the amplitude to the total amount of neuroleptics us
ed was found. These results are discussed in relation to structural an
d functional findings supporting the hypofrontality hypothesis in schi
zophrenia.