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Neuroimaging studies of extra-sensory perception: A systematic and critical review.

David J Acunzo, Andrea H Denton, Marina Weiler, Edward F Kelly

NeuroImage June 1, 2026 DOI: 10.1016/j.neuroimage.2026.121937 via PubMed

Summary

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A systematic review of 143 reports on the neural correlates of extra-sensory perception (ESP) finds that definitive conclusions remain premature. Studies are categorized into explicit paradigms (assessing psi via overt responses) and implicit paradigms (assessing psi via neurophysiology alone). Most work used EEG (91%), followed by fMRI (5%). Recurrent methodological limitations include small sample sizes, inadequate multiple-comparison control, and analytical flexibility. Explicit paradigms rarely showed above-chance behavior, yet neural analyses were often conducted. Implicit paradigms reported heterogeneous findings that were seldom replicated. Potential leads for future research include alpha-band power in forced-choice designs and a target-related negative slow wave in event-related designs.

Study at a glance

Characteristics Systematic review Peer reviewed
Topics Altered states of consciousness
Keywords Anomalous cognition Anomalous experiences Intuition Presentiment Remote viewing
Key finding Definitive conclusions about the neural correlates of ESP remain premature due to recurrent methodological limitations and heterogeneous findings.

Abstract

Research efforts spanning more than seven decades have used functional neuroimaging to investigate whether putative extra‑sensory perception (ESP/receptive psi) has identifiable neural correlates. However, the field lacks a coherent and critical synthesis of its methodological approaches and reported effects. We conducted a systematic review consolidating 143 reports and qualitatively evaluated the methods of 129 individual studies. We organized studies by paradigm using two broad categories: (1) explicit psi paradigms (including forced-choice and free-response design subcategories), in which psi is assessed via overt responses; and (2) implicit psi paradigms (including distant stimulation, distant intentionality, and predictive anticipatory activity subcategories), in which psi is assessed solely via neurophysiology. Most work relied on EEG (91%), followed by fMRI (5%). We identified recurrent methodological limitations, in particular, small sample sizes, inadequate multiple‑comparison control, and analytical flexibility. Explicit paradigms rarely showed above‑chance behavior, yet investigators frequently proceeded to neural analyses, implying unacknowledged shifts in the operational definition of psi. Implicit paradigms often reported psi‑consistent effects, but findings were heterogeneous and seldom replicated. Overall, definitive conclusions about the neural correlates of ESP remain premature. Nevertheless, we identify potential leads-such as alpha‑band power in forced-choice designs, and a target‑related negative slow wave in event‑related designs-as testable candidates for future research. We provide a set of 13 methodological recommendations to promote cumulative progress, as well as 6 recommendations for future research directions.

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