Separating component processes of theory of mind in schizophrenia

Br J Clin Psychol. 2010 Mar;49(Pt 1):43-52. doi: 10.1348/014466509X425086. Epub 2009 Apr 8.

Abstract

Objective: It has been argued that in order to take the perspective of another the 'default' self-perspective must first be inhibited. Thus, executive function failures (and specifically, reduced inhibitory control of the self-perspective) may contribute to the theory of mind (ToM) difficulties that have been observed in schizophrenia.

Method: Participants with schizophrenia (N=28) and demographically matched controls (N=30) were administered a behavioural measure of ToM that directly manipulates inhibitory demands by involving either high- or low-levels of self-perspective inhibition.

Results: Relative to controls, participants with schizophrenia demonstrated impaired ToM, but did not have particular difficulty on the task that placed high demands on self-perspective inhibition.

Conclusion: Disruption of other-perspective taking, rather than self-perspective inhibition, appears to be the more important determinant of ToM impairment in schizophrenia. This finding is discussed in relation to competing perspectives of ToM.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Executive Function / physiology
  • Female
  • Humans
  • Inhibition, Psychological
  • Male
  • Schizophrenia / physiopathology*
  • Schizophrenic Psychology
  • Self Efficacy
  • Social Perception*
  • Surveys and Questionnaires
  • Theory of Mind*
  • Young Adult