[Theory of mind and schizophrenia].
In social cognition, the notion of Theory of Mind (ToM) is widely studied among people with schizophrenia to give an account for intersubjective disturbances. ToM is classically defined as the ability to make inferences about other persons'mental states, as beliefs, thoughts or intentions. However, ToM is not understood or explored as a homogeneous notion. First, this review briefly describes main theoretical models, as well as experimental tasks of ToM. Second, clinical results strongly suggest that patients with schizophrenia present impaired ToM performances. However, the presence of a robust relationship between ToM and schizophrenic symptomatology, or clinical course, is still controversial. Third, we highlight main findings from functional brain imaging studies based on ToM. Finally and in a more critical perspective, we suggest a few theoretical and experimental limitations regarding impaired ToM as a core feature of schizophrenic disturbances in social interactions.
Pôle universitaire de psychiatrie, hôpital Sainte-Marguerite, 270 bd Sainte-Marguerite, 13274 Marseille cedex 09, France. michel.cermolacce@ap-hm.fr
M
M
Cermolacce
P
P
Lazerges
D
D
Da Fonseca
E
E
Fakra
M
M
Adida
R
R
Belzeaux
J-M
JM
Azorin
D000328:Adult; D001921:Brain / Q000503:physiopathology; D001931:Brain Mapping; D002540:Cerebral Cortex / Q000503:physiopathology; D003072:Cognition Disorders / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D059907:Functional Neuroimaging; D006801:Humans; D007398:Interpersonal Relations; D009415:Nerve Net / Q000503:physiopathology; D012559:Schizophrenia / Q000175:diagnosis* / Q000503:physiopathology; D012565:Schizophrenic Psychology; D056345:Theory of Mind; D013850:Thinking / Q000502:physiology