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PubMed2004

Persecutory beliefs, attributions and theory of mind: comparison of patients with paranoid delusions, Asperger's syndrome and healthy controls.

Schizophrenia patients with persecutory delusions and patients with Asperger's syndrome were compared using two measures of theory of mind (ToM; the ability to infer mental states in other people), the Hints task, and the Reading the Mind in the Eyes task, and a new measure of attributional style (style of inferring the causes of important events), the Attributional Style Structured Interview (ASSI). Paranoid beliefs were measured using Fenigstien and Vanable's Paranoia Scale (PS). The deluded group had the highest scores on the Paranoia Scale but the scores of the Asperger's group's were higher than those of the controls. Paranoid patients made more external-personal attributions for negative events than the Asperger's and control groups. Both the paranoid and Asperger's groups performed poorly on the ToM tasks compared to the controls. The findings support the hypothesis that both ToM and attributional abnormalities contribute to paranoid delusions. The lack of attributional abnormalities in the Asperger's group suggests that their low-level paranoid symptoms arise as a consequence of different mechanisms than those involved in psychotic delusions.

Adult↗

PubMed1999

Investigating theory of mind in schizophrenia: influence of verbalization in disorganized and non-disorganized patients.

The ability to attribute intentions to others was studied in 13 disorganized and 13 non-disorganized schizophrenic patients, 13 depressed and 13 normal controls. Subjects were asked to complete 28 comic strips requiring theory of mind skills by choosing one out of three answer cards. The answer cards were simple pictures in a first condition and short sentences in a second condition. This study, which used the cognitive neuropsychological approach, underlies the existence of a link between disorganization patterns in schizophrenia and a deficit in the attribution of intentions to others, independently of the pictorial or verbal form of the mode of answering. In addition, results show that the non-disorganized schizophrenic group, depressed and normal controls perform similarly in both pictorial/verbal conditions. The influence of the absence/presence of verbal material on a task investigating theory of mind in schizophrenia is discussed.

Adult↗

PubMed1999

The whole person in health care (with approaches from a perspective of mind-body medicine): a personal view.

This paper offers a brief mind-body view of: What the whole person is The four aspects of life: physical, emotional, mental, subtle energy states. The concept that health and wellbeing is analogous to developing musical harmony between the four aspects. Each aspect can be imagined as a musical note. When in balance the harmony between the notes is clear. When out of balance the effect is discordant. Ways that personal performance may be enhanced by the integration of these four aspects including self help approaches, mindful bodywork and energetic medicines. 'When we are whole, we shall be healed...' (Caroline Stevensen).

Burnout, Professional↗

PubMed2003

Functional imaging of 'theory of mind'

Our ability to explain and predict other people's behaviour by attributing to them independent mental states, such as beliefs and desires, is known as having a 'theory of mind'. Interest in this very human ability has engendered a growing body of evidence concerning its evolution and development and the biological basis of the mechanisms underpinning it. Functional imaging has played a key role in seeking to isolate brain regions specific to this ability. Three areas are consistently activated in association with theory of mind. These are the anterior paracingulate cortex, the superior temporal sulci and the temporal poles bilaterally. This review discusses the functional significance of each of these areas within a social cognitive network.

Journal Article↗

PubMed2003

Autobiographical memory and theory of mind: evidence of a relationship in schizophrenia.

BACKGROUND: It has been proposed that inferences about the mental states of others are drawn after a referral to autobiographical memory. This study explored the relationship between autobiographical memory retrieval and performance on tests of theory of mind in people with schizophrenia. METHOD: Fifty-nine people with a DSM-IV diagnosis of schizophrenia and 44 healthy participants matched for age, sex and estimated IQ were given the Autobiographical Memory Interview (AMI), two measures of theory of mind (ToM) and a logical memory test. RESULTS: There was clear evidence that the people with schizophrenia were under-performing on all tasks. Within the schizophrenia sample, robust relationships existed between the total scores achieved on the AMI and the ToM tasks. Furthermore, there was evidence that the participants with schizophrenia had a tendency to recollect odd or negative events when prompted by the standard questions of the AMI. CONCLUSIONS: The results of this study indicate that when people with schizophrenia attempt to think about the beliefs and intentions of others they use analogical reasoning. Whether this approach is also adopted by other clinical and normal adult groups is a question for future research.

Adult↗

PubMed1999

How do people with schizophrenia explain the behaviour of others? A study of theory of mind and its relationship to thought and speech disorganization in schizophrenia.

BACKGROUND: This paper examines the attribution of mental states to others in schizophrenia and its links with thought and speech disorganization. METHODS: Two groups of schizophrenic subjects (15 with and 10 without thought and speech disorganization) were compared with 10 manic subjects and 15 normal controls on their pattern of answers to 14 theory of mind comic strips. RESULTS: Schizophrenic subjects with disorganization and a more severe general psychopathology exhibited more unadaptated interpretations of others' mental states than those without disorganization or the manic or normal controls. Their explanation of other people's behaviour tended to be influenced by the frequency of their actions rather than their mental states. CONCLUSIONS: The disorganization pattern in schizophrenia may be associated with a specific deficit of the cognitive ability referred to as theory of mind, and this deficit could be a state rather than a trait variable. Patients with thought and speech disorders may be more likely to understanding other people's mental states in unambiguous and common situations.

Adolescent↗

PubMed2005

Parent-child picture-book reading, mothers' mental state language and children's theory of mind.

This study focuses on parent-child book reading and its connection to the development of a theory of mind. First, parents were asked to report about frequency of parent-child storybook reading at home. Second, mothers were asked to read four picture-books to thirty-four children between 4;0 and 5;0. Both frequency of parent-child storybook reading at home, and mother's use of mental state terms in picture-books reading tasks were significantly associated with success on false belief tasks, after partialling out a number of potential mediators such as age of children, verbal IQ, paternal education, and words used by mothers in joint picture-book reading. Among the different mental state references (cognitive terms, desires, emotions and perceptions), it was found that the frequency and variety of cognitive terms, but also the frequency of emotional terms correlated positively with children's false belief performance. Relationships between mental state language and theory of mind are discussed.

Adult↗

PubMed1993

Concerning mind.

The nature of the human mind is addressed from a neurological viewpoint. First from reported observations on subjects born blind with congenital cataract, who acquired vision after surgery, the concept of the primacy of somatosensation is developed. Therefrom some principles of the organization of higher sensory functions in the dominant parietal, occipital and temporal lobes are deduced. Sentience is traced to somatosensation. Some characteristics of the mind and of thinking are described. The non-existence of the unconscious is inferred. The question of free will is approached. Using neurological experience it is demonstrated that a good case for operation of a free will is difficult to establish. Positing the absence of a free will may be beneficial in the analysis and management of behavior. Finally the opportunity to study the nature and mechanism of the emotions in clinical neurology is outlined.

Blindness↗

PubMed2001

Culture, social minds, and governance in evolution.

In the past quarter century, the concept of culture has undergone change as evolutionary scientists have come to include social behavior in their purview. Evolutionary psychology is the newest field to concern itself with culture by claiming that most specific human behaviors are generated by minds specifically designed for these behaviors -- and not from a general-purpose mind -- as a result of adaptations made during the Pleistocene. Thus, mental behaviors are explained as having formed independently of cultural learning. In defending the concept, however, the leading proponents practically slough off culture as significant in human affairs. I argue that they have neglected the powerful explanatory statement of Darwin regarding at least one general-purpose adaptation of social animals, namely, the instinct for sociability, a position supported by recent neurological studies. Expanding the Darwinian concept, modern research shows that (1) the human brain was selected for sociability, which explains the origin and strength of culture, as well as its variability; (2) the development of complex culture in a pre-human primate initiated the two-and-one-half million-year evolution to modern humans; and (3) there are political contributions to cultural evolution that rest on the nature of groups (competitive and cooperative).

Journal Article↗

PubMed2000

Mind-body innovations--an integrative care approach.

Integration of behavioral health and medicine has gained increased support recently within the new field of complementary medicine. Providers from both disciplines are acknowledging the "mind-body" connection and recognizing the value of treating the "whole" patient through working within an integrative delivery model. This paper describes two treatment programs which were developed using the principles of the mind-body connection and implemented within an integrative setting at a large HMO. The results of research studies are presented and discussed to demonstrate the efficacy of these programs.

Adult↗

PubMed2002

Reading the mind in the voice: a study with normal adults and adults with Asperger syndrome and high functioning autism.

People with high functioning autism (HFA) and Asperger syndrome (AS) have deficits in theory of mind (ToM). Traditional ToM tasks are not sensitive enough to measure ToM deficits in adults, so more subtle ToM tests are needed. One adult level test, the Reading the Mind in the Eyes test has shown that AS and HFA subjects have measurable deficits in the ability to make ToM inferences. Here we introduce a test that extends the above task into the auditory domain and that can be used with adults with IQ Scores in the normal range. We report the use of the test with an adult sample of people with AS/HFA and with two adult control groups. Results suggest that individuals with AS/HFA have difficulty extracting mental state information from vocalizations. These results are consistent with previous results suggesting that people with HFA and AS have difficulties drawing ToM inferences.

Adolescent↗

PubMed2003

A beautiful mind.

It is often difficult to discern the line between creativity and madness. This presents a particular hazard for the analyst, whose failure to recognize real potential can result in undermining the individual's developmental strivings. This dilemma is explored through a case illustration of a woman whose creativity was undermined by a lack of recognition. To vivify the dilemma, the author invites the reader to look through her eyes into the lens offered by the film A Beautiful Mind, which portrays the struggles of Nobel Prize-winning mathematician John Nash to maintain his sanity while also testing the limits of his mind and imagination. These illustrations encourage us to consider the dilemma of the gifted individual when excessive tension arises between absorption in one's medium versus needs for recognition.

Cognition↗

PubMed2003

Theory of Mind--based action in children from the autism spectrum.

In this study we investigated whether task interest facilitated the application of Theory of Mind capacities in high-functioning children from the autism spectrum. Children were invited to carry out two simple tasks. Sabotage of both tasks by a third party resulted in the experimenter appearing to have a false belief. Whereas pervasive developmental disorder not otherwise specified (PDDNOS) children tended to correct the experimenter's false belief in the rewarded task condition, children with autism were not influenced by task condition. These results highlight the role played by social and communicative factors in the application of Theory of Mind knowledge in the former clinical group.

Autistic Disorder↗

PubMed1998

Preschoolers' use of desires to solve theory of mind problems in a pretense context.

K. Bartsch and H. M. Wellman (1995) have suggested that 3-year-old children's preference to construe behavior in terms of desire may interfere with their ability to reason according to belief in standard false belief tasks. Other researchers have suggested that young children fail typical measures of theory of mind because they have a reality bias (e.g., P. Mitchell, 1994). Study 1 demonstrates that even young children are able to correctly attribute a false belief to an agent when that belief is about the status of a pretense. Study 2 shows that children find it easier to attribute a false belief when the desires of the agent are eliminated. However, Study 3 suggests that a reality bias also influences children's ability to consider beliefs. Implications for recent accounts of theory of mind development are discussed.

Child Development↗

PubMed1998

Developing organization of mental verbs and theory of mind in middle childhood: evidence from extensions.

The purpose of the study was to assess developments in the theory of mind suggested by changes in the organization of cognitive verb extensions during the elementary school years. Adults and 3rd- and 5th-grade children were provided with a set of mental activity scenarios and were asked to select the best verbs from a list of cognitive verbs that might apply to each scenario. Changes in organization were assessed by examining overlapping uses of cognitive verbs in different contexts. There were 3 major changes with development: (a) the understanding of the role of memory in input functions increased, (b) the interrelatedness of memory- and comprehension-related verbs increased, and (c) the importance of cognitive certainty and uncertainty engaged by constructive processing verbs increased. Together, these findings suggest that a constructivist theory of mind develops in later childhood.

Adult↗

PubMed1999

Effective treatment relationships for persons with serious psychiatric disorders: the importance of attachment states of mind.

Participants were 54 clients with serious psychiatric disorders and 21 clinical case managers. Clients' serious psychiatric disorders included Axis I diagnoses, such as schizophrenia and bipolar disorder. This study examined how attachment states of mind of both clients and case managers influenced the effectiveness of therapeutic relationships and client functioning. Client and case manager attachment states of mind interacted in predicting the working alliance and client functioning. Specifically, clients who were more deactivating with respect to attachment had better alliances and functioned better with less deactivating case managers, whereas clients who were less deactivating worked better with more deactivating case managers. These findings highlight the importance of clinicians and clients being matched in ways that balance their interpersonal and emotional strategies.

Adult↗

PubMed1989

Transcendental meditation, mindfulness, and longevity: an experimental study with the elderly.

Can direct change in state of consciousness through specific mental techniques extend human life and reverse age-related declines? To address this question, 73 residents of 8 homes for the elderly (mean age = 81 years) were randomly assigned among no treatment and 3 treatments highly similar in external structure and expectations: the Transcendental Meditation (TM) program, mindfulness training (MF) in active distinction making, or a relaxation (low mindfulness) program. A planned comparison indicated that the "restful alert" TM group improved most, followed by MF, in contrast to relaxation and no-treatment groups, on paired associate learning; 2 measures of cognitive flexibility; mental health; systolic blood pressure; and ratings of behavioral flexibility, aging, and treatment efficacy. The MF group improved most, followed by TM, on perceived control and word fluency. After 3 years, survival rate was 100% for TM and 87.5% for MF in contrast to lower rates for other groups.

Adaptation, Psychological↗

PubMed1990

Marginal and mindful: deviants in social interactions.

Master status people's behavior, physical appearance, or life circumstance is statistically unusual and centrally defining (e.g., the physically attractive, the obese, the intellectually gifted, the facially scarred, the talented, the athletic, Blacks, gays, the wealthy, rape and incest victims). These individuals were paired with people without such conditions. Each pair was left alone on a pretext and covertly videotaped. Pairs were then separated; each member spontaneously recalled information about her partner and the experimental room and provided a record of her thoughts and feelings during the interaction. As hypothesized, all master status Ss were particularly likely to be mindful in social interactions; they recalled detailed information about the situation and often took their partner's perspective during the interaction. The positive or negative connotations of the master status conditions were irrelevant in predicting Ss cognitions (mindfulness) but were critical in determining Ss behaviors (interaction strategies).

Acne Vulgaris↗