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The future of theory-of-mind research: understanding motivational states, the role of language, and real-world consequences.

Suggestions are made for future investigation of theory-of-mind development. There needs to be (1) more focus on the development of understanding of desire and intention; (2) research on the role of language in theory-of-mind development that integrates representational-development and social-interaction views; and (3) investigation of the real-world consequences of children's developing understanding of belief, desire, and intention.

Child↗

Minds, modules, and meta-analysis.

Wellman and colleagues' meta-analysis of performance on the false-belief task is methodologically useful, but it does not lead to any theoretical progress concerning the nature of the mechanisms that underlie the existence and development of "theory of mind." In particular, the results of this meta-analysis are perfectly compatible with "early competence" accounts that posit a specific, innate, and possibly modular basis for theory of mind. The arguments presented by Wellman and colleagues against such views stem not from their meta-analytic data, but from mistaken assumptions regarding the requirements of such theories (e.g., that there exist manipulations that improve performance only, or to a greater degree, in young children). Contrary to what Wellman and colleagues claim, their meta-analysis, while consistent with conceptual change, does not lend any new support for such theories.

Child↗

Theory of mind and conceptual change.

We agree with the commentaries by Scholl and Leslie, and also by Moses, that the meta-analytic findings do not definitively rule out early competence accounts. But they do make extant versions of such accounts increasingly unlikely. In particular, the meta-analytic findings argue against executive function expression accounts, including the Theory-of-Mind Mechanism/Selection Processor account advocated by Scholl and Leslie. Specifically, Scholl and Leslie articulate two explicit predictions of their account: that task manipulations that attenuate inhibitory demands should differentially advantage older children, and that theory-of-mind developments should occur with consistent timetables. Both of these specific predictions are clearly contradicted, not supported, by the meta-analytic findings.

Child↗

A new 'advanced' test of theory of mind: evidence from children and adolescents with Asperger syndrome.

BACKGROUND: The aim of the present study was to assess the ability of children and adolescents with Asperger syndrome (AS) (N = 21) to infer physical versus mental states on a new 'advanced' test of theory-of-mind - Stories from Everyday Life. The participants in the AS group were of normal intelligence and were compared with an age-matched control group (N = 20) of normally developing children and adolescents. METHOD: The test materials comprised 26 short stories or 13 pairs of different types of stories. This contextually complex theory-of-mind battery aimed to record the participants' ability to make inferences about physical as well as mental states. The first part of each story described a physical or mechanical event, and a test question then tested the participants' ability to make an inference about a physical state. The last part of the stories contained two questions, testing the ability to infer a mental state from the story context, e.g., understanding social communication such as a lie, white lie, figure of speech, misunderstanding, double bluff, irony, persuasion, contrary emotions, forgetting, jealousy, intentions, empathy and social blunders. The participants' reaction time and number of prompt questions were also recorded. RESULTS: The participants in the AS group showed significantly more problems attributing mental state inferences relative to the control group. They performed considerably better on tasks involving a physical state, but still did less well than the controls. They had a tendency to interpret behaviour and utterances literally, without regard to context, and to choose a physical explanation when a mental state answer was more appropriate. They also needed significantly more prompt questions and used significantly more time than the controls to solve the tasks, especially those involving mental state inference. CONCLUSIONS: This study supports earlier findings that individuals with AS/HFA have difficulties attributing mental states in context, but seem to have significantly fewer difficulties inferring physical states. The fact that the clinical group also used significant longer reaction time and needed significantly more prompt questions to solve the tasks relative to the control group may also be related to their problems in understanding mental states. However, the possibility remains that these difficulties could represent a separate factor - or a distinct 'cognitive style'- suggesting that at least some individuals with AS may be generally slow in solving cognitive tasks.

Adolescent↗

The mind-brain relationship: the emergent self.

This paper explores the mind-brain relationship, using insights from contemporary neuroscience. It seeks to investigate how our brains become who we are, how subjective experience arises. In order to do this some explanation is given of the basic concepts of how the brain produces our subjective mental life. Current neuropsychological and neurobiological understanding of early brain development, memory, emotion and consciousness are explored. There is also an attempt at mapping the mind-brain-self relationship from a uniquely Jungian perspective. Clinical material is included in order to show the relevance of these insights to our work in the consulting room, arguing the value of the affect-regulating, relational aspects of the analytic dyad that forge new neural pathways through emotional connection. Such experience forms the emotional scaffolding necessary for the emergence of reflective function.

Brain↗

Developing theories of mind: understanding concepts and relations between mental activities.

The purpose of the study was to expand our knowledge of older children's understanding of the unique features and potential relations existing among mental activities. 8- and 10-year-olds as well as adults were asked to rate the similarity of pairs of mental activity scenarios in terms of how their mind would be used for each one. The scenarios involved primarily Prospective Memory, List Memory, Recognition Memory, Comprehension, Interference, Planning, Comparison, or Selective Attention. There was a developing tendency to organize mental activities on the degree to which memory was a component of the activity. Several distinctions were also more likely to be made with age: the distinction between recall and recognition, the distinction between the roles of internal and external cues in mediating cognitive activity, and the distinction among the various roles of attentional processes in regulating input from the sensory world. Together, these findings suggest that a constructivist theory of mind develops in later childhood.

Adolescent↗

Scaling of theory-of-mind tasks.

Two studies address the sequence of understandings evident in preschoolers' developing theory of mind. The first, preliminary study provides a meta-analysis of research comparing different types of mental state understandings (e.g., desires vs. beliefs, ignorance vs. false belief). The second, primary study tests a theory-of-mind scale for preschoolers. In this study 75 children (aged 2 years, 11 months to 6 years, 6 months) were tested on 7 tasks tapping different aspects of understanding persons' mental states. Responses formed a consistent developmental progression, where for most children if they passed a later item they passed all earlier items as well, as confirmed by Guttman and Rasch measurement model analyses.

Child, Preschool↗

Theory of mind may be contagious, but you don't catch it from your twin.

The theory-of-mind abilities of twins, children with nontwin siblings, and only children were compared to investigate further the link between number and type of siblings and theory-of-mind abilities. Three- to 5-year-old children with nontwin siblings outperformed both only children and twins with no other siblings, twins who also had other siblings outperformed twins who did not, and children with at least 1 opposite-sex sibling outperformed children with only same-sex siblings. Twins performed significantly better when asked about the false beliefs of their twins than they did when asked about the false beliefs of their friends. Results are discussed in terms of potential mechanisms that may account for the twin and sibling effects.

Child, Preschool↗

Origins of individual differences in theory of mind: from nature to nurture?

In this study of the origins of individual differences in theory of mind (ToM), the Environmental Risk (E-Risk) Longitudinal Twin Study sample of 1,116 sixty-month-old twin pairs completed a comprehensive battery of ToM tasks. Individual differences in ToM were striking and strongly associated with verbal ability. Behavioral genetic models of the data showed that environmental factors explained the majority of the variance in ToM performance in this sample. Shared environmental influences on verbal ability had a common impact on ToM and explained more than half the phenotypic correlation between these two skills. Possible underlying proximal mechanisms are discussed, including maternal speech and mind-mindedness, sibling interactions, and peer influences.

Adolescent↗

Out of sight or out of mind? Another look at deception in autism.

The penny-hiding game is a deception game that occurs naturally in parent-child and child-child interaction. It involves minimal linguistic demands, and is lots of fun. Oswald and Ollendick (1989) employed it with subjects with autism and reported an impaired capacity for deception. They also found that this correlated with performance on both a false belief ("theory of mind") test as well as various measures of social behaviour. The experiment reported here set out to replicate Oswald and Ollendick's important results, and then extend them by using a new technique for error analysis. We succeeded in replicating the autism-specific deception impairment as well as the finding that deception capacity correlates highly with performance on a false belief test. In addition, the new analytic technique discriminated the group with autism from controls more clearly than the traditional index of deception. Specifically, subjects with autism, whilst fully capable of enjoying the game as a game of object occlusion (keeping things out of sight), failed to perceive the game as a game of information occlusion (keeping things out of mind), unlike normal children or subjects with a mental handicap of an equivalent or lower mental age. The dissociation in autism between occluding objects vs occluding information is discussed in relation to other research showing that subjects with autism are impaired in understanding the principle that "seeing leads to knowing".

Adolescent↗

Autistic social dysfunction: some limitations of the theory of mind hypothesis.

This study examined the extent to which the social disabilities found in autism can be accounted for by the "Theory of Mind" hypothesis. Items related to social development from the Vineland Adaptive Behavior Scales were administered to 29 CA-, MA- and IQ-matched pairs of young autistic and non-autistic, developmentally disabled children. These items were evaluated in relation to expected ages of acquisition based on the Vineland standardization database. Our results indicate that the social dysfunction in autism affects very basic and early emerging social behaviors which are typically present prior to the time at which even the earliest precursors of a theory of mind apparently emerge.

Age Factors↗

Nicaraguan Sign Language and Theory of Mind: the issue of critical periods and abilities.

BACKGROUND: Previous studies in the literature report that deaf individuals who experience late access to language perform poorly on false belief tests of Theory of Mind (ToM) compared with age-matched deaf and hearing controls exposed to language early. METHODS: A group of 22 deaf Nicaraguans (aged 7 to 39 years) who learned Nicaraguan Sign Language (ISN) at different ages were tested on a false belief and a nonverbal cartoon retell task designed to elicit talk about the contents of character's mental states. RESULTS: Access to sign language by 10 years of age with possible advantages in language fluency was a strong predictor of performance on both the false belief task and mental state narrative task. However, a comparison of performance on the two tests indicated that children and adults who learned sign after the age of 10 were still able to demonstrate a more general ability to use mental state expressions in narratives. Results are discussed in terms of late access to language and critical periods for the parallel development of Theory of Mind and language. CONCLUSIONS: The findings point to age 10 years as a crucial period when lack of language exposure can lead to long-lasting deficits in false belief abilities. Late exposure to sign language does not, however, rule out all aspects of the ability to consider others' mental states. This paper also highlights the need to take into consideration a variety of communication responses when evaluating deaf children's ToM reasoning.

Adolescent↗

Modern mind-brain reading: psychophysiology, physiology, and cognition.

This paper reviews the actual and potential benefits of a marriage between cognitive psychology and psychophysiology. Psychophysiological measures, particularly those of the event-related brain potential, can be used as markers for psychological events and physiological events. Thus, they can serve as "windows" on the mind and as "windows" on the brain. These ideas are illustrated in the context of a series of studies utilizing the lateralized readiness potential, a measure of electrical brain activity that is related to preparation for movement. This measure has been used to illuminate presetting processes that prepare the motor system for action, to demonstrate the presence of the transmission of partial information in the cognitive system, and to identify processes responsible for the inhibition of responses. The lateralized readiness potential appears to reflect activity in motor areas of cortex. Thus, this measure, along with other psychophysiological measures, can be used to understand how the functions of the mind are implemented in the brain.

Arousal↗

Peace of mind as an important aspect of old people's health.

The purpose of this study was to investigate what concept of health was relevant for old people. Interviews were made with men and women aged over 60, institutionalised for somatic long-term care. Data were gathered in unstructured interviews and analysed by means of the ethnonursing method. The interviewees' descriptions of health were arranged as a concept model, consisting of three hierarchical levels. The first level dealt with the possibility of living a fairly comfortable life. The second level was concerned with positive self-esteem and the third and most crucial one described the existence or non-existence of a mental state of mind defined as peace of mind. The results were compared with existing health definitions and psychological/philosophical theories. The conclusion was that health definitions stressing physical, mental, and social perfection were not relevant for old people, whereas multidimensional health models such as those of Eriksson and Smith appeared to be adequate measures in planning for old people. The comparison with Homburger Erikson's theory and with existentialism revealed many corresponding traits, which might explain some of the differences between the patients and might also give the hope of a possibility of adequate nursing support. Religion was no discriminating factor in this material. As the third level was presented as the most important one and nursing support seemed possible, further investigations were suggested.

Adaptation, Psychological↗

A pilot study evaluating mindfulness-based stress reduction and massage for the management of chronic pain.

BACKGROUND: Mindfulness-based stress reduction (MBSR) and massage may be useful adjunctive therapies for chronic musculoskeletal pain. OBJECTIVE: To evaluate the feasibility of studying MBSR and massage for the management of chronic pain and estimate their effects on pain and mood. DESIGN: Randomized trial comparing MBSR or massage with standard care. PARTICIPANTS: Thirty patients with chronic musculoskeletal pain. MEASUREMENTS: Pain was assessed with 0 to 10 numeric rating scales. Physical and mental health status was measured with the SF-12. RESULTS: The study completion rate was 76.7%. At week 8, the massage group had average difference scores for pain unpleasantness of 2.9 and mental health status of 13.6 compared with 0.13 (P<.05) and 3.9 (P<.04), respectively, for the standard care group. These differences were no longer significant at week 12. There were no significant differences in the pain outcomes for the MBSR group. At week 12, the mean change in mental health status for the MBSR group was 10.2 compared with -1.7 in the standard care group (P<.04). CONCLUSIONS: It is feasible to study MBSR and massage in patients with chronic musculoskeletal pain. Mindfulness-based stress reduction may be more effective and longer-lasting for mood improvement while massage may be more effective for reducing pain.

Chronic Disease↗

Mind-body patterns of symptom generation.

Effective ways for joining family therapy with other treatment modalities are becoming increasingly important as the efficacy of family therapy gains acceptance in the medical and mental health community. When one interfaces family therapy with medical and psychopharmacological treatments, which find the sources of symptoms within individuals, rather than interpersonal systems, careful attention must be paid to the mind and body relationships that guide interactions between family behavior and the somatic physiology of each family member. We present six mind-body patterns of symptom generation found to be particularly useful for designing multimodality treatments and for communicating the treatment rationale to medical and psychiatric clinicians or to family members. Case examples illustrate their clinical use.

Combined Modality Therapy↗

The hooligan's mind.

Football hooliganism is a world phenomenon and an everyday matter. Society spends a lot of money to prevent and control it. We need to know what hooligans think in order to anticipate their actions and prevent their violent behaviors. In this paper, I propose a theory of the hooligan's conscious mind, by analyzing the thinking of a real Italian hooligan who was my patient. I will show that violent behaviors of hooligans are not unconscious, because the mental states (both beliefs and goals) of hooligans are explicitly represented in their mind. In contrast, I will suggest that both supporting and fighting are planned (i.e., goal directed), because "recognized supremacy" is explicitly represented as the ultimate goal. In fact, hooligans support and fight in order to be recognized as good hooligans, i.e. as good supporters as well as good fighters.

Competitive Behavior↗

Regenerative process in life and mind.

The functional organization of the nervous system is discussed from the standpoint of organizational closure and regenerative process in order to draw parallels between life and mind. Living organization entails continual regeneration of material parts and functional relations (self-production). Similarly, dynamic stability of informational states in brains may entail coherent self-regenerating patterns of neural signals. If mind is the functional organization of the nervous system, then mental states can be seen as switchings between alternative sets of stable, self-regenerative neural signal productions. In networks of neurons, signaling resonances can be created through recurrent, reentrant neural circuits that are organized to implement a heterarchy of correlational operations. Neural representations are dynamically built-up through an interplay between externally-impressed, incoming sensory signals and internally-generated circulating signals to form pattern-resonances. Semiotic aspects of resonance states involve semantic sensori-motor linkages to and through the external environment and pragmatic linkages to evaluative mechanisms that implement internal goal states. It is hypothesized that coherent regenerative signaling may be an organizational requirement for a material system to support conscious awareness. In this view general anesthetics and seizures abolish awareness by temporarily disrupting the organizational coherence of regenerative neural signaling.

Humans↗