Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach
Cherie Strikwerda-Brown,1–3 Siddharth Ramanan,1–3 Muireann Irish1–3 1The University of Sydney, Brain and Mind Centre, Sydney, NSW, Australia; 2The University of Sydney, School of Psychology, Sydney, NSW, Australia; 3ARC Centre of Excellence in Cognition and its Disorde...
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Dove Medical Press
2019
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oai:doaj.org-article:754cc49d06584b219b511a1b356dd18b2021-12-02T02:24:34ZNeurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach1178-2021https://doaj.org/article/754cc49d06584b219b511a1b356dd18b2019-02-01T00:00:00Zhttps://www.dovepress.com/neurocognitive-mechanisms-of-theory-of-mind-impairment-in-neurodegener-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Cherie Strikwerda-Brown,1–3 Siddharth Ramanan,1–3 Muireann Irish1–3 1The University of Sydney, Brain and Mind Centre, Sydney, NSW, Australia; 2The University of Sydney, School of Psychology, Sydney, NSW, Australia; 3ARC Centre of Excellence in Cognition and its Disorders, Sydney, NSW, Australia Abstract: Much of human interaction is predicated upon our innate capacity to infer the thoughts, beliefs, emotions, and perspectives of others, in short, to possess a “theory of mind” (ToM). While the term has evolved considerably since its inception, ToM encompasses our unique ability to apprehend the mental states of others, enabling us to anticipate and predict subsequent behavior. From a developmental perspective, ToM has been a topic of keen research interest, with numerous studies seeking to explicate the origins of this fundamental capacity and its disruption in developmental disorders such as autism. The study of ToM at the opposite end of the lifespan, however, is paradoxically new born, emerging as a topic of interest in its own right comparatively recently. Here, we consider the unique insights afforded by studying ToM capacity in neurodegenerative disorders. Arguing from a novel, transdiagnostic perspective, we consider how ToM vulnerability reflects the progressive degradation of neural circuits specialized for an array of higher-order cognitive processes. This mechanistic approach enables us to consider the common and unique neurocognitive mechanisms that underpin ToM dysfunction across neurodegenerative disorders and for the first time examine its relation to behavioral disturbances across social, intimate, legal, and criminal settings. As such, we aim to provide a comprehensive overview of ToM research in neurodegeneration, the resultant challenges for family members, clinicians, and the legal profession, and future directions worthy of exploration. Keywords: prefrontal cortex, social cognition, mentalizing, executive function, dementia, empathyStrikwerda-Brown CRamanan SIrish MDove Medical Pressarticleprefrontal cortexsocial cognitionmentalizingexecutive functiondementiaempathyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 557-573 (2019) |
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prefrontal cortex social cognition mentalizing executive function dementia empathy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 |
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prefrontal cortex social cognition mentalizing executive function dementia empathy Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Strikwerda-Brown C Ramanan S Irish M Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
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Cherie Strikwerda-Brown,1–3 Siddharth Ramanan,1–3 Muireann Irish1–3 1The University of Sydney, Brain and Mind Centre, Sydney, NSW, Australia; 2The University of Sydney, School of Psychology, Sydney, NSW, Australia; 3ARC Centre of Excellence in Cognition and its Disorders, Sydney, NSW, Australia Abstract: Much of human interaction is predicated upon our innate capacity to infer the thoughts, beliefs, emotions, and perspectives of others, in short, to possess a “theory of mind” (ToM). While the term has evolved considerably since its inception, ToM encompasses our unique ability to apprehend the mental states of others, enabling us to anticipate and predict subsequent behavior. From a developmental perspective, ToM has been a topic of keen research interest, with numerous studies seeking to explicate the origins of this fundamental capacity and its disruption in developmental disorders such as autism. The study of ToM at the opposite end of the lifespan, however, is paradoxically new born, emerging as a topic of interest in its own right comparatively recently. Here, we consider the unique insights afforded by studying ToM capacity in neurodegenerative disorders. Arguing from a novel, transdiagnostic perspective, we consider how ToM vulnerability reflects the progressive degradation of neural circuits specialized for an array of higher-order cognitive processes. This mechanistic approach enables us to consider the common and unique neurocognitive mechanisms that underpin ToM dysfunction across neurodegenerative disorders and for the first time examine its relation to behavioral disturbances across social, intimate, legal, and criminal settings. As such, we aim to provide a comprehensive overview of ToM research in neurodegeneration, the resultant challenges for family members, clinicians, and the legal profession, and future directions worthy of exploration. Keywords: prefrontal cortex, social cognition, mentalizing, executive function, dementia, empathy |
format |
article |
author |
Strikwerda-Brown C Ramanan S Irish M |
author_facet |
Strikwerda-Brown C Ramanan S Irish M |
author_sort |
Strikwerda-Brown C |
title |
Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
title_short |
Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
title_full |
Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
title_fullStr |
Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
title_full_unstemmed |
Neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
title_sort |
neurocognitive mechanisms of theory of mind impairment in neurodegeneration: a transdiagnostic approach |
publisher |
Dove Medical Press |
publishDate |
2019 |
url |
https://doaj.org/article/754cc49d06584b219b511a1b356dd18b |
work_keys_str_mv |
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