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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Autores principales: Strikwerda-Brown C, Ramanan S, Irish M
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Publicado: Dove Medical Press 2019
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic prefrontal cortex
social cognition
mentalizing
executive function
dementia
empathy
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle 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
description 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
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AT irishm neurocognitivemechanismsoftheoryofmindimpairmentinneurodegenerationatransdiagnosticapproach
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