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We use a new model of metarepresentational development to predict a cognitive deficit which could explain a crucial component of the social impairment in childhood autism. One of the manifestations of a basic metarepresentational capacity is a ‘theory of mind’. We have reason to believe that autistic children lack such a ‘theory’. If this were so, then they would be unable to impute beliefs to others and to predict their behaviour. This hypothesis was tested using Wimmer and Perner's puppet play paradigm. Normal children and those with Down's syndrome were used as controls for a group of autistic children. Even though the mental age of the autistic children was higher than that of the controls, they alone failed to impute beliefs to others. Thus the dysfunction we have postulated and demonstrated is independent of mental retardation and specific to autism.Résumé Les auteurs présentent un nouveau mod`éle de développement méta-cognitif pour prédire le déficit cognitif qui rendrait compte d'un composant essentiel du handicap social de l'enfant autiste. Une des manifestations d'une capacité de base méta-cognitive est une ‘theorie de l'esprit'. Nous avons des raisons de croire que cette théorie fait defaut chez l'enfant autiste. Celui-ci serait done incapable d'attribuer des croyances aux autres ou de prédire leur comportement. Cette hypothèse a été testée avec le paradigme de jeu des marionettes utilisé par Wimmer et Perner. Des enfants normaux et des enfants avec trisomie 21 ont servi de groupe contrôle. Bien que Page mental des enfants autistes ait été plus élevé que deux du groupe contrôle, seuls les enfants autistes Wont pu attribuer aux autres des croyances. Ainsi le dysfonctionnement prévu a pu être démontre, il s'avère indépendant du retard mental et spécifique a l'autiste.

We use a new model of metarepresentational development to predict a cognitive deficit which could explain a crucial component of the social impairment in childhood autism. One of the manifestations of a basic metarepresentational capacity is a ‘theory of mind’. We have reason to believe that autistic children lack such a ‘theory’. If this were so, then they would be unable to impute beliefs to others and to predict their behaviour. This hypothesis was tested using Wimmer and Perner's puppet play paradigm. Normal children and those with Down's syndrome were used as controls for a group of autistic children. Even though the mental age of the autistic children was higher than that of the controls, they alone failed to impute beliefs to others. Thus the dysfunction we have postulated and demonstrated is independent of mental retardation and specific to autism.Résumé Les auteurs présentent un nouveau mod`éle de développement méta-cognitif pour prédire le déficit cognitif qui rendrait compte d'un composant essentiel du handicap social de l'enfant autiste. Une des manifestations d'une capacité de base méta-cognitive est une ‘theorie de l'esprit'. Nous avons des raisons de croire que cette théorie fait defaut chez l'enfant autiste. Celui-ci serait done incapable d'attribuer des croyances aux autres ou de prédire leur comportement. Cette hypothèse a été testée avec le paradigme de jeu des marionettes utilisé par Wimmer et Perner. Des enfants normaux et des enfants avec trisomie 21 ont servi de groupe contrôle. Bien que Page mental des enfants autistes ait été plus élevé que deux du groupe contrôle, seuls les enfants autistes Wont pu attribuer aux autres des croyances. Ainsi le dysfonctionnement prévu a pu être démontre, il s'avère indépendant du retard mental et spécifique a l'autiste.

Empathy is an essential part of normal social functioning, yet there are precious few instruments for measuring individual differences in this domain. In this article we review psychological theories of empathy and its measurement. Previous instruments that purport to measure this have not always focused purely on empathy. We report a new self-report questionnaire, the Empathy Quotient (EQ), for use with adults of normal intelligence. It contains 40 empathy items and 20 filler/control items. On each empathy item a person can score 2, 1, or 0, so the EQ has a maximum score of 80 and a minimum of zero. In Study 1 we employed the EQ with n = 90 adults (65 males, 25 females) with Asperger Syndrome (AS) or high-functioning autism (HFA), who are reported clinically to have difficulties in empathy. The adults with AS/HFA scored significantly lower on the EQ than n = 90 (65 males, 25 females) age-matched controls. Of the adults with AS/HFA, 81% scored equal to or fewer than 30 points out of 80, compared with only 12% of controls. In Study 2 we carried out a study of n = 197 adults from a general population, to test for previously reported sex differences (female superiority) in empathy. This confirmed that women scored significantly higher than men. The EQ reveals both a sex difference in empathy in the general population and an empathy deficit in AS/HFA.

?Theory of mind,? the ability to make inferences about others' mental states, seems to be a modular cognitive capacity that underlies humans' ability to engage in complex social interaction. It develops in several distinct stages, which can be measured with social reasoning tests of increasing difficulty. Individuals with Asperger's syndrome, a mild form of autism, perform well on simpler theory of mind tests but show deficits on more developmentally advanced theory of mind tests. We tested patients with bilateral damage to orbito-frontal cortex (n = 5) and unilateral damage in left dorsolateral prefrontal cortex (n = 5) on a series of theory of mind tasks varying in difficulty. Bilateral orbito-frontal lesion patients performed similarly to individuals with Asperger's syndrome, performing well on simpler tests and showing deficits on tasks requiring more subtle social reasoning, such as the ability to recognize a faux pas. In contrast, no specific theory of mind deficits were evident in the unilateral dorsolateral frontal lesion patients. The dorsolateral lesion patients had difficulty only on versions of the tasks that placed demands on working memory.

Background The mind's ability to think about the mind has attracted substantial research interest in cognitive science in recent decades, as ‘theory of mind’. No research has attempted to identify the brain basis of this ability, probably because it involves several separate processes. As a first step, we investigated one component process – the ability to recognise mental state terms. Method In Experiment 1, we tested a group of children with autism (known to have theory of mind deficits) and a control group of children with mental handicap, for their ability to recognise mental state terms in a word list. This was to test if the mental state recognition task was related to traditional theory of mind tests. In Experiment 2, we investigated if in the normal brain, recognition of mental state terms might be localised. The procedure employed single photon emission computerised tomography (SPECT) in normal adult volunteers. We tested the prediction (based on available neurological and animal lesion studies) that there would be increased activation in the orbito-frontal cortex during this task, relative to a control condition, and relative to an adjacent frontal area (frontal-polar cortex). Results In Experiment 1, the group with autism performed significantly worse than the group without autism. In Experiment 2, there was increased cerebral blood flow during the mental state recognition task in the right orbito-frontal cortex relative to the left frontal-polar region. Conclusions This simple mental state recognition task appears to relate to theory of mind, in that both are impaired in autism. The SPECT results implicate the orbito-frontal cortex as the basis of this ability.

This book comprises 26 exciting chapters by internationally renowned scholars, addressing the central psychological process separating humans from other animals: the ability to imagine the thoughts and feelings of others, and to reflect on the contents of our own minds-a “theory of mind” (ToM). The four sections of the book cover developmental, cultural, and neurobiological approaches to ToM across different populations and species. The chapters explorethe earliest stages of development of ToMin infancy, and how plastic ToM learning is; why 3-year-olds typically fail false belief tasks and how ToMcontinues to develop beyond childhoodinto adulthood;the debate between “simulation theory” and “theory theory”; cross-cultural perspectives on ToM and how ToM develops differently in deaf children; how we use our ToM when we make moral judgments, and the link between emotional intelligence and ToM; the neural basis of ToMmeasured by evoked response potentials,functional magnetic resonance imaging, and studies of brain damage; “emotional”vs. “cognitive” empathy in neuropsychiatric conditions such as autism, schizophrenia, and psychopathy; the concept of self in autism and teaching methods targeting ToM deficits; the relationship between empathy,the ‘pain matrix’ and the mirror neuron system; the role of oxytocin and fetal testosterone in mentalizing and empathy; the heritability of empathy andcandidate single nucleotide polymorphismsassociated with empathy; andToM innon-human primates. These 26 chapters represent a masterly overview of a field that has deepened since the first editionwas published in 1993.