Sarfati Y, Hardy-Baylé M C
Departement de Psychiatrie, Centre Hospitalier de Versailles, France.
Psychol Med. 1999 May;29(3):613-20. doi: 10.1017/s0033291799008326.
This paper examines the attribution of mental states to others in schizophrenia and its links with thought and speech disorganization.
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.
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.
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.
本文研究精神分裂症患者对他人心理状态的归因及其与思维和言语紊乱的联系。
两组精神分裂症患者（15名有思维和言语紊乱，10名无思维和言语紊乱）与10名躁狂症患者及15名正常对照者就14幅心理理论连环漫画的回答模式进行比较。
有紊乱且总体精神病理学症状更严重的精神分裂症患者比无紊乱的患者、躁狂症患者或正常对照者对他人心理状态表现出更多不恰当的解读。他们对他人行为的解释往往受其行为频率而非心理状态的影响。
精神分裂症中的紊乱模式可能与被称为心理理论的认知能力的特定缺陷有关，且这种缺陷可能是一种状态而非特质变量。有思维和言语障碍的患者在明确和常见的情境中可能更难以理解他人的心理状态。
