Servicio de Psiquiatría, Equipo de Interconsulta y Enlace, Hospital Universitario Dr. Negrín, Las Palmas de Gran Canaria, España.
Rev Psiquiatr Salud Ment. 2011 Jan;4(1):28-37. doi: 10.1016/j.rpsm.2010.11.005. Epub 2011 Mar 10.
Social cognition can be understood as "the mental operations underlying social interactions, which include the human ability to perceive the intentions and dispositions of others" (Brothers, 1990). Theory of mind, atributtional style, social perception are involved in social cognition. It is wellknown that social cognition is impaired in individuals with schizophrenia. Recent investigations for social cognition in schizophrenia has showed that there is a relationship among social cognition, neurocognition and psychosocial functioning. The purpose of this article is to provide a review of social cognition in schizophrenia focusing on the deficit in Theory of mind described by Frith and recent neuroimaging studies. In fact neuroimaging research has demonstrated specific brain regions consistently engaged during theory of mind tasks.We also present some of the instruments avalaible to evaluate social cognition and to review and improve the main intervention programs. Social cognition may be an important target for pharmacological and psychosocial treatments in the future.
社会认知可以被理解为“社交互动背后的心理运作,包括人类感知他人意图和倾向的能力”(Brothers,1990)。心理理论、归因风格和社会知觉都涉及社会认知。众所周知,精神分裂症患者的社会认知受损。最近对精神分裂症患者社会认知的研究表明,社会认知、神经认知和社会心理功能之间存在关系。本文的目的是综述精神分裂症的社会认知,重点介绍 Frith 描述的心理理论缺陷和最近的神经影像学研究。事实上,神经影像学研究已经证明了在心理理论任务中始终涉及到特定的大脑区域。我们还介绍了一些用于评估社会认知的工具,并回顾和改进了主要的干预方案。社会认知可能是未来药物和心理社会治疗的一个重要目标。