Microstate analysis reveals the temporal alignment of mirroring and mentalizing systems.

The aim of the study is to understand how Mirror Neuron System (MNS) and Mentalizing Network (MZN) interact with each other. EEG data was collected during a photo judgment task with pictures of actions or facial expressions. Participants (N = 30, 63% women) were asked to either identify how the shown action/expression was being performed (MNS) or what the goal or intention behind the action was (MZN). Data were analyzed using microstate analysis, source localization and Event-Related Potentials. When comparing the action types, we found early divergence between the brain states of MNS and MZN when comparing the same action type. There was temporal alignment between the start and end time of the induced microstates, among the same action type. Between different action types, the timing was slightly shifted. Temporally, there was a greater overlap between the timing of the states between networks within the same action type as compared to within networks across action types. The MNS and MZN are acting in parallel rather then subsequently and possibly feed into each other. Furthermore, the MNS and MZN do not specifically react to one action type over the other, but their activity is influenced by the action type.

Autistic and schizotypal traits exhibit similarities in their impact on mentalization and adult attachment impairments: a cross-sectional study.

BACKGROUND: Deficits in mentalizing and attachment occur in the autism and schizophrenia spectrum, and their extended traits in the general population. Parental attachment and the broader social environment highly influence the development of mentalizing. Given the similarities in the symptomatology and neurodevelopmental correlates of autism spectrum disorder (ASD) and schizophrenia (SCH), it is crucial to identify their overlaps and differences to support screening, differential diagnosis, and intervention. METHODS: This cross-sectional study utilized questionnaire data from 2203 adults (65.1% female, mean age[SD] = 37.98[9.66]), including participants diagnosed with ASD, SCH, and those exhibiting subclinical traits to investigate the associations between mentalizing, attachment, and perceived social support during adolescence across the autistic and schizotypy spectrum. RESULTS: It was revealed that both autistic and schizotypal traits have comparable effects on insecure adult attachment, primarily through challenges in mentalizing. The impact of mentalizing deficits on adult attachment slightly varies between autistic and schizotypal traits. Conversely, perceived social support during adolescence relates to improved mentalizing and secure adult attachment as a protective factor during development. CONCLUSIONS: These outcomes highlight the significance of supportive therapeutic relationships and community care while suggesting directions for further research and collaborative treatments addressing ASD and SCH, considering the differential impact of mentalizing on adult attachment.

Beyond beauty: Does visual art facilitate social cognitive skills?

Engaging with art can move individuals through a myriad of emotions, provoke reflective thoughts, and lead to new ideas. Could art also influence interpersonal outcomes pertaining to the ways we interact with others and navigate the social world, that is, our suite of social cognitive skills? Here, we focus on visual art to explore the effect of art engagement on personal aesthetic experience and social cognitive skills. Across two studies, using veridical paintings and matched non-art photos, we examined the effect of art engagement on emotional (e.g., awe, being moved) and eudaimonic experiences (e.g., reflective thoughts), as well as social cognitive skills pertaining to Theory of Mind (ToM) and recognition of other's emotions. Further, we varied the depth with which participants engaged with the experiences of the characters in the artworks, to assess whether deep social information processing could boost the effect of art engagement on social cognitive skills. Our findings showed that art engagement altered personal aesthetic experience through changes in emotional and eudaimonic outcomes. However, we did not find any support for the effect of art engagement on social cognitive skills: Neither engaging with art, nor art in combination with deep social information processing, influenced performance on social cognitive skills of ToM and emotion recognition. The effect of art engagement on personal aesthetic experience and the absence of effect on social cognitive skills highlight the nuanced nature of individuals' interactions with art. We discuss these results considering the varied ways of engagement with different artforms and in relation to different operationalizations of social cognitive skills.

Diversity in perceptual, social, and executive functions in preschoolers from Germany and Iran.

The cultural background and age shape the cognitive and social development of children. This study aimed to compare perceptual, executive, and social functioning in two age groups of preschoolers from Germany and Iran. One hundred sixty-five children (83 Iranian and 82 German) participated in the study, with 87 children aged three years and 78 children aged four years. The participants completed a series of tasks to assess different cognitive functions, including the theory of mind as a measure of social cognition, picture mental rotation test to evaluate spatial ability, and several tests including digit span, Corsi block tapping, day-night, grass-snow, dimensional change card sort, and active and passive vocabulary tests to assess executive functions. The findings revealed that German children performed better than their Iranian peers regarding spatial ability and theory of mind. Additionally, German children outperformed Iranian children in working memory, cognitive flexibility, and verbal fluency, while Iranian children demonstrated better inhibitory control. Furthermore, the correlational analysis indicated that in German children, executive function correlated with the theory of mind, whereas in Iranian children, executive function was associated with perceptual functions. Age impacted the results. These results highlight the role of cultural factors in shaping cognitive functioning and emphasize the need to consider cultural influences when examining cognitive development in different populations.

Neural correlates of preschoolers' passive-viewing false belief: Insights into continuity and change and the function of right temporoparietal activity in theory of mind development.

Behavioral research demonstrates a critical transition in preschooler's mental-state understanding (i.e., theory of mind; ToM), revealed most starkly in performance on tasks about a character's false belief (e.g., about an object's location). Questions remain regarding the neural and cognitive processes differentiating children who pass versus fail behavioral false-belief tasks and the extent to which there is continuity versus change in the ToM neural network. To address these questions, we analyzed event-related spectral power in the electroencephalogram (EEG) to investigate how preschoolers' neural activity during passive viewing of false-belief scenarios related to their explicit behavioral ToM performance. We found that neural activity during passive viewing of false-belief events (6-9 Hz EEG 'alpha' suppression in right temporoparietal [RTP] electrodes) strongly related to children's explicit ToM. However, children's RTP alpha suppression differed depending on their explicit behavioral ToM performance: Children who did better on a broad battery of standard ToM tasks and who passed explicit behavioral false-belief tasks showed greater RTP alpha suppression when the character's belief first became false (during the 'location-change' event); whereas children who did worse on the ToM battery and who failed explicit behavioral false-belief tasks showed greater RTP alpha suppression only later when they could evaluate the character's behavior in the context of prior events (during the 'active-search' event). Findings shed light on what differentiates preschoolers who pass versus fail explicit false-belief tasks and raise questions about how to interpret existing neuroscience data from ToM tasks across infancy to adulthood. RESEARCH HIGHLIGHTS: Preschool children's neural activity (EEG 6-9 Hz suppression in right temporoparietal [RTP] electrodes) during passive-viewing of false-belief events was related to their explicit behavioral theory-of-mind performance. Children who did better on a theory-of-mind (ToM) battery and passed explicit false-belief tasks showed greater RTP alpha suppression when the character's belief first became false. Children who performed worse on the ToM battery and failed explicit false-belief tasks showed greater RTP alpha suppression later when observing the character's search behavior. Findings reveal change in preschoolers' ToM neural correlates and suggest that the presence of RTP activity does not necessarily indicate 'mature' theory of mind.

Evaluating large language models in theory of mind tasks.

Eleven large language models (LLMs) were assessed using 40 bespoke false-belief tasks, considered a gold standard in testing theory of mind (ToM) in humans. Each task included a false-belief scenario, three closely matched true-belief control scenarios, and the reversed versions of all four. An LLM had to solve all eight scenarios to solve a single task. Older models solved no tasks; Generative Pre-trained Transformer (GPT)-3-davinci-003 (from November 2022) and ChatGPT-3.5-turbo (from March 2023) solved 20% of the tasks; ChatGPT-4 (from June 2023) solved 75% of the tasks, matching the performance of 6-y-old children observed in past studies. We explore the potential interpretation of these results, including the intriguing possibility that ToM-like ability, previously considered unique to humans, may have emerged as an unintended by-product of LLMs' improving language skills. Regardless of how we interpret these outcomes, they signify the advent of more powerful and socially skilled AI-with profound positive and negative implications.

Dissecting neural correlates of theory of mind and executive functions in behavioral variant frontotemporal dementia.

Behavioral variant frontotemporal dementia (bvFTD) is characterized by profound and early deficits in social cognition (SC) and executive functions (EF). To date it remains unclear whether deficits of the respective cognitive domains are based on the degeneration of distinct brain regions. In 103 patients with a diagnosis of bvFTD (possible/probable/definite: N = 40/58/5) from the frontotemporal lobar degeneration (FTLD) consortium Germany cohort (age 62.5±9.4 years, gender 38 female/65 male) we applied multimodal structural imaging, i.e. voxel-based morphometry, cortical thickness (CTH) and networks of structural covariance via source based morphometry. We cross-sectionally investigated associations with performance in a modified Reading the Mind in the Eyes Test (RMET; reflective of theory of mind - ToM) and five different tests reflective of EF (i.e. Hamasch-Five-Point Test, semantic and phonemic Fluency, Trail Making Test, Stroop interference). Finally, we investigated the conjunction of RMET correlates with functional networks commonly associated with SC respectively ToM and EF as extracted meta-analytically within the Neurosynth database. RMET performance was mainly associated with gray matter volume (GMV) and CTH within temporal and insular cortical regions and less within the prefrontal cortex (PFC), whereas EF performance was mainly associated with prefrontal regions (GMV and CTH). Overlap of RMET and EF associations was primarily located within the insula, adjacent subcortical structures (i.e. putamen) and the dorsolateral PFC (dlPFC). These patterns were more pronounced after adjustment for the respective other cognitive domain. Corroborative results were obtained in analyses of structural covariance networks. Overlap of RMET with meta-analytically extracted functional networks commonly associated with SC, ToM and EF was again primarily located within the temporal and insular region and the dlPFC. In addition, on a meta-analytical level, strong associations were found for temporal cortical RMET correlates with SC and ToM in particular. These data indicate a temporo-frontal dissociation of bvFTD related disturbances of ToM and EF, with atrophy of the anterior temporal lobe being critically involved in ToM deficits. The consistent overlap within the insular cortex may be attributable to the multimodal and integrative role of this region in socioemotional and cognitive processing.

Characterization of the temporal stability of ToM and pain functional brain networks carry distinct developmental signatures during naturalistic viewing.

A temporally stable functional brain network pattern among coordinated brain regions is fundamental to stimulus selectivity and functional specificity during the critical period of brain development. Brain networks that are recruited in time to process internal states of others' bodies (like hunger and pain) versus internal mental states (like beliefs, desires, and emotions) of others' minds allow us to ask whether a quantitative characterization of the stability of these networks carries meaning during early development and constrain cognition in a specific way. Previous research provides critical insight into the early development of the theory-of-mind (ToM) network and its segregation from the Pain network throughout normal development using functional connectivity. However, a quantitative characterization of the temporal stability of ToM networks from early childhood to adulthood remains unexplored. In this work, reusing a large sample of children (n = 122, 3-12 years) and adults (n = 33) dataset that is available on the OpenfMRI database under the accession number ds000228, we addressed this question based on their fMRI data during a short and engaging naturalistic movie-watching task. The movie highlights the characters' bodily sensations (often pain) and mental states (beliefs, desires, emotions), and is a feasible experiment for young children. Our results tracked the change in temporal stability using an unsupervised characterization of ToM and Pain networks DFC patterns using Angular and Mahalanobis distances between dominant dynamic functional connectivity subspaces. Our findings reveal that both ToM and Pain networks exhibit lower temporal stability as early as 3-years and gradually stabilize by 5-years, which continues till adolescence and late adulthood (often sharing similarity with adult DFC stability patterns). Furthermore, we find that the temporal stability of ToM brain networks is associated with the performance of participants in the false belief task to access mentalization at an early age. Interestingly, higher temporal stability is associated with the pass group, and similarly, moderate and low temporal stability are associated with the inconsistent group and the fail group. Our findings open an avenue for applying the temporal stability of large-scale functional brain networks during cortical development to act as a biomarker for multiple developmental disorders concerning impairment and discontinuity in the neural basis of social cognition.

Action expectancy modulates activity in the mirror neuron system and mentalizing system.

Action understanding involves two distinct processing levels that engage separate neural mechanisms: perception of concrete kinematic information and recognition of abstract action intentions. The mirror neuron system and the mentalizing system have both been linked to concrete action and abstract information processing, but their specific roles remain debatable. Here, we conducted a functional magnetic resonance imaging study with 26 participants who passively observed expected and unexpected actions. We performed whole-brain activation, region of interest, and effective connectivity analyses to investigate the neural correlates of these actions. Whole-brain activation analyses revealed that expected actions were associated with increased activation in the left medial superior frontal gyrus, while unexpected actions were linked to heightened activity in the left supramarginal gyrus, left superior parietal lobule, right inferior temporal gyrus, and left middle frontal gyrus. Region of interest analyses demonstrated that the left ventral premotor cortex exhibited greater activation during the observation of expected actions compared to unexpected actions, while the left inferior frontal gyrus, left superior parietal lobule, and left precuneus showed stronger activation during the observation of unexpected actions. Effective connectivity was observed between the left ventral premotor cortex and the left angular gyrus, left intraparietal sulcus, left dorsal premotor cortex, and left ventromedial prefrontal cortex with the middle frontal gyrus when observing unexpected, but not expected, actions. These findings suggest that expected actions are primarily processed by the mirror neuron system, whereas unexpected actions engage both the mirror neuron system and the mentalizing system, with these systems playing complementary roles in the understanding of unexpected actions.

Executive functions and theory of mind associations in middle childhood: Does social interaction act as a mediator?

This study explored the interplay of executive functions (EFs), social interactions, and theory of mind (ToM) in middle childhood. The first aim was to examine how specific EFs-shifting, inhibition, and working memory (WM)-predict social-perceptual and social-cognitive ToM. The second aim was to explore the potential mediating role of social interactions in the EF-ToM relationship. A total of 98 children aged 8 to 11 years completed three computerized EF tasks (task switching, flanker, and running span) and two ToM tasks (Strange Stories and Reading the Mind in the Eyes). The quality and quantity of social interactions were self-reported by using questionnaires. First, multiple regression analyses with age-adjusted scores examined how specific EFs predict ToM scores. The regression model was significant for social-cognitive ToM, but not for social-perceptual ToM. WM accuracy was the only significant, positive predictor for performance on the Strange Stories task. Second, mediation analyses assessed whether social interactions mediate this EF-ToM relationship. There were no significant mediation effects of the quality and quantity of social interactions on the relationship between WM and social-cognitive ToM. In conclusion, EFs play a significant role in explaining social-cognitive ToM variability in middle childhood. WM is relevant for understanding others' mental states, in contrast to shifting and inhibition that lacked predictive value. The results also suggest different cognitive processes associated with social-perceptual versus social-cognitive ToM in this developmental stage.

A Primer on Human Birth Theory.

In the 1970s Massimo Fagioli (1931-2017) proposed a new theory of mind that he called the Human Birth Theory, based on a healthy conception of the baby and of the nonconscious mind. Fagioli made significant contributions to the understanding of mental dynamics at birth, the pathophysiology of mental illness, and the nonconscious identity of psychiatrists and psychotherapists. His original contributions to psychodynamic psychotherapy included variations on the setting and understanding of transference and dream interpretations that deviated from classical psychoanalytic techniques. This article introduces the basic tenets of Human Birth Theory, its neuropsychiatric correlates, and clinical applications.

Resting-state EEG microstates predict mentalizing ability as assessed by the Reading the Mind in the Eyes test.

Microstates analysis of electroencephalography (EEG) has gained increasing attention among researchers and clinicians as a valid tool for investigating temporal dynamics of large-scale brain networks with a millisecond time resolution. Although microstates analysis has been widely applied to elucidate the neurophysiological basis of various cognitive functions in both clinical and non-clinical samples, its application in relation to socio-affective processing has been relatively under-researched. Therefore, the main aim of the current study was to investigate the relationship between EEG microstates and mentalizing (i.e., the ability to understand the mental states of others). Eighty-two participants (thirty-six men; mean age: 24.28 ± 7.35 years; mean years of education: 15.82 ± 1.77) underwent a resting-state EEG recording and performed the Reading the Mind in the Eyes Test (RMET). The parameters of the microstates were then calculated using Cartool v. 4.09 software. Our results showed that the occurrence of microstate map C was independently and positively associated with the RMET total score and contributed to the prediction of mentalizing performance, even when controlling for potential confounding variables (i.e., age, sex, education level, tobacco and alcohol use). Since microstate C is involved in self-related processes, our findings may reflect the link between self-awareness of one's own thoughts/feelings and the enhanced ability to recognize the mental states of others at the neurophysiological level. This finding extends the functions traditionally attributed to microstate C, i.e. mind-wandering, self-related thoughts, prosociality, and emotional and interoceptive processing, to include mentalizing ability.

Linking the inner and outer mental representations of the body to social cognition skills: A systematic review and meta-analysis.

An interesting interpretation of embodiment highlights the critical role of mental body representations (BR), including motor, somatosensory, and interoceptive formats, for social cognition. However, the nature of this relationship is still debated at the empirical level, with various studies arriving at different conclusions. Here, we present a systematic review and meta-analysis aimed to summarize data from 3466 participants in 21 studies to provide a more comprehensive understanding of the relationship between inner and outer BR and social cognition. We focused on two core social cognition aspects: empathy and Theory of Mind (ToM). Concerning the inner BR, our meta-analytic findings reveal a significant correlation between specific interoceptive dimensions (i.e., interoceptive sensibility and accuracy) and social cognition, which was stronger for empathy than ToM. Conversely, although further research is needed, functional BR that mainly involve the outer body processing (i.e., nonaction-oriented BR) may show positive links with ToM. These findings point to specific interactions between BR and social cognition skills, supporting multi-faceted and embodied social cognition models. However, we also identified critical knowledge gaps and highlighted the need for further investigation to deepen our theoretical understanding of these relationships and their implications for clinical practice.

Inhibitory Control Partially Mediates the Relationship between Metalinguistic Awareness and Perspective-Taking.

Increased metalinguistic awareness (MLA) has been associated with improved performance in tasks of theory of mind; researchers have proposed that individuals with increased MLA, such as bilinguals, rely on metalinguistic skills when completing tasks that require taking other people's perspective into account compared to other individuals who mostly rely on general executive control to complete the same tasks. MLA would, therefore, act as a less effortful path to understanding other perspectives, especially when they differ from one's own. However, the evidence underlying this claim is scant and largely limited to children's theoretical frameworks. In this study, we investigated whether individual differences in MLA predict perspective-taking Theory of Mind above and beyond inhibitory control in a sample of diverse adults across a wide range of linguistic, socioeconomic, and cognitive factors. Bootstrapped mediation analyses revealed that inhibitory control partially, but not fully, mediated the relationship between MLA and perspective-taking. In addition, when differences in language, education and culture were controlled for, the effects of both MLA and inhibitory control were reduced. Overall, the findings emphasize the need to consider multivariate approaches towards understanding the mechanisms underlying theory of mind.

The link between anxiety and theory of mind in children: A meta-analysis.

BACKGROUND: The ability to reason about someone else's mental states, an ability known as theory of mind, is essential to help children navigate social life. However, not all children are socially skilled. Given socialisation is key for healthy development in children, finding what might exacerbate these difficulties is important. Emerging research suggests a potential link between anxiety and theory of mind abilities in children. This meta-analysis aims to characterise that link. METHOD: Four electronic databases were systematically searched to identify relevant studies. Search terms included variations of terms for theory of mind, anxiety, and children. Studies were screened with inclusion and exclusion criteria for eligibility and identified papers were appraised on quality. RESULTS: The search returned 3674 papers of which 20 were included in the analysis. These included a total of 3110 participants, aged 4-19. Overall, it was found that anxiety had a negative relationship with theory of mind and this appeared to be more pronounced in theory of mind processes related to affective states. There were no differences in the negative relationship between subtypes of anxiety or between studies with autistic and neurotypical children. CONCLUSION: The findings suggest that anxious children may have difficulties using theory of mind abilities. Heterogeneity was substantial in the data, which limits the confidence in conclusions. Quality appraisal identified that the quality of theory of mind and anxiety measures varied between studies.

Social Cognition in Parkinson's Disease after Focused Ultrasound Subthalamotomy: A Controlled Study.

Social cognition (SC) encompasses a set of cognitive functions that enable individuals to understand and respond appropriately to social interactions. Although focused ultrasound subthalamotomy (FUS-STN) effectively treats Parkinson's disease (PD) clinical motor features, its impact and safety on cognitive-behavioral interactions/interpersonal awareness are unknown. This study investigated the effects of unilateral FUS-STN on facial emotion recognition (FER) and affective and cognitive theory of mind (ToM) in PD patients from a randomized sham-controlled trial (NCT03454425). Subjects performed SC evaluation before and 4 months after the procedure while still under blind assessment conditions. The SC assessment included the Karolinska Directed Emotional Faces task for FER, the Reading the Mind in the Eyes (RME) test for affective ToM, and The Theory of Mind Picture Stories Task (ToM PST) (order, questions, and total score) for cognitive ToM. The active treatment group showed anecdotal-to-moderate evidence of no worsening in SC after FUS-STN. Anecdotal evidence for an improvement was recognized in the SC score changes, from baseline to post-treatment, for the active treatment group compared with sham for the RME, ToM PST order, ToM PST total, FER total, and recognition of fear, disgust, and anger. This study provides the first evidence that unilateral FUS-STN does not impair social cognitive abilities, indicating that it can be considered a safe treatment approach for this domain in PD patients. Furthermore, the results suggest FUS-STN may even lead to some improvement in social cognitive outcomes, which should be considered as a preliminary finding requiring further investigation with larger samples sizes. © 2024 International Parkinson and Movement Disorder Society.

Poorer representation of minds underpins less accurate mental state inference for out-groups.

Societies are becoming more polarised, driven in part by misconceptions about out-groups' beliefs. To understand these effects, one must examine the cognitive processes underlying how people think about others. Here, we investigate whether people are less prone to theorise about the minds of out-groups, or less able to do so. Participants (Study 1: n = 128; Study 2: n = 128) made inferences about social and political beliefs held by real in-group and out-group members, and could choose to receive further information to improve these inferences. Results show: (1) participants sought equivalent or greater information about out-groups relative to in-groups; but despite this, (2) made significantly less accurate inferences for out-groups; and (3) were significantly less aware of their reduced ability. This shows that poorer mental state inference is not underpinned by a reduced propensity to consider out-group minds, but instead by a worse representation of the minds of out-groups.

Tracking politically motivated reasoning in the brain: the role of mentalizing, value-encoding, and error detection networks.

Susceptibility to misinformation and belief polarization often reflects people's tendency to incorporate information in a biased way. Despite the presence of competing theoretical models, the underlying neurocognitive mechanisms of motivated reasoning remain elusive as previous empirical work did not properly track the belief formation process. To address this problem, we employed a design that identifies motivated reasoning as directional deviations from a Bayesian benchmark of unbiased belief updating. We asked the members of a proimmigration or an anti-immigration group regarding the extent to which they endorse factual messages on foreign criminality, a polarizing political topic. Both groups exhibited a desirability bias by overendorsing attitude-consistent messages and underendorsing attitude-discrepant messages and an identity bias by overendorsing messages from in-group members and underendorsing messages from out-group members. In both groups, neural responses to the messages predicted subsequent expression of desirability and identity biases, suggesting a common neural basis of motivated reasoning across ideologically opposing groups. Specifically, brain regions implicated in encoding value, error detection, and mentalizing tracked the degree of desirability bias. Less extensive activation in the mentalizing network tracked the degree of identity bias. These findings illustrate the distinct neurocognitive architecture of desirability and identity biases and inform existing cognitive models of politically motivated reasoning.

Continuity in false belief understanding from 33 to 52 months of age.

Conceptual continuity in children's false belief understanding from toddlerhood to childhood was investigated in a longitudinal study of 75 children. Performance in a low-demands false belief task at 33 months of age was significantly correlated with performance in a content false belief task at 52 months independent of language ability and executive function. In contrast, there was no correlation with performance in a location false belief task, which differed from the "Sally-Anne" format of the low-demands task and was high in executive demands. These findings support the view that explicit false belief understanding may be continuous from toddlerhood to childhood and that developmental change may be characterized in terms of enrichment and increasing stability of core conceptual understanding rather than in terms of fundamental change.