Three key questions to move towards a theoretical framework of visuospatial perspective taking.

What would a theory of visuospatial perspective taking (VSPT) look like? Here, ten researchers in the field, many with different theoretical viewpoints and empirical approaches, present their consensus on the three big questions we need to answer in order to bring this theory (or these theories) closer.

Differentiating Genetic Forms of Pontocerebellar Hypoplasia From Acquired Lesions Resembling Pontocerebellar Hypoplasia: Clinical, Neurodevelopmental, and Imaging Insight From 19 Extremely Premature Patients.

It is well established that extreme prematurity can be associated with cerebellar lesions potentially affecting the neurologic prognosis. One of the commonly observed lesions in these cases is pontocerebellar hypoplasia resulting from prematurity, which can pose challenges in distinguishing it from genetically caused pontocerebellar hypoplasia. This confusion leads to unacceptable and prolonged diagnostic ambiguity for families as well as difficulties in genetic counseling. Therefore, it is crucial to identify the clinical and neuroradiologic features allowing to differentiate between acquired and genetic forms of pontocerebellar hypoplasia in order to guide clinical practices and improve patient care. In this regard, we report in the present manuscript the clinical, developmental, and radiologic characteristics of 19 very premature children (gestational age <28 weeks, now aged 3-14 years) with cerebellar lesions and discuss the causal mechanisms. Our findings support the notion that a combination of specific clinical and radiologic criteria is essential in distinguishing between acquired and genetic forms of pontocerebellar hypoplasia.

Feeling without localizing: exploring tactile misperception in a patient with uncommon parietal left brain damage.

Introduction: We report a very unique clinical presentation of a patient who complained, after a left parietal brain damage, about feeling tactile stimulations on his right upper limb without being able to localize them. Methods: Using a single case study approach, we report three experiments relying on several custom-made tasks to explore the different levels of somatosensory information processing, ranging from somato-sensation to somato-representation. Results: Our results showed a preserved ability to localize tactile stimuli applied on the right upper limb when using pointing responses while the ability to localize was less efficient when having to name the stimulated part (akin Numbsense). When the stimuli were applied on more distal locations (i.e., on the hand and on fingers), the number of correct responses decreased significantly independently of the modality of response. Finally, when visually presented with a stimulus delivered on the hand of an examiner in synchrony with the stimulation on the hidden hand of the patient, responses were largely influenced by the visual information available. Altogether, the convergence of these different customized tasks revealed an absence of autotopagnosia for motor responses for the right upper limb, associated with altered abilities to discriminate stimulus applied on distal and restricted/closer zones in the hand. Discussion: The somato-representation of our patient seemed to significantly rely on visual information, leading to striking deficits to localize tactile stimuli when vision and somesthesic afferences are discordant. This case report offers a clinical illustration of pathological imbalance between vision and somesthesia. Implications of these troubles in somato-representation on higher cognitive level processes are discussed.

Learning from illusions: From perception studies to perspective-taking interventions.

Visual illusions have always fascinated people but they have often been confined to the field of entertainment. Although philosophers, psychologists and neuroscientists have used them to explore the bases of human perception and to teach about vision, these attractive tools have still remained largely underexploited. The goal of the present paper is to argue that visual illusions can also serve as a powerful medium to question our relation to the world and to others, as they demonstrate that we do not fully perceive reality and that each interpretation of the world may be equally sound. Further, specific 3D visual illusions, such as 3D ambiguous objects that give rise to two specific interpretations, enable the viewer to realize that their perception is tied to their viewing point, and that this may also apply to social cognition and interactions. Specifically, this low-level embodied experience should generalize to other levels and enhance the consideration of others' perspective independently of the type of representations. Therefore, the use of illusions in general, and 3D ambiguous objects in particular, constitutes an avenue for future interventions designed to increase our perspective-taking abilities and the pacification of social relations through mutual understanding, which is particularly relevant in the current era.

The social cognitive dimension of pantomime.

Pantomime production is commonly interpreted as reflecting tool-use-related cognitive processes. Yet, in everyday life, pantomime deserves a communication function and the exaggeration of amplitude found during pantomime compared to real tool use may reflect the individual's attempt to communicate the intended gesture. Therefore, the question arises about whether pantomime is a communicative behavior that is nevertheless supported only by non-social cognitive processes. We contribute to answering this question by using kinematic analyses. Participants performed the pantomime of using a saw or a hammer from visual presentation in three conditions: Free (no specific instructions), Self (focus on the real tool-use action), and Others (focus on the communicative dimension). Finally, they used the tool with the corresponding object (Actual condition). Participants' social cognition were assessed using gold standard questionnaires. Our results indicated that the manipulation of instructions had a minor effect on the exaggeration of amplitude during pantomime. We reported a link between the social cognition score and the amplitude in the Others condition for the hammer, which suggests that social cognitive processes could take part in pantomime production in some conditions. Nevertheless, this result does not alter our conclusion that social cognitive processes might be far from necessary for pantomime production.

Paroxysmal Tonic Upgaze in a Patient With Congenital Ataxia due to a De Novo Missense Variant of CACNA1G.

BACKGROUND: Paroxysmal tonic upgaze (PTU), defined as an involuntary upward movement of the eyes, has been considered as a benign phenomenon but may also be associated with ataxia and developmental delay. To date, CACNA1G mutations have been reported in autosomal dominant spinocerebellar ataxia designated SCA42 and in early encephalopathies with cerebellar atrophy but never in periodic childhood manifestations of PTU type. METHODS AND RESULTS: We report the case of a two-month-old infant with a de novo pathogenic variation of CACNA1G who presented with PTU associated with congenital ataxia and other periodic neurological manifestations. CONCLUSIONS: Although the link between CACNA1G mutations and periodic neurological manifestations remains unclear, we provide detailed video documentations of PTU, paroxysmal torticollis, and ataxia in a patient with a CACNA1G mutation. This case allows a better understanding of the underlying mechanisms of PTU and suggests potential new avenues for clinical treatments.

Object coding in peripersonal space depends on object ownership.

Previous studies have shown that objects located in the peripersonal space (PPS) receive enhanced attention, as compared with extrapersonal space (EPS), However, most objects in the environment belong to someone in particular and how object ownership influences object coding in relation to PPS representation is still unclear. In the present study, after having chosen their own mug, participants performed a reachability judgement task of self-owned and other-owned mugs presented at different distances while facing a virtual character. This task was followed, on each trial, by a localisation task in which participants had to indicate where the mug, removed from view, was previously located. The two tasks were separated by a 900-ms visual mask during which the virtual character was unnoticeably shifted by 3° to evaluate the spatial frame-of-reference used. The results showed that self-owned mugs were processed faster than other-owned mugs, but only when located in the PPS. Furthermore, reachability judgements were biased for self-owned mugs, leading to an extension of the PPS representation, especially for participants with a high score on the fantasy scale of Interpersonal Reactivity Index (IRI). Finally, the virtual character shift altered the localisation performance but only for the distant mugs, suggesting a progressive shift from egocentric to allocentric frame-of-reference when moving from the PPS to EPS, irrespective of object ownership. Overall, our data reveal that the representations of ownership and PPS interact to facilitate the processing of manipulable objects, to an extent that depends on individual sensitivity to the social presence of others.

I'm looking through you: Mentalizing in frontotemporal dementia and progressive supranuclear palsy.

Mentalizing and emotion recognition are impaired in behavioral variant frontotemporal dementia (bvFTD). It is not clear whether these abilities are also disturbed in other conditions with prominent frontal lobe involvement, such as progressive supranuclear palsy (PSP). Our aim was to investigate social cognition (facial emotion recognition, recognition of social norms violation and mentalizing) in bvFTD and PSP. The neural basis of these functions in PSP and bvFTD groups, by analysis of structural neuroimaging, were also investigated. Twenty-three bvFTD patients, 21 PSP patients and 23 healthy controls were included. All participants underwent 3T brain MRI and a full cognitive exam including the short version of Social and Emotional Assessment (Mini-SEA), which is composed of a facial emotion recognition test (FERT) and the faux pas test. Two components of the faux pas test were distinguished: a score assessing the recognition of social norms violation and a score assessing mentalizing. Compared to controls, bvFTD and PSP patients had significantly reduced scores in all tests of social cognition but did not differ on these measures. PSP and bvFTD had cerebral atrophy in critical regions for social cognition processes, when compared to controls. The cortical correlates of emotion recognition partially overlapped in bvFTD and PSP, with correlations retrieved within the frontal medial cortex, cingulate, insula and limbic structures. PSP and bvFTD patients also displayed similar patterns of brain correlations for the composite score of social norms, with a significant cluster in anterior temporal lobes. Mentalizing scores were associated with frontal and temporal poles bilaterally, in both bvFTD and PSP. These findings support previous observations that PSP patients exhibit impairment in complex cognitive abilities, such as mentalizing. Moreover, these data extend previous findings showing that PSP and bvFTD share key clinical, cognitive and neuroimaging features.

Does culture shape our understanding of others' thoughts and emotions? An investigation across 12 countries.

Measures of social cognition have now become central in neuropsychology, being essential for early and differential diagnoses, follow-up, and rehabilitation in a wide range of conditions. With the scientific world becoming increasingly interconnected, international neuropsychological and medical collaborations are burgeoning to tackle the global challenges that are mental health conditions. These initiatives commonly merge data across a diversity of populations and countries, while ignoring their specificity. OBJECTIVE: In this context, we aimed to estimate the influence of participants' nationality on social cognition evaluation. This issue is of particular importance as most cognitive tasks are developed in highly specific contexts, not representative of that encountered by the world's population. METHOD: Through a large international study across 18 sites, neuropsychologists assessed core aspects of social cognition in 587 participants from 12 countries using traditional and widely used tasks. RESULTS: Age, gender, and education were found to impact measures of mentalizing and emotion recognition. After controlling for these factors, differences between countries accounted for more than 20% of the variance on both measures. Importantly, it was possible to isolate participants' nationality from potential translation issues, which classically constitute a major limitation. CONCLUSIONS: Overall, these findings highlight the need for important methodological shifts to better represent social cognition in both fundamental research and clinical practice, especially within emerging international networks and consortia. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Social cognition in neuropsychology: A nationwide survey revealing current representations and practices.

As a key domain of cognition, social cognition abilities are altered in a wide range of clinical groups. Accordingly, many clinical tests and theories of social cognition have been developed these last decades. Contrasting this abundant development from a research perspective, recent evidence suggests that social cognition remains rarely addressed from a clinial perspective. The aim of the present research was to characterize the current practices, representations, and needs linked to social cognition from the perspective of professional neuropsychologists and graduate students. A nationwide survey allowed us to determine the classical field conception of social cognition and its associated symptoms or notions. It also allowed us to quantify practice activities and the use of the different clinical tools available. This study revealed that neuropsychologists lack confidence regarding social cognition assessment and its rehabilitation, and that students are in demand for more knowledge and training. Suggestions of change in practices and dissemination of knowledge are discussed. Considering the importance of social cognition, an extension of initial and continuous training alongside an enrichment of interactions between researchers and clinicians were key recommendations to formulate, as well as the need for a consensual lexicon of current concepts.

Interoception and social cognition in chronic low back pain: a common inference disturbance? An exploratory study.

Aim: Lower interoceptive abilities are a characteristic of chronic pain conditions. Social support plays an important role in chronic low back pain (cLBP) but social cognitive skills have rarely been investigated. This study aimed to characterize interoceptive and social cognitive abilities in cLBP and to study the relationship between both domains that have been brought closer together by brain predictive coding models. Materials & methods: Twenty-eight patients with cLBP and 74 matched controls were included. Interoceptive accuracy (Heart Beat Perception Task), sensibility/awareness (Multidimensional Assessment of Interoceptive Awareness) and mental-states inference abilities (Mini-Social Cognition and Emotional Assessment) were assessed. Results: cLBP Patients had lower interoceptive accuracy and mentalizing performance. Conclusion: Less efficient interoceptive accuracy and mentalizing abilities were found in cLBP patients without correlation between these performances.

Interoception, allowing to perceive body sensations such as heartbeats, has been reported to be decreased in chronic pain. This ability has been recently related to social cognition, because we need inferential mechanisms to decode others' emotions or our own sensations. The link between interoception and social cognition in chronic pain, however, is unknown. We aimed to study key interoceptive & social abilities in 28 participants with chronic low back pain and 74 control participants. Participants with chronic low back pain had lower performance in some interoceptive and social cognitive dimensions, but performances in these domains were unrelated. Interoception should be a target for therapeutic interventions.

Does nonviolent communication education improve empathy in French medical students?

OBJECTIVES: To evaluate the impact of nonviolent communication (NVC) training on five aspects of medical students' empathy skills using implicit and explicit measures. METHODS: 312 third-year French medical students were randomly allocated to an intervention group (n = 123) or a control group (n = 189). The intervention group received 2.5 days of NVC training. For each group, empathy-related skills were measured implicitly using three cognitive tests (Visuo-Spatial Perspective Taking, Privileged Knowledge, Empathy for Pain evaluation) and explicitly using two self-rating questionnaires (Jefferson Scale of Physician Empathy, Empathy Quotient). Both groups completed tests and questionnaires before (pre-test) and three months after training (post-test). Responses were collected via online software, and data were analyzed using paired linear mixed models and Bayes Factors. RESULTS: We found a significant increase in the Jefferson  Scale of Physician Empathy (JSPE) score between pre- and post-tests in the intervention group compared to the control group (linear mixed models: 0.95 points [0.17, 1.73], t(158) = 2.39, p < 0.05), and an expected gender effect whereby females had higher JSPE scores (1.57 points [0.72, 2.42], t(262) = -3.62, p < 0.001). There was no interaction between these two factors. CONCLUSIONS: Our results show that brief training in nonviolent communication improves subjective empathy three months after training. These results are promising for the long-term effectiveness of NVC training on medical students' empathy and call for the introduction of NVC training in medical school. Further studies should investigate whether longer training will produce larger and longer-lasting benefits.

Sympathy for the underdog: people are inclined to adopt the emotional perspective of powerless (versus powerful) others.

Upon learning of the story of Cinderella, most people spontaneously adopt the emotional perspective of this helpless young woman rather than of her older sisters who oppress her. The present research examines whether this pattern reveals a general human tendency to empathise more with the emotions of individuals with low (versus high) power. Six experiments (N = 878) examined how power influences the focus of people's emotional attributions. Participants were presented with situations in which one character exercised power over another one and had to resolve a referential ambiguity by considering the perspective of one or the other character. Results show that participants largely privileged the emotional states of the low-power character over those of the high-power character. This effect was observed with different types of stimuli (comics and video clips), with high- and low-power roles attributed to pairs of different genders (Experiments 1-4) or same gender (Experiments 5-6). Finally, the tendency persisted - though it was reduced - when participants adopted a less passive role with respect to the characters (Experiment 3) and when power occurred in a less despotic way (Experiment 6). Results are discussed with respect to social attention and sensitivity to fairness.

Wearing a face mask against Covid-19 results in a reduction of social distancing.

In the context of the Covid-19 pandemic, barrier gestures such as regular hand-washing, social distancing, and wearing a face mask are highly recommended. Critically, interpersonal distance (IPD) depends on the affective dimension of social interaction, which might be affected by the current Covid-19 context. In the present internet-based experimental study, we analyzed the preferred IPD of 457 French participants when facing human-like characters that were either wearing a face mask or displaying a neutral, happy or angry facial expression. Results showed that IPD was significantly reduced when characters were wearing a face mask, as they were perceived as more trustworthy compared to the other conditions. Importantly, IPD was even more reduced in participants infected with Covid-19 or living in low-risk areas, while it was not affected by the predicted health of the characters. These findings shed further light on the psychological factors that motivate IPD adjustments, in particular when facing a collective threat. They are also of crucial importance for policy makers as they reveal that despite the indisputable value of wearing a face mask in the current pandemic context, their use should be accompanied by an emphasis on social distancing to prevent detrimental health consequences.

Take a Seat and Get Into Its Shoes! When Humans Spontaneously Represent Visual Scenes From the Point of View of Inanimate Objects.

Human description of the surrounding world may spontaneously rely on others' perspective, which is a crucial component of social cognition. In five studies, participants were asked to describe the spatial relations between objects in visual scenes including, or not, other agents. In Experiment 1, a substantial proportion of participants used an other-centered perspective in the presence of another agent, replicating classical findings. To our own surprise, we also observed that an even greater number of participants used an other-centered perspective when the human agent was replaced by an armchair. In order to explore this phenomenon, Experiments 2 to 5 compared the respective strength of chair-centered and agent-centered perspectives and/or set them into conflict. A significant proportion of participants spontaneously took the seat's perspective even when it may not be sat on (Experiments 3 and 4) and even when the seat was not referred to (Experiments 4 and 5). Altogether, these findings suggest that perspective taking may spontaneously apply to inanimate objects. These results question whether such tendencies originate from social cognitive skills-as classically assumed-or reveal a nonsocial phenomenon. Future works should specifically test the widely assumed social nature of spontaneous perspective-taking.

What Do Theory-of-Mind Tasks Actually Measure? Theory and Practice.

In recent decades, the ability to represent others' mental states (i.e., theory of mind) has gained particular attention in various disciplines ranging from ethology to cognitive neuroscience. Despite the exponentially growing interest, the functional architecture of social cognition is still unclear. In the present review, we argue that not only the vocabulary but also most of the classic measures for theory of mind lack specificity. We examined classic tests used to assess theory of mind and noted that the majority of them do not require the participant to represent another's mental state or, sometimes, any mental state at all. Our review reveals that numerous classic tests measure lower-level processes that do not directly test for theory of mind. We propose that more attention should be paid to methods used in this field of social cognition to improve the understanding of underlying concepts.

The Role of the Temporoparietal Junction in Self-Other Distinction.

Being able to discriminate between what originates from ourselves and what originates from others is critical for efficient interactions with our social environment. However, it remains an open question whether self-other distinction is a domain-general mechanism that is involved in various social-cognitive functions or whether specific 'self-other distinction mechanisms' exist for each of these functions. On the neural level, there is evidence that self-other distinction is related to a specific brain region at the border of the superior temporal and inferior parietal cortex, the temporoparietal junction (TPJ). Demonstrating that the TPJ plays a role in social processes that require self-other distinction would support the idea of a domain-general mechanism of self-other distinction. In the present paper, we review evidence coming from clinical observations, neuroimaging experiments and a meta-analysis indicating the involvement of the TPJ in various cognitive operations requiring self-other distinction. At the perceptual level, we discuss the human ability to identify one's own body and to distinguish it from others. At the action level, we review research on the human ability to experience agency and the control of imitative response tendencies. Finally, at the mental-state level, we discuss the ability to attribute mental states to others. Based on this integrative review, we suggest that the TPJ, and in particular its dorsal part, supports a domain general ability to enhance task-relevant representations when self-related and other-related representations are in conflict. Finally, this conception allows us to propose a unifying architecture for the emergence of numerous socio-cognitive abilities.

Pupils say more than a thousand words: Pupil size reflects how observed actions are interpreted.

Humans attend to others' facial expressions and body language to better understand their emotions and predict goals and intentions. The eyes and its pupils reveal important social information. Because pupil size is beyond voluntary control yet reflective of a range of cognitive and affective processes, pupils in principal have the potential to convey whether others' actions are interpreted correctly or not. Here, we measured pupil size while participants observed video-clips showing reach-to-grasp arm movements. Expressors in the video-clips were playing a board game and moved a dowel to a new position. Participants' task was to decide whether the dowel was repositioned with the intention to be followed up by another move of the same expressor (personal intention) or whether the arm movement carried the implicit message that expressor's turn was over (social intention). Replicating earlier findings, results showed that participants recognized expressors' intentions on the basis of their arm kinematics. Results further showed that participants' pupil size was larger when observing actions reflecting personal compared to social intentions. Most interestingly, before participants indicated how they interpreted the observed actions by choosing to press one of two keys (corresponding to the personal or social intention), their pupils within a split second, had already given away how they interpreted the expressor's movement. In sum, this study underscores the importance of nonverbal behavior in helping social messages get across quickly. Revealing how actions are interpreted, pupils may provide additional feedback for effective social interactions.

Idiosyncratic representation of peripersonal space depends on the success of one's own motor actions, but also the successful actions of others!

Peripersonal space is a multisensory representation of the environment around the body in relation to the motor system, underlying the interactions with the physical and social world. Although changing body properties and social context have been shown to alter the functional processing of space, little is known about how changing the value of objects influences the representation of peripersonal space. In two experiments, we tested the effect of modifying the spatial distribution of reward-yielding targets on manual reaching actions and peripersonal space representation. Before and after performing a target-selection task consisting of manually selecting a set of targets on a touch-screen table, participants performed a two-alternative forced-choice reachability-judgment task. In the target-selection task, half of the targets were associated with a reward (change of colour from grey to green, providing 1 point), the other half being associated with no reward (change of colour from grey to red, providing no point). In Experiment 1, the target-selection task was performed individually with the aim of maximizing the point count, and the distribution of the reward-yielding targets was either 50%, 25% or 75% in the proximal and distal spaces. In Experiment 2, the target-selection task was performed in a social context involving cooperation between two participants to maximize the point count, and the distribution of the reward-yielding targets was 50% in the proximal and distal spaces. Results showed that changing the distribution of the reward-yielding targets or introducing the social context modified concurrently the amplitude of self-generated manual reaching actions and the representation of peripersonal space. Moreover, a decrease of the amplitude of manual reaching actions caused a reduction of peripersonal space when resulting from the distribution of reward-yielding targets, while this effect was not observed in a social interaction context. In that case, the decreased amplitude of manual reaching actions was accompanied by an increase of peripersonal space representation, which was not due to the mere presence of a confederate (control experiment). We conclude that reward-dependent modulation of objects values in the environment modifies the representation of peripersonal space, when resulting from either self-generated motor actions or observation of motor actions performed by a confederate.