Dissociable prefrontal networks for cognitive and affective theory of mind: a lesion study.

Abstract:

:The underlying mechanisms and neuroanatomical correlates of theory of mind (ToM), the ability to make inferences on others' mental states, remain largely unknown. While numerous studies have implicated the ventromedial (VM) frontal lobes in ToM, recent findings have questioned the role of the prefrontal cortex. We designed two novel tasks that examined the hypothesis that affective ToM processing is distinct from that related to cognitive ToM and depends in part on separate anatomical substrates. The performance of patients with localized lesions in the VM was compared to responses of patients with dorsolateral lesions, mixed prefrontal lesions, and posterior lesions and with healthy control subjects. While controls made fewer errors on affective as compared to cognitive ToM conditions in both tasks, patients with VM damage showed a different trend. Furthermore, while affective ToM was mostly impaired by VM damage, cognitive ToM was mostly impaired by extensive prefrontal damage, suggesting that cognitive and affective mentalizing abilities are partly dissociable. By introducing the concept of 'affective ToM' to the study of social cognition, these results offer new insights into the mediating role of the VM in the affective facets of social behavior that may underlie the behavioral disturbances observed in these patients.

journal_name

Neuropsychologia

journal_title

Neuropsychologia

authors

Shamay-Tsoory SG,Aharon-Peretz J

doi

10.1016/j.neuropsychologia.2007.05.021

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

3054-67

issue

13

eissn

0028-3932

issn

1873-3514

pii

S0028-3932(07)00208-4

journal_volume

45

pub_type

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