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A complete theory of psychosis and autism as diametric disorders of social brain must consider full range of clinical syndromes

Published online by Cambridge University Press:  26 June 2008

Katharine N. Thakkar
Affiliation:
Department of Psychology, Vanderbilt University, Nashville, TN 37240. katy.thakkar@vanderbilt.edu natasha.matthews@vanderbilt.edu sohee.park@vanderbilt.edu URL: http://www.psy.vanderbilt.edu/faculty/sohee/
Natasha Matthews
Affiliation:
Department of Psychology, Vanderbilt University, Nashville, TN 37240. katy.thakkar@vanderbilt.edu natasha.matthews@vanderbilt.edu sohee.park@vanderbilt.edu URL: http://www.psy.vanderbilt.edu/faculty/sohee/
Sohee Park
Affiliation:
Department of Psychology, Vanderbilt University, Nashville, TN 37240. katy.thakkar@vanderbilt.edu natasha.matthews@vanderbilt.edu sohee.park@vanderbilt.edu URL: http://www.psy.vanderbilt.edu/faculty/sohee/

Abstract

We argue that autism and psychosis spectrum disorders cannot be conceptualized as polar extremes of mentalizing ability. We raise two main objections: (1) the autistic-psychotic continuum, as conceptualized by the authors, excludes defining features of schizophrenia spectrum: negative symptoms, which correlate more strongly with mentalizing impairments; and (2) little evidence exists for a relationship between mentalizing ability and positive symptoms.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2008

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References

Baron-Cohen, S. (1995) Mindblindness: An essay on autism and theory of mind. MIT Press.CrossRefGoogle Scholar
Brüne, M. (2005) “Theory of mind” in schizophrenia: A review of the literature. Schizophrenia Bulletin 31(1):2142.CrossRefGoogle ScholarPubMed
Freeman, D. (2007) Suspicious minds: The psychology of persecutory delusions. Clinical Psychology Review 27(4):425–57.CrossRefGoogle ScholarPubMed
Frith, C. D. (1992) The cognitive neuropsychology of schizophrenia. Psychology Press/Erlbaum.Google Scholar
Hardy-Baylé, M. C. (1994) Organisation de l'action, phénomènes de conscience et représentation mentale de l'action chez des schizophrènes [Organization of action; the phenomenon of consciousness and mental representation of action in schizophrenia]. Actualités Psychiatriques 20:393400.Google Scholar
Hardy-Baylé, M. C., Sarfati, Y. & Passerieux, C. (2003) The cognitive basis of disorganization symptomatology in schizophrenia and its clinical correlates: Toward a pathogenetic approach to disorganization. Schizophrenia Bulletin 29:459–71.CrossRefGoogle Scholar
Harrington, L., Siegert, R. J. & McClure, J. (2005b) Theory of mind in schizophrenia: A critical review. Cognitive Neuropsychiatry 10:249–86.CrossRefGoogle ScholarPubMed
Langdon, R. & Coltheart, M. (1999) Mentalising, schizotypy, and schizophrenia. Cognition 71:4371.CrossRefGoogle ScholarPubMed
Walston, F., Blennerhassett, R. C. & Charlton, B. G. (2000) Theory of mind, persecutory delusions and the somatic marker mechanism. Cognitive Neuropsychiatry 5:161–74.CrossRefGoogle Scholar