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Theory of Mind and Psychopathology: A Comprehensive Assessment and an Overview of Impairments in Neuropsychiatric Disorders

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The Theory of Mind Under Scrutiny

Abstract

Theory of Mind (ToM) is a cognitive construct that involves different levels of complexity. Development of the different ToM skills follows an evolutionary course in line with the increasing requirements from environmental demands through childhood and adolescence to adulthood. Accordingly, ToM assessment should comprise the heterogeneity of the components – affective or cognitive – and the rising complexity of tasks according to the developmental course – first-order, second-order and higher-order beliefs. In this chapter, features of ToM assessment are presented with a compilation of the main useful tools. Furthermore, specific ToM deficits in neuropsychiatric disorders are collected. ToM impairments have been extensively studied in autism spectrum disorders and schizophrenia, but in recent years their study has been extended to many other clinical diagnoses and significant transversal problems in mental health such as suicidal behavior. As a result, this chapter outlines a comprehensive picture of ToM impairments in a broad range of neuropsychiatric disorders and the accurate assessment of the different deficits, to provide the reader an essential knowledge for understanding ToM impairments across neuropsychiatric disorders and assessment protocols in clinical practice.

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Notes

  1. 1.

    Double bluffing refers to trying to deceive a person by telling the truth, when the other person believes you are lying.

  2. 2.

    Since DSM-5 -Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Revised- (APA 2013) autism spectrum disorders (ASD) are a unified category which encomprises previous diagnoses as autism, Asperger syndrome and Global Developmental Disorders into Pervasive Developmental Disorders (APA 2000). Currently DSM-5-TR (APA 2022) establishes that ASD is a unique category which reflects the dimensionality of the deficits and the difficulties (see Sec. 5.3.1. for a detailed description of the ASD diagnosis).

  3. 3.

    This volume actually shows applications of ToM to a varied number of situations (note by the Editors).

  4. 4.

    A binge eating episode is characterised by eating in a concrete period of time a greater food than most individuals would eat in similar circumstances in that period of time. A binge eating is also featured by a sense of lack of control during the episode.

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Correspondence to Alejandra Galvez-Merlin .

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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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de la Higuera-González, P., Galvez-Merlin, A., Rodríguez-Toscano, E., Andreo-Jover, J., de la Torre-Luque, A. (2023). Theory of Mind and Psychopathology: A Comprehensive Assessment and an Overview of Impairments in Neuropsychiatric Disorders. In: Lopez-Soto, T., Garcia-Lopez, A., Salguero-Lamillar, F.J. (eds) The Theory of Mind Under Scrutiny. Logic, Argumentation & Reasoning, vol 34. Springer, Cham. https://doi.org/10.1007/978-3-031-46742-4_5

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