Skip to main content
Log in

Social Cognition in Tourette’s Syndrome: Intact Theory of Mind and Impaired Inhibitory Functioning

  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Although associations between social cognition involving theory of mind and non-social executive skills have frequently been reported, dissociations in performance have also been found. The present study was designed to examine social and non-social cognition in uncomplicated Tourette Syndrome (TS). Adult TS participants without comorbid diagnoses were compared to matched healthy control participants on social cognition measures involving theory of mind and empathy, and on non-social executive tasks. Participants with TS were found to make more errors than a matched control group on an inhibitory task, but did not differ on other executive measures or on the social cognition measures. The implications of the findings for our understanding of TS and of the relationship between social cognition and executive skills are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • InstitutionalAuthorNameAmerican Psychiatric Association (2000) Diagnostic and statistical manual of mental disorder. DSM-IVTR American Psychiatric Association Washington, DC

    Google Scholar 

  • L. J. Bach F. Happé S. Fleminger J. Powell (2000) ArticleTitleTheory of mind: Independence of executive function and the role of the frontal cortex in acquired brain injury Cognitive Neuropsychiatry 5 175–192

    Google Scholar 

  • S. Baron-Cohen T. Jolliffe C. Mortimore M. M. Robertson (1997) ArticleTitleAnother advanced test of theory of mind: Evidence from very high functioning adults with autism or Asperger syndrome Journal of Child Psychology and Psychiatry 38 813–822

    Google Scholar 

  • S. Baron-Cohen H. A. Ring J. Moriarty B. Schmitz D. Costa P. Ell (1994) ArticleTitleThe brain basis of theory of mind: The role of the orbito-frontal region British Journal of Psychiatry 165 640–649

    Google Scholar 

  • S. Baron-Cohen H. A. Ring S. Wheelwright E. T. Bullmore M. J. Brammer A. Simmons S. C. R. Williams (1999) ArticleTitleSocial intelligence in the normal and autistic brain: An fMRI study European Journal of Neuroscience 11 1891–1898

    Google Scholar 

  • A. Bechara H. Damasio A. R. Damasio (2000) ArticleTitleEmotion, decision making and the orbitofrontal cortex Cerebral Cortex 10 295–307

    Google Scholar 

  • A. Bechara D. Tranel H. Damasio A.R. Damasio (1996) ArticleTitleFailure to respond autonomically to anticipated future outcomes following damage to prefrontal cortex Cerebral Cortex 6 215–225

    Google Scholar 

  • E. Brunet Y. Sarfati M.-C. Hardy-Baylé J. Decety (2000) ArticleTitleA PET investigation of the attribution of intentions with a nonverbal task Neuroimage 11 157–166

    Google Scholar 

  • P. W. Burgess T. Shallice (1996) ArticleTitleResponse suppression, initiation and strategy use following frontal lobe lesions Neuropsychologia 34 263–73

    Google Scholar 

  • P. W. Burgess W. Veitch A. Lacy Costello Particlede T. Shallice (2000) ArticleTitleThe cognitive and neuroanatomical correlates of multitasking Neuropsychologia 38 848–863

    Google Scholar 

  • R. Cabeza L. Nyberg (2000) ArticleTitleAn empirical review of 275 PET and fMRI studies Journal of Cognitive Neuroscience 12 1–47

    Google Scholar 

  • S. M. Carlson L. J. Moses C. Breton (2002) ArticleTitleHow specific is the relation between executive function and theory of mind. Contributions of inhibitory control and working memory. Infant and Child Development 11 73–92

    Google Scholar 

  • S. Channon S. Crawford (1999) ArticleTitleProblem-solving in real-life-type situations: The effects of anterior and posterior lesions on performance Neuropsychologia 37 757–770

    Google Scholar 

  • S. Channon S. Crawford (2000) ArticleTitleThe effects of anterior lesions on performance on a story comprehension test: Left anterior impairment on a theory-of-mind-type task Neuropsychologia 38 1006–1017

    Google Scholar 

  • S. Channon S. Crawford K. Vakili M.M. Robertson (2003a) ArticleTitleReal-life-type problem-solving and executive function in Tourette’s syndrome Cognitive and Behavioral Neurology 16 3–15

    Google Scholar 

  • S. Channon P. Pratt M. M. Robertson (2003b) ArticleTitleExecutive processes in young people with Tourette’s syndrome Neuropsychology 17 247–254

    Google Scholar 

  • A. J. Cohen J. F. Leckman (1992) ArticleTitleSensory phenomena associated with Gilles de la Tourette Syndrome Journal of Clinical Psychiatry 53 319–23

    Google Scholar 

  • M. H. Davis (1983) ArticleTitleMeasuring individual differences in empathy: Evidence for a multidimensional approach Journal of Personality and Social Psychology 44 113–126

    Google Scholar 

  • P. J. Eslinger (1998) ArticleTitleNeurological and neuropsychological bases of empathy European Neurology 39 193–199

    Google Scholar 

  • C. Fine J. Lumsden R. J. R. Blair (2001) ArticleTitleDissociation between ‘theory of mind’ and executive functions in a patient with early left amygdala damage Brain 124 287–298

    Google Scholar 

  • P. C. Fletcher F. Happé U. Frith S. C. Baker R.J. Dolan R. S. J. Frackowiak C. D. Frith (1995) ArticleTitleOther minds in the brain: A functional imaging study of “theory of mind” in story comprehension Cognition 57 109–128

    Google Scholar 

  • D. Frye P. D. Zelazo T. Palfai (1995) ArticleTitleTheory of mind and rule-based reasoning Cognitive Development 10 483–527

    Google Scholar 

  • H. L. Gallagher F. Happé N. Brunswick P. C. Fletcher U. Frith C. D. Frith (2000) ArticleTitleReading the mind in cartoons and other stories: An fMRI study of ‘theory of mind’ in verbal and nonverbal tasks Neuropsychologia 38 11–21

    Google Scholar 

  • V. Goel J. Grafman N. Sadato M. Hallett (1995) ArticleTitleModeling other minds Neuroreport 6 1741–1746

    Google Scholar 

  • A. D. Grant E. A. Berg (1948) ArticleTitleA behavioral analysis of reinforcement and ease of shifting to new responses in a Weigl-type card-sorting Journal of Experimental Psychology 38 404–411

    Google Scholar 

  • L. M. Grattan R. H. Bloomer F. X. Archambault P. J. Eslinger (1994) ArticleTitleCognitive flexibility and empathy after frontal lobe lesion Neuropsychiatry, Neuropsychology and Behavioral Neurology 7 251–259

    Google Scholar 

  • F. G. E. Happé (1994) ArticleTitleAn advanced test of theory of mind: Understanding of story characters’ thoughts and feelings by able autistic, mentally handicapped, and normal children and adults Journal of Autism and Developmental Disorders 24 129–154

    Google Scholar 

  • F. Happé H. Brownell E. Winner (1999) ArticleTitleAcquired ‘theory of mind’ impairments following stroke Cognition 70 211–240

    Google Scholar 

  • F. Happé G. S. Malhi S. Checkley (2001) ArticleTitleAcquired mind-blindness following frontal lobe surgery? A single case study of impaired ‘theory of mind’ in a patient treated with stereotactic anterior capsulotomy. Neuropsychologia 39 83–90

    Google Scholar 

  • C. Hughes (2002) ArticleTitleExecutive functions and development: Emerging themes Infant and Child Development 10 201–209

    Google Scholar 

  • R. Kurlan C. Daragjati P. G. Como M. P. McDermott K.S. Trinidad S. Roddy (1996) ArticleTitleNon-obscene complex socially inappropriate behavior in Tourette’s syndrome Journal of Neuropsychiatry & Clinical Neuroscience 8 311–317

    Google Scholar 

  • J. F. Leckman B. S. Peterson G. M. Anderson A. F. T. Arnsten D. L. Pauls D. J. Cohen (1997) ArticleTitlePathogenesis of Tourette’s syndrome Journal of Child Psychology & Psychiatry 38 119–142

    Google Scholar 

  • B. Levine D. T. Stuss W. P. Milberg M. P. Alexander M. Schwartz R. Macdonald (1998) ArticleTitleThe effects of focal and diffuse brain damage on strategy application: Evidence from focal lesions, traumatic brain injury and normal aging Journal of the International Neuropsychological Society 4 247–264

    Google Scholar 

  • S. Lough C. Gregory J. R. Hodges (2001) ArticleTitleDissociation of social cognition and executive function in frontal variant frontotemporal dementia Neurocase 7 123–130

    Google Scholar 

  • B. Milner (1963) ArticleTitleEffects of different brain lesions on card-sorting Archives of Neurology 9 90–100

    Google Scholar 

  • J. Moriarty M. D. Varma J. Stevens M. Fish M. R. Trimble M. M. Robertson (1997) ArticleTitleA volumetric MRI study of Gilles de la Tourette Syndrome Neurology 49 410–415

    Google Scholar 

  • D. Nathaniel-James P. Fletcher C. D. Frith (1997) ArticleTitleThe functional anatomy of verbal initiation and suppression using the Hayling Test Neuropsychologia 35 559–566

    Google Scholar 

  • H. Nelson (1991) National adult reading test EditionNumber2 NFER-Nelson Windsor

    Google Scholar 

  • S. Ozonoff D. L. Strayer W. M. McMahon F. Filloux (1998) ArticleTitleInhibitory deficits in Tourette Syndrome: A function of comorbidity and symptom severity. Journal of Child Psychiatry 39 1109–118

    Google Scholar 

  • D. L. Pauls C. L. Hurst (1987) Schedule for Tourette syndrome and other behavioural syndromes Yale University Child Study Center New Haven

    Google Scholar 

  • B. F. Pennington S. Ozonoff (1996) ArticleTitleExecutive functions and developmental psychopathology Journal of Child Psychology & Psychiatry 37 51–87

    Google Scholar 

  • J. Perner B. Lang (1999) ArticleTitleDevelopment of theory of mind and executive control Trends in Cognitive Sciences 3 337–344

    Google Scholar 

  • J. Perner W. Kain P. Barchfeld (2002) ArticleTitleExecutive control and higher-order theory of mind in children at risk of ADHD Infant and Child Development 11 141–158

    Google Scholar 

  • J. Perner H. Wimmer (1985) ArticleTitle“John thinks that Mary thinks that..”. Attribution of second-order beliefs by 5-10 year old children. Journal of Experimental Child Psychology 39 437–471

    Google Scholar 

  • M. M. Robertson V. Eapen (1996) ArticleTitleNational hospital interview schedule for Tourette’s syndrome International Journal of Methods in Psychiatric Research 6 203–226

    Google Scholar 

  • E. T. Rolls (1999) ArticleTitleThe functions of the orbitofrontal cortex Neurocase 5 301–312

    Google Scholar 

  • A. D. Rowe P. R. Bullock C. E. Polkey R.G. Morris (2001) ArticleTitle‘Theory of mind’ impairments and their relationship to executive functioning following frontal lobe excisions Brain 124 600–616

    Google Scholar 

  • M. S. Sherman L. Shepard M. Joschko R. D. Freeman (1998) ArticleTitleSustained attention and impulsivity in children with Tourette Syndrome Journal of Clinical & Experimental Neuropsychology 20 644–657

    Google Scholar 

  • V. E. Stone S. Baron-Cohen R. T. Knight (1998) ArticleTitleFrontal lobe contributions to theory of mind Journal of Cognitive Neuroscience 10 640–656

    Google Scholar 

  • D. T. Stuss G. G. Gallup SuffixJr. M. P. Alexander (2001) ArticleTitleThe frontal lobes are necessary for ‘theory of mind’ Brain 124 279–286

    Google Scholar 

  • B. A. Wilson N. Alderman P. W. Burgess H. Emslie J. J. Evans (1996) Behavioural Assessment of the Dysexecutive Syndrome: Manual. Thames Valley Test Company Bury St. Evans, England

    Google Scholar 

  • P. D. Zelazo S. Jacques J. A. Burack D. Frye (2002) ArticleTitleThe relation between theory of mind and rule use: Evidence from persons with autism-spectrum disorders Infant and Child Development 11 171–195

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Shelley Channon.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Channon, S., Sinclair, E., Waller, D. et al. Social Cognition in Tourette’s Syndrome: Intact Theory of Mind and Impaired Inhibitory Functioning. J Autism Dev Disord 34, 669–677 (2004). https://doi.org/10.1007/s10803-004-5287-x

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-004-5287-x

Keywords

Navigation