You looking at me?: Interpreting social cues in schizophrenia

Psychological Medicine
T P WhiteS S Shergill

Abstract

Deficits in the perception of social cues are common in schizophrenia and predict functional outcome. While effective communication depends on deciphering both verbal and non-verbal features, work on non-verbal communication in the disorder is scarce. This behavioural study of 29 individuals with schizophrenia and 25 demographically matched controls used silent video-clips to examine gestural identification, its contextual modulation and related metacognitive representations. In accord with our principal hypothesis, we observed that individuals with schizophrenia exhibited a preserved ability to identify archetypal gestures and did not differentially infer communicative intent from incidental movements. However, patients were more likely than controls to perceive gestures as self-referential when confirmatory evidence was ambiguous. Furthermore, the severity of their current hallucinatory experience inversely predicted their confidence ratings associated with these self-referential judgements. These findings suggest a deficit in the contextual refinement of social-cue processing in schizophrenia that is potentially attributable to impaired monitoring of a mirror mechanism underlying intentional judgements, or to an incomplete s...Continue Reading

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Citations

Aug 28, 2016·Schizophrenia Bulletin·Sebastian WaltherKatharina Stegmayer
Jun 3, 2017·Schizophrenia Bulletin·Katharina StegmayerSebastian Walther
May 14, 2016·Proceedings of the National Academy of Sciences of the United States of America·Pierre BoudinotOlivier Lantz
Oct 22, 2019·Schizophrenia Bulletin·Sebastian WaltherPetra V Viher
Dec 20, 2017·Neuropsychobiology·Werner StrikThomas Dierks
Jan 26, 2021·Frontiers in Psychology·Anastasia Pavlidou, Sebastian Walther
Oct 26, 2020·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Sebastian WaltherStephan Bohlhalter
May 30, 2021·Schizophrenia Bulletin·Momoko ChoudhuryBenjamin Straube

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