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On the Inadequacies of Theory of Mind Explanations of Schizophrenia

Alternative Accounts of Alternative Problems

Bibliographic Data

ID20400464
AuthorsRose Mccabe (0000-0003-2041-7383, Queen Mary University of London, corresponding author), Rosemarie McCabe (Queen Mary University of London)
Year2004
Volume14
Issue5
Pages738-752
Publication date2004-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueTheory & Psychology (JOURNAL)
Journal identifiersISSN: 0959-3543 • E-ISSN: 1461-7447
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0959354304046187
OpenAlexW2082417682
LanguageEN
Citations received3
References cited40

An influential theory of schizophrenia proposes that it can be explained by an inability to understand and reason about the mental states of others. In particular, an inability to correctly infer the mental states of others is believed to give rise to delusions and other psychotic symptoms. Our recent research has shown that patients adequately represent their own and others’ mental states and use this competence to communicate successfully in naturalistic social interaction. In talk with delusional content, patients recognize that others do not agree with their delusional claims and are not persuaded by the justification they provide for these claims. Importantly, they recognize their own and others’ discomfort at the disagreement this causes. However, they do not revise their claims. It is the tenacity with which delusional claims are held that is striking. This is all the more interesting given their ability to appreciate and respond appropriately to others’ mental states and their evident discomfort in the face of others’ disagreement. Questions for further research are whether this incorrigibility is specific to delusions, psychotic symptoms or the condition generally, and why patients are so tenacious in disregarding others’ accounts of their problems

Cognition · Delusion · Delusional disorder · Epistemology · Naturalism · Psychiatry · Psychosis · Psychotherapist · Theory of mind · Mental Health and Psychiatry · Psychology · Psychosomatic Disorders and Their Treatments · Schizophrenia research and treatment · Social Psychology

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Unique citing works3
Citations per year0.33
Citation span2017 - 2021 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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