Skip to main content Accessibility help
×
×
Home

What's New in the Clinical Management of Disorders of Social Cognition?

  • Skye McDonald (a1)
Abstract

Social cognition refers to the ability to use social cues to infer the meaning and intentions behind the behaviour of others in order to respond in a socially adaptive manner. It is increasingly recognised that disorders of social cognition, including problems with emotion perception, theory of mind, conversational inference, morality judgements, decision making and social inhibition, characterise many developmental and psychiatric disorders and are highly relevant to many with acquired brain injuries or diseases, especially the frontotemporal dementias. This review provides an introduction and overview of the papers in this special edition on social cognition and places these in the context of other recent research. In doing so, several current issues in the clinical management of social cognition are delineated. Given that social cognition seems to be a sensitive predictor of psychosocial function, the assessment of social cognition is seen by many clinicians to be important although which profession is responsible is yet to be resolved. Issues in how social cognition are assessed are discussed, including the importance of context to social cognition, its interactive nature and the need to recognise influences such as family upbringing, gender and emotional state on social cognitive performance. There also needs to be development of tests that address all aspects of social cognition, including decision making and inhibition. Finally, this review discusses intervention research. Interventions are especially well developed in relation to schizophrenia, and less well developed in brain injury. These appear to be generally effective although treatments for emotional self-awareness are yet to be developed.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      What's New in the Clinical Management of Disorders of Social Cognition?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      What's New in the Clinical Management of Disorders of Social Cognition?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      What's New in the Clinical Management of Disorders of Social Cognition?
      Available formats
      ×
Copyright
Corresponding author
Address for correspondence: Professor Skye McDonald, School of Psychology, University of New South Wales, Sydney 2052, Australia. E-mail: s.mcdonald@unsw.edu.au.
References
Hide All
Adlam, A.-L.R., Adams, M., Turnbull, O., Yeates, G., & Gracey, F. (2017). The bangor gambling task: Characterising the performance of survivors of traumatic brain injury 18(1), 62–73.
Baron-Cohen, S., Bowen, D.C., Holt, R.J., Allison, C., Auyeung, B., Lombardo, M.V., . . . Lai, M.-C. (2015). The ‘reading the mind in the eyes’ test: Complete absence of typical sex difference in ~400 men and women with autism. PLoS One, 10 (8), ArtID e0136521.
Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: An investigation of adults with asperger syndrome or high functioning Autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34 (2), 163175. doi: 10.1023/b:jadd.0000022607.19833.00.
Beauchamp, M.H., Dooley, J.J., & Anderson, V. (2013). A preliminary investigation of moral reasoning and empathy after traumatic brain injury in adolescents. Brain Injury, 27, 896902.
Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (1997). Deciding advantageously before knowing the advantageous strategy. Science, 275 (5304), 12931294.
Bechara, A., Damasio, H., Tranel, D., & Damasio, A. R. (2005). The Iowa gambling task and the somatic marker hypothesis: Some questions and answers. Trends in Cognitive Sciences, 9 (4), 159162.
Bowers, D., Blonder, L.X., & Heilman, K.M. (1991). Florida affect battery. Gainsville, FL: Centre for Neuropsychological Studies, University of Florida.
Bowers, L., Huisingh, R., & LoGiudice, C. (2010). Social language development test – adolescent manual. East Moline, IL: LinguiSystems, Inc.
Burgess, P.W., & Shallice, T. (1997). The hayling and brixton tests. San Antonio: Pearson PsychCorp Assessment.
Canty, A.L., Neumann, D.L., Fleming, J., & Shum, D. H. (2015). Evaluation of a newly developed measure of theory of mind: The virtual assessment of mentalising ability. Neuropsychological Rehabilitation, 1–37. doi: 10.1080/09602011.2015.1052820.
Cassels, A., McDonald, S., Kelly, M., & Togher, L. (2016). Learning from the minds of others: A review of social cognition treatments and their relevance to traumatic brain injury. Neuropsychological Rehabilitation. Retrieved from: https://doi.10.1080/09602011.2016.1257435
Chiasson, V., Elkaim, L., Well, A., Crevier, L., & Beauchamp, M. (2017). Moral reasoning in children with focal brain insults to frontotemporal regions. Brain Impairment, 18 (1), 102116.
Collignon, O., Girard, S., Gosselin, F., Saint-Amour, D., Lepore, F., & Lassonde, M. (2010). Women process multisensory emotion expressions more efficiently than men. Neuropsychologia, 48 (1), 220222. Retrieved from: http://doi.org/10.1016/j.neuropsychologia.2009.09.007
Dadds, M.R., Hawes, D.J., Frost, A.D.J., Vassallo, S., Bunn, P., Hunter, K., & Merz, S. (2009). Learning to ‘talk the talk’: The relationship of psychopathic traits to deficits in empathy across childhood. Journal of Child Psychology and Psychiatry, 50 (5), 599606. doi: 10.1111/j.1469-7610.2008.02058.x.
Davis, M.H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44 (1), 113126. doi: 10.1037/0022-3514.44.1.113.
de Sousa, A., McDonald, S., Rushby, J., Li, S., Dimoska, A., & James, C. (2011). Understanding deficits in empathy after traumatic brain injury: The role of affective responsivity. Cortex, 47 (5), 526535. doi: 10.1016/j.cortex.2010.02.004.
Decety, J., & Grèzes, J. (2006). The power of simulation: Imagining one's own and other's behavior. Brain Research, 1079, 414.
Dermody, N., Wong, S., Ahmed, R., Piguet, O., Hodges, J. R., & Irish, M. (2016). Uncovering the neural bases of cognitive and affective empathy deficits in Alzheimer's disease and the behavioral-variant of frontotemporal dementia. Journal of Alzheimer's Disease, 53 (3), 801806. doi: 10.3233/JAD-160175.
Eslinger, P.J., & Damasio, A.R. (1985). Severe disturbance of higher cognitive function after bilateral frontal ablation: Patient EVR. Neurology, 35, 17311741.
Fett, A.J., Viechtbauer, W., Dominguez, M., Penn, D.L., Van Os, J., & Krabbendam, L. (2011). The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis. Neuroscience and Biobehavioral Reviews, 35, 573588.
George, M.S., Huggins, T., McDermut, W., Parekh, P. I., Rubinow, D., & Post, R.M. (1998). Abnormal facial emotion recognition in depression: Serial testing in an ultra-rapid-cycling patient. Behavior Modification, 22 (2), 192204.
Hazelton, J.L., Irish, M., Hodges, J.R., Piguet, O., & Kumfor, F. (2017). Cognitive and affective empathy disruption in non-fluent primary progressive aphasia syndromes. Brain Impairment, 18 (1), 117129.
Honan, C.A., Allen, S.K., Fisher, A., Osborne-Crowley, K., & McDonald, S. (2017). Social disinhibition: Piloting a new clinical measure in individuals with traumatic brain injury. Brain Impairment, 18 (1), 7487.
Hsieh, S., Irish, M., Daveson, N., Hodges, J.R., & Piguet, O. (2013). When one loses empathy: Its effect on carers of patients with dementia. Journal of Geriatric Psychiatry and Neurology, 26 (3), 174184.
Kelly, M., Frith, M., & McDonald, S. (2017). Assessment and rehabilitation of social cognition impairment after brain injury: Surveying practices of clinicians. Brain Impairment, 18 (1), 1135.
Kelly, M., McDonald, S., & Frith, M. (2016). A survey of clinicians working in brain injury rehabilitation: Are social cognition impairments on the radar? Journal of Head Trauma Rehabilitation. doi: 10.1097/HTR.0000000000000269.
Kelly, M., McDonald, S., & Kellet, D. (2014). Development of a novel task for investigating decision making in a social context following traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 36 (9), 897913.
Kinsella, G., Moran, C., Ford, B., & Ponsford, J. (1988). Emotional disorder and its assessment within the severe head-injured population. Psychological Medicine, 18, 5763.
Kipps, C.M., Nestor, P.J., Acosta-Cabronero, J., Arnold, R., & Hodges, J.R. (2009). Understanding social dysfunction in the behavioural variant of frontotemporal dementia: The role of emotion and sarcasm processing. Brain, 132, 592603.
Knox, L., & Douglas, J. (2009). Long-term ability to interpret facial expression after traumatic brain injury and its relation to social integration. Brain and Cognition, 69, 442449.
Korkman, M., Kirk, U., & Kemp, S. (2007). NEPSY (2nd ed). New York: Pearson Assessment.
Lahera, G., Benito, A., Montes, J., Fernandez-Liria, A., Olbert, C., & Penn, D. (2013). Social cognition and interaction training (SCIT) for outpatients with bipolar disorder. Journal of Affective Disorders, 146 (1), 132136.
Lamberts, K.F., Fasotti, L., Boelen, D.H.E., & Spikman, J. M. (2017). Self-awareness after brain injury; relation with emotion recognition and effects of treatment. Brain Impairment, 18 (1), 130137.
Lough, S., Kipps, C.M., Treise, C., Watson, P., Blair, J. R., & Hodges, J.R. (2006). Social reasoning, emotion and empathy in frontotemporal dementia. Neuropsychologia, 44 (6), 950958.
McDonald, S. (2012). New frontiers in neuropsychological assessment: Assessing social perception using a standardised instrument, the awareness of social inference test. Australian Psychologist, 47 (1), 3948. doi: 10.1111/j.1742-9544.2011.00054.x.
McDonald, S. (2013). Impairments in social cognition following severe traumatic brain injury. Journal of the International Neuropsychological Society, 19, 231246.
McDonald, S., English, T., Randal, R., Longman, T., Togher, L., & Tate, R.L. (2013). Assessing social cognition and pragmatic language in adolescents with traumatic brain injuries. Journal of the International Neuropsychological Society, 19 (5), 528538.
McDonald, S., Fisher, A., & Flanagan, S. (2015). When diplomacy fails: Difficulty understanding hints following severe traumatic brain injury. Aphasiology. doi: 10.1080/02687038.2015.1070948.
McDonald, S., Fisher, A., Togher, L., Tate, R., Rushby, J., English, T., . . . Francis, H. (2015). Adolescent performance on the awareness of social inference test: TASIT. Brain Impairment, 16 (1), 318.
McDonald, S., Flanagan, S., Martin, I., & Saunders, C. (2004). The ecological validity of TASIT: A test of social perception. Neuropsychological Rehabilitation, 14, 285302.
McDonald, S., Flanagan, S., Rollins, J., & Kinch, J. (2003). TASIT: A new clinical tool for assessing social perception after traumatic brain injury. Journal of Head Trauma Rehabilitation, 18, 219238.
Mehrabian, A. (2000). Manual for the balanced emotional empathy scale (BEES). Available from Albert Mehrabian, 1130 Alta Mesa Road, Monterey, CA 93940.
Milders, M., Ietswaart, M., Crawford, J.R., & Currie, D. (2008). Social behavior following traumatic brain injury and its association with emotion recognition, understanding of intentions, and cognitive flexibility. Journal of the International Neuropsychological Society, 14, 318326. doi: 10.10170S1355617708080351.
Neumann, D., Zupan, B., Malec, J.F., & Hammond, F. (2013). Relationships between alexithymia, affect recognition, and empathy after traumatic brain injury. Journal of Head Trauma Rehabilitation, 29 (1), E18–E27. doi: 10.1097/HTR.0b013e31827fb0b5.
Nowicki, S. (2010). Manual for the receptive tests of the diagnostic analysis of nonverbal accuracy 2 (DANVA2). Atlanta, GA: Dr Stephen Nowicki, Jr., Department of Psychology, Emory University, Retrieved from: .
Odhuba, R.A., van den Broek, M.D., & Johns, L.C. (2005). Ecological validity of measures of executive functioning. British Journal of Clinical Psychology, 44 (2), 269278.
Osborne-Crowley, K., McDonald, S., & Francis, H. (2016). Development of an observational measure of social disinhibition after traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 38 (3), 341353. doi: 10.1080/13803395.2015.1115824.
Ownsworth, T., Fleming, J., Desbois, J., Strong, J., & Kuipers, P. (2006). A metacognitive contextual intervention to enhance error awareness and functional outcome following traumatic brain injury: A single-case experimental design. Journal of the International Neuropsychological Society, 12 (1), 5463.
Ownsworth, T., McFarland, K., & Young, R.M. (2000). Self-awareness and psychosocial functioning following acquired brain injury: An evaluation of a group support programme. Neuropsychological Rehabilitation, 10, 465484.
Penn, D.L., Corrigan, P.W., Bentall, R.P., Racenstein, J. M., & Newman, L. (1997). Social cognition in schizophrenia. Psychological Bulletin, 121, 114132.
Poveda, B., Laidlaw, K., Macleod, F., Power, K., & Osborne-Crowley, K. (2017). Social cognition, behaviour and relationship continuity in dementia of the Alzheimer type. Brain Impairment.
Rankin, K.P., Kramer, J.H., & Miller, B.L. (2005). Patterns of cognitive and emotional empathy in frontotemporal lobar degeneration. Cognitive and Behavioral Neurology, 18 (1), 2836.
Roelofs, R.L., Wingbermühle, E., Egger, J.I.M., & Kessels, R. P. C. (2017). Social cognitive interventions in neuropsychiatric patients: A meta-analysis. Brain Impairment, 18 (1), 138173.
Rushby, J., McDonald, S., Fisher, A.C., Kornfeld, E.J., De Blasio, F.M., Parks, N., & Piguet, O. (2016). Brain volume loss contributes to arousal and empathy dysregulation following severe traumatic brain injury. Neuroimage: Clinical, 12, 607614. Retrieved from: https://doi.org/10.1016/j.nicl.2016.09.017
Ryan, N.P., Mihaljevic, K., Beauchamp, M.H., Catroppa, C., Crossley, L., Hearps, S., . . . Anderson, , , V.A. (2017). A prospective study of the relationship between family affective responsiveness and theory of mind in chronic paediatric traumatic brain injury. Brain Impairment, 18 (1), 88101.
Savla, G.N., Vella, L., Armstrong, C.C., Penn, D.L., & Twamley, E.W. (2013). Deficits in domains of social cognition in schizophrenia: A meta-analysis of the empirical evidence. Schizophrenia Bulletin, 39 (5), 979992.
Silver, C.H. (2000). Ecological validity of neuropsychological assessment in childhood traumatic brain injury. Journal of Head Trauma Rehabilitation, 15 (4), 973988.
Turkstra, L.S., Kraning, S.G., Riedeman, S.K., Mutlu, B., Duff, M., & VanDenHeuve, S. (2017). Labeling facial affect in context in adults with and without TBI. Brain Impairment, 18 (1), 4961.
Watts, A.J., & Douglas, J.M. (2006). Interpreting facial expression and communication competence following severe traumatic brain injury. Aphasiology, 20 (8), 707722.
Wiig, E., & Secord, W. (2014). Clinical evaluation of language fundamentals. USA: Pearson Assessment.
Wood, R.L., & Williams, C. (2008). Inability to empathize following traumatic brain injury. Journal of the International Neuropsychological Society, 14, 289296. Retrieved from: http://org/10.1017/S1355617708080326
Yeates, K.O., Bigler, E.D., Dennis, M., Gerhardt, C.A., Rubin, K.H., Stancin, T., . . . Vannatta, K. (2007). Social outcomes in childhood brain disorder: A heuristic integration of social neuroscience and developmental psychology. Psychological Bulletin, 133 (3), 535556. doi: 10.1037/0033-2909.133.3.535.
Yeates, K.O., Swift, E., Taylor, H.G., Wade, S.L., Drotar, D., Stancin, T., & Minich, N. (2004). Short- and long-term social outcomes following pediatric traumatic brain injury. Journal of the International Neuropsychological Society, 10 (3), 412426.
Zupan, B., Babbage, D.R., Neumann, D., & Willer, B. (2017). Sex differences in emotion recognition and emotional inferencing following severe traumatic brain injury. Brain Impairment, 18 (1), 3648.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Brain Impairment
  • ISSN: 1443-9646
  • EISSN: 1839-5252
  • URL: /core/journals/brain-impairment
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed