We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please 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 account.
Find out more about saving content to .
To save content items 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 saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved 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.
Schizophrenia (SZ) and autism spectrum disorders (ASD) are characterized by difficulties in theory of mind (ToM). We examined group differences in performance on a ToM-related test and associations with an estimated IQ.
Methods
Participants [N = 1227, SZ (n = 563), ASD (n = 159), and controls (n = 505), 32.2% female] completed the Reading the Mind in the Eyes Test (RMET) and assessments of cognitive ability. Associations between IQ and group on RMET were investigated with regression analyses.
Results
SZ (d = 0.73, p < 0.001) and ASD (d = 0.37, p < 0.001) performed significantly worse on the RMET than controls. SZ performed significantly worse than ASD (d = 0.32, p = 0.002). Adding IQ to the model, SZ (d = 0.60, p < 0.001) and ASD (d = 0.44, p < 0.001) continued to perform significantly worse than controls, but no longer differed from each other (d = 0.13, p = 0.30). Small significant negative correlations between symptom severity and RMET performance were found in SZ (PANSS positive: r = −0.10, negative: r = −0.11, both p < 0.05). A small non-significant negative correlation was found for Autism Diagnostic Observation Schedule scores and RMET in ASD (r = −0.08, p = 0.34).
Conclusions
SZ and ASD are characterized by impairments in RMET. IQ contributed significantly to RMET performance and accounted for group differences in RMET between SZ and ASD. This suggests that non-social cognitive ability needs to be included in comparative studies of the two disorders.
Memory can be thought of as the capacity of an organism to utilise past experience in order to direct current and future behaviour. Such a capacity entails the registering and recording – the encoding – of that experience in such a way as to enable its subsequent retrieval. Retrieval can be either voluntary or involuntary and the resultant information may or may not form part of conscious awareness. The processes of encoding and retrieval are the result of a range of psychological processes and are in turn influenced by other factors both psychological and physiological. In this respect, study of the patterning of memory processes and the factors that influence their operation can give clues to the wider psychological functioning of the individual. It is in this last respect that the study of memory can enhance our understanding of people with Autism Spectrum Disorder (ASD). ASD is not ‘caused by’ difficulties in memory, but the patterning of memory seen in individuals with ASD can provide clues to underlying cognitive and neuropsychological atypicalities as well as giving us a window onto their inner experiences of the world.
Preliminary remarks
Any discussion of memory in ASD must first emphasise the heterogeneous nature of the conditions that comprise the autism spectrum. An important aspect of this diversity is the distinction between ASD with accompanying intellectual disability (often referred to as ‘low-functioning ASD’ or LFA) and ASD without it (often termed ‘high-functioning ASD’ or HFA), a group that, as here defined, also includes individuals with Asperger's disorder.
Memory difficulties are neither a prominent nor a defining feature of autism spectrum disorders (ASDs) yet these conditions are characterized by a consistent pattern of memory strengths and weaknesses. The earliest clinical reports of autistic memory often commented on good rote memory, and early experimental investigations mapped out a profile of spared and impaired areas of memory performance as well as highlighting the reduced role of structure and meaning in enhancing memory performance. The enlargement seen in the last two decades of our conception of autism to that of a spectrum of related conditions has been accompanied by research that has both confirmed many of these early findings in a wider diagnostic context and has also established distinct patterns of performance in other memory processes, such as an attenuated sense of self-awareness when recalling the personally experienced past and a diminished recall of incidentally encoded context. We now have sufficient understanding of memory in people with autism to enable some speculations about why in this group some memory processes should function typically and others not. Such speculations can also provide us with insights into how memory interacts with and depends on other psychological processes in ASD-specific ways, insights that in turn can illuminate a broader range of psychological functioning in this population.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.