Theory of mind function, motor empathy, emotional empathy and schizophrenia: A single case study

Abstract

Abstract It has been proposed that theory of mind dysfunction contributes to the development of paranoid schizophrenia. The inability to represent others' thoughts and feelings has implications for the type of behaviour expressed by people with delusional beliefs. Evidence has shown that a diagnosis of paranoid schizophrenia is associated with an increased risk of violence. This case study explores the role of theory of mind and emotional processing in the violent index offence of a 33-year-old man (SB) with a diagnosis of paranoid schizophrenia. Neuropsychological and theory of mind assessment measures were administered during SB's admission to medium secure services. SB was found to be within the average range on standardised neuropsychological assessment measures but was found to be significantly impaired on measures examining theory of mind and various aspects of emotional functioning. The implications of SB's emotional deficits within the context of his index offence are discussed. Keywords: Violencetheory of mindschizophreniaparanoid delusional beliefs