From Semantic to Social Deficits: Dysfunction of the Nondominant Posterior Perisylvian Area in Schizophrenia

J Neuropsychiatry Clin Neurosci. 2015 Fall;27(4):254-61. doi: 10.1176/appi.neuropsych.14120377. Epub 2015 Jun 12.

Abstract

Schizophrenia is characterized by profound deficits in social competence and functioning, independent from active psychotic symptoms at different stages of the disease. Social deficits in schizophrenia are clinically well characterized, but their neurobiological underpinnings are undetermined. This article reviews recent evidence supporting heritable deficits in a circuit necessary for appropriate naming of emotions and mental states in others, centered at the temporoparietal junction of the nondominant hemisphere. The clinical implications of this model are discussed, including the potential use of rehabilitation techniques oriented to recognition and naming of emotions and mental states as a necessary step for social rehabilitation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cerebral Cortex / physiopathology*
  • Emotions
  • Facial Expression
  • Humans
  • Nerve Net / physiopathology
  • Neuropsychological Tests
  • Schizophrenia / physiopathology*
  • Schizophrenic Psychology*
  • Social Behavior*
  • Social Perception*