Correspondencia

C. E. Restrepo, F. González
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引用次数: 17

Abstract

The Author’s Reply – Dear Editor, we would like to thank Caixeta for his valuable commentary on our article. Our first aim was to analyse the complex function of mind reading in its essential components in order to verify which one could be disrupted in patients with frontal lesion. The best way we found to do it was taking into account the developmental aspects of theory of mind (ToM) in children from its first prototypical aspect (e.g., joint attention) to a fully mature ToM capacity as the comprehension of “double bluff”. Thus, some of our ToM tasks had been more sensitive to children in early infancy while others had been largely used in studies of adult subjects1-3. As regards mirror test, we agree with Caixeta that more extensive lesion could be necessary to produce mirror sign. In fact, we also tested patients with massive bilateral frontal lesion, which could present mirror sign. Finally, we also agree that ToM deficits would be easier to find in patients with disturbance of social behaviour, as reported in our article. However, the interesting point here could be why we found some patients with extensive medial orbitofrontal lesion without abnormal social behaviour and related ToM impairments, as also found by other authors4.
信件
作者的回复——亲爱的编辑,我们要感谢Caixeta对我们文章的宝贵评论。我们的第一个目标是分析读心术的复杂功能的基本组成部分,以验证哪一个可能在额叶病变患者中被破坏。我们发现最好的方法是考虑儿童心理理论(ToM)的发展方面,从它的第一个原型方面(例如,共同注意)到一个完全成熟的ToM能力,如对“双重欺骗”的理解。因此,我们的一些ToM任务对婴儿期早期的儿童更敏感,而另一些则主要用于成人受试者的研究1-3。关于镜像检查,我们同意Caixeta的观点,更广泛的病变可能需要产生镜像征。事实上,我们也测试了双侧额叶大面积病变的患者,这些患者可能出现镜像征。最后,我们也同意,正如我们文章中所报道的那样,在社交行为障碍的患者中更容易发现ToM缺陷。然而,这里有趣的一点可能是,为什么我们发现一些患者有广泛的眶额内侧病变,但没有异常的社交行为和相关的ToM损伤,其他作者也发现了这一点4。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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