Assessing the integrity of the cognitive processes involved in belief reasoning by means of two nonverbal tasks: Rationale, normative data collection and illustration with brain-damaged patients.

Every day, we engage in social interactions with other people which require understanding their as well as our own mental states. Such capacity is commonly referred to as Theory of Mind (ToM). Disturbances of ToM are often reported in diverse pathologies which affect brain functioning and lead to problems in social interactions. Identifying ToM deficits is thus crucial to guide the clinicians in the establishment of adequate rehabilitation strategies for patients. Previous studies have demonstrated that ToM is not a unitary function yet currently there are very few standardized tests which allow identifying the type of cognitive processes affected when a patient exhibits a ToM deficit. In the current study, we present two belief reasoning tasks which have been used in previous research to disentangle two types of processes involved in belief reasoning: self-perspective inhibition and the spontaneous inference of another person's belief. A three-step procedure was developed to provide clinicians with the tools to interpret the patients' performances on the tasks. First, these tasks were standardized and normative data was collected on a sample of 124 healthy participants aged between 18 and 74. Data collected showed a decrease in performance as a function of age only in the task that loaded most in spontaneous other-perspective demands. There was however no effect of gender or educational level. Cut-off scores to identify deficits were then calculated for the different age groups separately. Secondly, the three-step procedure was applied to 21 brain-damaged patients and showed a large diversity of profiles, including selective deficits of the two targeted ToM processes. The diversity of profiles shows the importance to take into account the multiple facets of ToM during the diagnosis and rehabilitation of patients with suspected ToM deficits.

Impaired spontaneous belief inference following acquired damage to the left posterior temporoparietal junction.

Efficient social interactions require taking into account other people's mental states such as their beliefs, intentions or emotions. Recent studies have shown that in some social situations at least, we do spontaneously take into account others' mental states. The extent to which we have dedicated brain areas for such spontaneous perspective taking is however still unclear. Here, we report two brain-damaged patients whose common lesions were almost exclusively in the left posterior temporoparietal junction (TPJp) and who both showed the same striking and distinctive theory of mind (ToM) deficit. More specifically, they had an inability to take into account someone else's belief unless they were explicitly instructed to tell what that other person thinks or what that person will do. These patients offer a unique insight into the causal link between a specific subregion of the TPJ and a specific cognitive facet of ToM.

Extensive visual training in adulthood significantly reduces the face inversion effect.

The poorer recognition performance for inverted as compared to upright faces is one of the most well-known and robust behavioral effects observed in the field of face perception. Here we investigated whether extensive training at individualizing a large set of inverted faces in adulthood could significantly reduce this inversion effect for novel faces. This issue is important because inverted faces are as complex as upright faces but they are not visually experienced during development. Moreover, inverted faces violate the biological constraints, present at birth, for preferential looking (i.e., a larger number of elements in the top part than the bottom part of the stimulus). Eight adult observers were trained for 2 weeks (16 hr) to individualize 30 inverted face identities presented under different depth-rotated views. Following training, all participants showed a significant reduction of their inversion effect for novel face identities presented in a challenging four-alternatives delayed matching task. This reduction of the face inversion effect was observed in comparison to the magnitude of the same observers' effect before training, and to the magnitude of the face inversion effect of a group of untrained participants. These observations indicate that extensive training in adulthood can lead to a significant reduction of the inversion effect that generalizes to novel faces, suggesting a larger degree of flexibility of the adult face processing system than previously thought.