Neurosurgery notes/Anatomy/Higher function/Mentalizing and social cognition

Mentalizing and social cognition

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  • Social cognition:
    • A set of cognitive, affective and emotional processes involved in the understanding of other peoples’ behaviour.
    • Social cognition is built up on
      • Mentalizing (or theory of mind)
      • Empathy
    • Mentalizing
      • The ability to make assumptions on mental states (such as intentions, desire, knowledge, etc) in order to both anticipate and predict other’s their behaviour
      • Location
        • Brain-wide neural network extending to both the lateral and medial aspects on the brain, including
          • Ventral precuneus/posterior cingulate cortex and
          • Medial prefrontal cortex,
          • Temporo-parietal junction along with the posterior superior temporal sulcus,
          • Temporal pole
          • Inferior frontal gyrus
    • White matter tracts involved
        • Medial stream: Cingulum
          • Linking together two well-established medial areas of the mentalizing system, is associated to high-level, inference-based mentalizing or cognitive empathy (a synonym term for cognitive mentalizing) difficulties in the right and the left hemisphere
        • Dorsal stream: Perisylvian network, including the AF and the SLF III
          • Damaged: Low-level, perceptive-based mentalizing is impaired
          • Interconnects cortical regions belonging to the “mirror neuron” network, typically involved in low-level social cognition processing such as emotional empathy and imitation, including the inferior frontal gyrus, the supramarginal gyrus and the superior temporal sulcus
        • Ventral stream: Right IFOF
          • Basic emotion recognition and face processing, caused mentalizing difficulties on face-based mentalizing tasks, suggesting that this ventral pathway carries important information for mentalizing when visual affective cues has to be processed
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