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British Medical Bulletin Advance Access originally published online on September 23, 2008
British Medical Bulletin 2008 88(1):43-58; doi:10.1093/bmb/ldn035
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© The Authors 2008. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Social cognition in schizophrenia: a review of face processing

Katie Marwick and Jeremy Hall*

Division of Psychiatry, University of Edinburgh, UK

* Correspondence to: Dr J. Hall Division of Psychiatry, University of Edinburgh, Kennedy Tower, Royal Edinburgh Hospital, Edinburgh EH10 5HF, UK. E-mail: jhall5{at}staffmail.ed.ac.uk

Background: People with schizophrenia have difficulties in interpreting social information. Much social information is gathered from faces, and face processing represents a well-characterized model to study the basis of social deficits in schizophrenia.

Sources of data: A narrative review of selected literature.

Areas of agreement: Individuals with schizophrenia have impairments in recognizing basic emotions and making social judgements from facial stimuli.

Areas of controversy: The neural basis of these abnormalities is still being determined. However, initial evidence implicates dysfunction of frontal and temporal lobe brain regions. Hyper-activation of the amygdala, a brain region involved in fear, to facial stimuli may be an important underlying neural abnormality.

Growing points: The present article highlights the difficulties that people with schizophrenia have in interpreting social cues from faces.

Areas timely for developing research: Research is required to understand more about both the basis of social deficits in schizophrenia and their potential remediation.

Keywords: Emotion • identity • functional outcome • fMRI • social judgements • amygdala

Accepted for publication September 2, 2008.


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