Empathic deficits in schizophrenia: the potential role of rapid facial mimicry
Abstract
Emotional facial expressions evoke rapid, involuntary, and covert facial reactions in the perceiver that are consistent with the emotional valence of the observed expression. These responses are believed to be an important low-level mechanism contributing to the experience of empathy, which some have argued rely on a simulation mechanism subserved by the human mirror neuron system (MNS). Because schizophrenia is associated with pervasive social cognitive difficulties which have been linked to structural abnormalities in the MNS network, the aim of the present study was to provide the first assessment of how rapid facial mimicry reactions (within 1000 ms poststimulus onset) are affected in schizophrenia. Activity in the corrugator supercilii and zygomaticus major muscle regions was quantified using electromyography while individuals with schizophrenia (n = 25) and controls (n = 25) viewed images of happy and angry facial expressions. In contrast to controls, individuals with schizophrenia demonstrated atypical facial mimicry reactions which were not associated with any clinical features of the disorder. These data provide evidence for a low-level disruption that may be contributing to empathizing deficits in schizophrenia and are discussed in relation to neuropsychological models of empathy and schizophrenia.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Because people with schizophrenia have varied emotion-processing difficulties, it is uncertain whether impaired imitation of emotional stimuli reflects imitation itself or other emotional processes.
“Third, because patients display a variety of problems in processing of emotions, 46 it is unclear whether a deficit in voluntary or automatic imitation of emotional stimuli 11,12,47,48 would reflect a specific impairment in imitation, or other aspects of emotion processing”
From Enhanced Automatic Action Imitation and Intact Imitation-Inhibition in Schizophrenia (2019) · cites this paper as [11]
Cites
Rizzolatti, G., & Craighero, L. (2004) · Annual Review of Neuroscience · doi:10.1146/annurev.neuro.27.070203.144230 · Cited by 7,433 · see citing works
Wechsler Abbreviated Scale of Intelligence
Dumont, R., Willis, J. O., Veizel, K., & Zibulsky, J. (2014) · Wiley eBooks · doi:10.1002/9781118660584.ese2519 · Cited by 5,547 · see citing works
(2001) · doi:10.1017/cbo9780511546396 · Cited by 4,482 · see citing works
Ekman, P. (1976) · Medical Entomology and Zoology · Cited by 4,345 · see citing works
Empathy: its ultimate and proximate bases
Preston, S. D., & de Waal, F. B. M. (2002) · Behavioral and Brain Sciences · doi:10.1017/s0140525x02000018 · Cited by 4,126 · see citing works
Understanding motor events: a neurophysiological study
di Pellegrino, G., Fadiga, L., Fogassi, L., Gallese, V., & Rizzolatti, G. (1992) · Experimental Brain Research · doi:10.1007/bf00230027 · Cited by 3,539 · see citing works
The functional architecture of human empathy
Decety, J., & Jackson, P. L. (2004) · Behavioral and Cognitive Neuroscience Reviews · doi:10.1177/1534582304267187 · Cited by 3,407 · cited 2× · see citing works
“…and subconsciously mimicking (i.e., “mirroring”) the observed emotional expressions of others; this mimicry, or embodied representation, facilitates emotion understanding and serves to induce an appropriate empathic response (Adolphs, 2002 ; Decety & Jackson, 2004 ; Preston & deWaal, 2002 ).”
BackgroundMethodCortical mechanisms of human imitation
Iacoboni, M., Woods, R. P., Brass, M., Bekkering, H., Mazziotta, J. C., & Rizzolatti, G. (1999) · Science · doi:10.1126/science.286.5449.2526 · Cited by 2,683 · see citing works
The social neuroscience of empathy
Singer, T., & Lamm, C. (2009) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2009.04418.x · Cited by 1,981 · see citing works
Neural mechanisms of empathy in humans: a relay from neural systems for imitation to limbic areas
Carr, L., Iacoboni, M., Dubeau, M.-C., Mazziotta, J. C., & Lenzi, G. L. (2003) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0935845100 · Cited by 1,978 · see citing works
Neural systems for recognizing emotion
Adolphs, R. (2002) · Current Opinion in Neurobiology · doi:10.1016/s0959-4388(02)00301-x · Cited by 1,933 · see citing works
Unconscious facial reactions to emotional facial expressions
Dimberg, U., Thunberg, M., & Elmehed, K. (2000) · Psychological Science · doi:10.1111/1467-9280.00221 · Cited by 1,788 · see citing works
Dapretto, M., Davies, M. S., Pfeifer, J. H., Scott, A. A., Sigman, M., Bookheimer, S. Y., & Iacoboni, M. (2006) · Nature Neuroscience · doi:10.1038/nn1611 · Cited by 1,694 · see citing works
Embodiment in attitudes, social perception, and emotion
Niedenthal, P. M., Barsalou, L. W., Winkielman, P., Krauth-Gruber, S., & Ric, F. (2005) · Personality and Social Psychology Review · doi:10.1207/s15327957pspr0903_1 · Cited by 1,484 · see citing works
The mirror neuron system and the consequences of its dysfunction
Iacoboni, M., & Dapretto, M. (2006) · Nature reviews. Neuroscience · doi:10.1038/nrn2024 · Cited by 1,401 · see citing works
Blair, R. J. R. (2005) · Consciousness and Cognition · doi:10.1016/j.concog.2005.06.004 · Cited by 1,365 · see citing works
Imitation, mirror neurons and autism
Williams, J. H. G., Whiten, A., Suddendorf, T., & Perrett, D. I. (2001) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(01)00014-8 · Cited by 946 · see citing works
Milev, P., Ho, B., Arndt, S. V., & Andreasen, N. C. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.3.495 · Cited by 919 · see citing works
Facial Reactions to Facial Expressions
Dimberg, U. (1982) · Psychophysiology · doi:10.1111/j.1469-8986.1982.tb02516.x · Cited by 844 · see citing works
Emotion recognition via facial expression and affective prosody in schizophrenia
Edwards, J., Jackson, H. J., & Pattison, P. E. (2002) · Clinical Psychology Review · doi:10.1016/s0272-7358(02)00130-7 · Cited by 714 · see citing works
Oberman, L. M., & Ramachandran, V. S. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.2.310 · Cited by 630 · cited 3× · see citing works
“Involuntary facial mimicry has been implicated in, and thought to facilitate, empathy via a process of simulation (Decety & Jackson, 2004 ; Oberman & Ramachandran, 2007 ).”
MethodFrom emotion resonance to empathic understanding: A social developmental neuroscience account
Decety, J., & Meyer, M. (2008) · Development and Psychopathology · doi:10.1017/s0954579408000503 · Cited by 597 · see citing works
Rapid facial reactions to emotional facial expressions
Dimberg, U., & Thunberg, M. (1998) · Scandinavian Journal of Psychology · doi:10.1111/1467-9450.00054 · Cited by 490 · see citing works
Impairment of actions chains in autism and its possible role in intention understanding
Cattaneo, L., Fabbri‐Destro, M., Boria, S., Pieraccini, C., Monti, A., Cossu, G., & Rizzolatti, G. (2007) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0706273104 · Cited by 483 · see citing works
Emotion recognition, ‘theory of mind,’ and social behavior in schizophrenia
Brüne, M. (2005) · Psychiatry Research · doi:10.1016/j.psychres.2004.10.007 · Cited by 466 · see citing works
Reafferent copies of imitated actions in the right superior temporal cortex
Iacoboni, M., Koski, L. M., Braß, M., Harold Bekkering, A., Woods, R. P., Dubeau, M.-C., Mazziotta, J. C., & Rizzolatti, G. (2001) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.241474598 · Cited by 464 · see citing works
McIntosh, D. N., Reichmann‐Decker, A., Winkielman, P., & Wilbarger, J. L. (2006) · Developmental Science · doi:10.1111/j.1467-7687.2006.00492.x · Cited by 463 · see citing works
A PET exploration of the neural mechanisms involved in reciprocal imitation
Decety, J., Chaminade, T., Grèzes, J., & Meltzoff, A. N. (2002) · NeuroImage · doi:10.1006/nimg.2001.0938 · Cited by 445 · see citing works
Facial reactions to emotional stimuli: Automatically controlled emotional responses
Dimberg, U., Thunberg, M., & Grunedal, S. (2002) · Cognition & Emotion · doi:10.1080/02699930143000356 · Cited by 392 · see citing works
Neural bases for impaired social cognition in schizophrenia and autism spectrum disorders
Pinkham, A. E., Hopfinger, J. B., Pelphrey, K. A., Piven, J., & Penn, D. L. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2007.10.024 · Cited by 376 · see citing works
Facial reactions to happy and angry facial expressions: Evidence for right hemisphere dominance
Dimberg, U., & Petterson, M. (2000) · Psychophysiology · doi:10.1111/1469-8986.3750693 · Cited by 368 · see citing works
Gender differences in facial reactions to facial expressions
Dimberg, U., & Lundquist, L.-O. (1990) · Biological Psychology · doi:10.1016/0301-0511(90)90024-q · Cited by 342 · see citing works
Imitation and the Social Mind: Autism and Typical Development.
Rogers, S. J., & Williams, J. H. G. (2006) · Guilford Publications · Cited by 251 · see citing works
Handbook of social functioning in schizophrenia
Mueser, K. T., & Tarrier, N. (1998) · Cited by 229 · see citing works
More than mere mimicry? The influence of emotion on rapid facial reactions to faces.
Moody, E. J., McIntosh, D. N., Mann, L. J., & Weisser, K. R. (2007) · Emotion · doi:10.1037/1528-3542.7.2.447 · Cited by 223 · see citing works
Generalized deficit in all core components of empathy in schizophrenia
Derntl, B., Finkelmeyer, A. E., Toygar, T., Hülsmann, A., Schneider, F. W., Falkenberg, D. I., & Habel, U. (2008) · Schizophrenia Research · doi:10.1016/j.schres.2008.11.009 · Cited by 215 · see citing works
Emotional Empathy as Related to Mimicry Reactions at Different Levels of Information Processing
Sonnby‐Borgström, M., Jönsson, P., & Svensson, O. (2003) · Journal of Nonverbal Behavior · doi:10.1023/a:1023608506243 · Cited by 200 · see citing works
Oberman, L. M., Winkielman, P., & Ramachandran, V. S. (2009) · Developmental Science · doi:10.1111/j.1467-7687.2008.00796.x · Cited by 197 · see citing works
Brekke, J. S., Hoe, M., Long, J. D., & Green, M. F. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbl072 · Cited by 182 · see citing works
Neurocognitive basis of impaired empathy in schizophrenia.
Shamay‐Tsoory, S., Shur, S., Harari, H., & Levkovitz, Y. (2007) · Neuropsychology · doi:10.1037/0894-4105.21.4.431 · Cited by 153 · see citing works
Beall, P. M., Moody, E. J., McIntosh, D. N., Hepburn, S., & Reed, C. L. (2008) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2008.04.004 · Cited by 135 · see citing works
The multiple facets of empathy: a survey of theory and evidence
Leiberg, S., & Anders, S. (2006) · Progress in Brain Research · doi:10.1016/s0079-6123(06)56023-6 · Cited by 134 · see citing works
The 'shared manifold' hypothesis.
D, V. G. M. (2001) · Journal of Consciousness Studies · Cited by 132 · see citing works
Langdon, R. A., Coltheart, M., & Ward, P. B. (2006) · Cognitive Neuropsychiatry · doi:10.1080/13546800444000218 · Cited by 130 · see citing works
Henry, J. D., Green, M. J., de Lucia, A., Restuccia, C., McDonald, S., & O׳Donnell, M. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2007.06.002 · Cited by 118 · see citing works
Self-citationPijnenborg, G., Withaar, F., Evans, J., van den Bosch, R. V., Timmerman, M., & Brouwer, W. (2009) · Journal of the International Neuropsychological Society · doi:10.1017/s1355617709090341 · Cited by 115 · see citing works
Reduced motor facilitation during action observation in schizophrenia: a mirror neuron deficit?
Enticott, P., Hoy, K., Herring, S., Johnston, P., Daskalakis, Z., & Fitzgerald, P. (2008) · Schizophrenia Research · doi:10.1016/j.schres.2008.04.001 · Cited by 104 · see citing works
Imitation, simulation, and schizophrenia
Park, S., Matthews, N., & Gibson, C. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn048 · Cited by 99 · see citing works
Schizophrenic patients show facial reactions to emotional facial expressions
Kring, A. M., Kerr, S. L., & Earnst, K. S. (1999) · Psychophysiology · doi:10.1111/1469-8986.3620186 · Cited by 86 · see citing works
Reduced emotional response of schizophrenic patients in remission during social interaction
Mattes, R., Schneider, F. W., Heimann, H. L., & Birbaumer, N. (1995) · Schizophrenia Research · doi:10.1016/0920-9964(95)00014-3 · Cited by 78 · see citing works
An Audit of Outpatient Antipsychotic Usage in the Three Health Sectors of Auckland, New Zealand
Humberstone, V., Wheeler, A., & Lambert, T. J. R. (2004) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2004.01340.x · Cited by 69 · see citing works
Mirror neurons and the understanding of behavioural symptoms in psychiatric disorders
Buccino, G., & Amore, M. (2008) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3282fbcd32 · Cited by 63 · see citing works
Subconscious facial expression mimicry is preserved in older adulthood.
Bailey, P. E., & Henry, J. D. (2009) · Psychology and Aging · doi:10.1037/a0015789 · Cited by 51 · see citing works
Self-citationElectromyographic evidence for age-related differences in the mimicry of anger.
Bailey, P. E., Henry, J. D., & Nangle, M. R. (2009) · Psychology and Aging · doi:10.1037/a0014112 · Cited by 50 · see citing works
Self-citationItakura, S., & Fujita, K. (2008) · Springer eBooks · doi:10.1007/978-4-431-75179-3 · Cited by 50 · see citing works
Fear of snakes and facial reactions: A case of rapid emotional responding
Dimberg, U., Hansson, G. Ö., & Thunberg, M. (1998) · Scandinavian Journal of Psychology · doi:10.1111/1467-9450.00059 · Cited by 48 · see citing works
Wolf, K., Maß, R., Kiefer, F., Wiedemann, K., & Naber, D. (2006) · The Canadian Journal of Psychiatry · doi:10.1177/070674370605100601 · Cited by 39 · see citing works
Structural neural correlates of impairments in social cognition in first episode psychosis
Bertrand, M.-C., Achim, A. M., Harvey, P., Sutton, H., MALLA, A. K., & Lepage, M. (2008) · Social Neuroscience · doi:10.1080/17470910701563491 · Cited by 35 · see citing works
Wolf, K., Mass, R., Kiefer, F., Eckert, K., Weinhold, N., Wiedemann, K., & Naber, D. (2004) · Pharmacopsychiatry · doi:10.1055/s-2003-825564 · Cited by 13 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Social cognition in schizophrenia
Green, M. F., Horan, W. P., & Lee, J. (2015) · Nature Reviews Neuroscience · doi:10.1038/nrn4005 · Cited by 1,159 · see citing works
Emotional Mimicry as Social Regulation
Hess, U., & Fischer, A. (2013) · Personality and Social Psychology Review · doi:10.1177/1088868312472607 · Cited by 596 · see citing works
Emotion deficits in people with schizophrenia
Kring, A. M., & Elis, O. (2013) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050212-185538 · Cited by 318 · see citing works
Harshaw, C. (2015) · Psychological Bulletin · doi:10.1037/a0038101 · Cited by 302 · see citing works
Mirror neuron function, psychosis, and empathy in schizophrenia
McCormick, L. M., Brumm, M. C., Beadle, J. N., Paradiso, S., Yamada, T., & Andreasen, N. (2012) · Psychiatry Research: Neuroimaging · doi:10.1016/j.pscychresns.2012.01.004 · Cited by 113 · see citing works
Thakkar, K. N., Peterman, J. S., & Park, S. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.13040498 · Cited by 99 · see citing works
van der Weiden, A., Prikken, M., & van Haren, N. E. M. (2015) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2015.09.004 · Cited by 101 · see citing works
Self-reported empathy and neural activity during action imitation and observation in schizophrenia
Horan, W. P., Iacoboni, M., Cross, K. A., Korb, A., Lee, J., Nori, P., Quintana, J., Wynn, J. K., & Green, M. F. (2014) · NeuroImage: Clinical · doi:10.1016/j.nicl.2014.06.006 · Cited by 55 · see citing works
Some markers of mirroring appear intact in schizophrenia: evidence from mu suppression
Horan, W. P., Pineda, J. A., Wynn, J. K., Iacoboni, M., & Green, M. F. (2014) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/s13415-013-0245-8 · Cited by 47 · see citing works
Enhanced Automatic Action Imitation and Intact Imitation-Inhibition in Schizophrenia
Simonsen, A., Fusaroli, R., Skewes, J. C., Roepstorff, A., Campbell-Meiklejohn, D., Mors, O., & Bliksted, V. (2019) · Schizophrenia Bulletin · doi:10.1093/schbul/sby006 · Cited by 16 · see citing works
- Authors
- VARCIN, K. J., BAILEY, P. E., & HENRY, J. D.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- VARCIN, KANDICE J.
- Venue
- Journal of the International Neuropsychological Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2010-04-07
- Volume
- 16
- Issue
- 4
- Pages
- 621-629
- ISSN
- 1355-6177 (ISSN-L)
- 1469-7661
- OpenAlex
- W2164284234
- Cited by
- 97
- References
- 59
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 7 · 2019: 11 · 2018: 4 · 2017: 8 · 2016: 7 · 2015: 11 · 2014: 9 · 2013: 6 · 2012: 6
- FWCI
- 3.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the International Neuropsychological Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of New South Wales
- Australian Research Council
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Keywords
- schizophrenia, facial mimicry, empathy deficits, mirror neuron system, social cognition, corrugator supercilii, zygomaticus major, facial expressions, electromyography, emotional facial expressions
- MeSH terms
- Adult, Electromyography, Empathy, Facial Expression, Facial Muscles, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Personality Disorders, Photic Stimulation, Schizophrenia, Statistics as Topic, Case-Control Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review