Out of touch with reality? Social perception in first-episode schizophrenia
Open accessAbstract
Social dysfunction has been recognized as an elementary feature of schizophrenia, but it remains a crucial issue whether social deficits in schizophrenia concern the inter-subjective domain or primarily have their roots in disturbances of self-experience. Social perception comprises vicarious processes grounding an experiential inter-relationship with others as well as self-regulation processes allowing to maintain a coherent sense of self. The present study investigated whether the functional neural basis underlying these processes is altered in first-episode schizophrenia (FES). Twenty-four FES patients and 22 healthy control participants underwent functional magnetic resonance imaging during a social perception task requiring them to watch videos depicting other individuals' inanimate and animate/social tactile stimulations, and a tactile localizer condition. Activation in ventral premotor cortex for observed bodily tactile stimulations was reduced in the FES group and negatively correlated with self-experience disturbances. Moreover, FES patients showed aberrant differential activation in posterior insula for first-person tactile experiences and observed affective tactile stimulations. These findings suggest that social perception in FES at a pre-reflective level is characterized by disturbances of self-experience, including impaired multisensory representations and self-other distinction. However, the results also show that social perception in FES involves more complex alterations of neural activation at multiple processing levels.
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Disembodiment has been described as a core feature encompassing the whole schizophrenia spectrum.
“Disembodiment has been described as a core feature encompassing the whole schizophrenia spectrum.56”
From Yoga-Based Group Intervention for Inpatients with Schizophrenia Spectrum Disorders—Feasibility, Acceptability, and Preliminary Outcomes of a Rater-Blinded Randomized Controlled Trial. (2026) · cites this paper as [56]
The Discussion links impaired bodily-self representations to disrupted self-experience in first-episode schizophrenia and says basic symptoms remain stable through disease progression, including the prodromal phase (page unavailable). It does not describe disembodiment as a core feature of the whole schizophrenia spectrum; basic symptoms also include disturbances beyond bodily experience. (LLM, conf=0.83)
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- Authors
- Ebisch, S. J. H., Salone, A., Ferri, F., De Berardis, D., Romani, G. L., Ferro, F. M., & Gallese, V.
- Affiliations
- Italian Institute of Technology (IT)
- Venue
- Social Cognitive and Affective Neuroscience
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-01-24
- Volume
- 8
- Issue
- 4
- Pages
- 394-403
- ISSN
- 1749-5016 (ISSN-L)
- 1749-5024
- PMC
- PMC3624951
- OpenAlex
- W2143834993
- Cited by
- 77
- References
- 114
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 3 · 2016: 10 · 2015: 5 · 2014: 6 · 2013: 9 · 2012: 5
- FWCI
- 5.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Social Cognitive and Affective Neuroscience (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- first-episode schizophrenia, social perception, social dysfunction, self-experience, ventral premotor cortex, posterior insula, multisensory integration, self-other distinction, social cognition
- MeSH terms
- Adult, Cerebral Cortex, Female, Humans, Magnetic Resonance Imaging, Male, Schizophrenia, Social Perception, Touch, Visual Perception, Touch Perception, Young Adult
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