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Irony and Empathy in Children with Traumatic Brain Injury

Published online by Cambridge University Press:  01 February 2013

Maureen Dennis ,
Nevena Simic ,
Alba Agostino ,
H. Gerry Taylor ,
Erin D. Bigler ,
Kenneth Rubin ,
Kathryn Vannatta ,
Cynthia A. Gerhardt ,
Terry Stancin  and
Keith Owen Yeates
Maureen Dennis*
Affiliation:
Program in Neuroscience & Mental Health, The Hospital for Sick Children, Toronto, Ontario Department of Surgery, University of Toronto, Toronto, Ontario
Nevena Simic
Affiliation:
Program in Neuroscience & Mental Health, The Hospital for Sick Children, Toronto, Ontario Department of Psychology, University of Toronto, Toronto, Ontario
Alba Agostino
Affiliation:
Department of Psychology, Ryerson University, Toronto, Ontario
H. Gerry Taylor
Affiliation:
Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio Department of Pediatrics, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio
Erin D. Bigler
Affiliation:
Department of Psychology, Brigham Young University, Provo, Utah Department of Psychiatry, University of Utah, Salt Lake City, Utah
Kenneth Rubin
Affiliation:
Department of Human Development and Quantitative Methodology, University of Maryland, College Park, Maryland
Kathryn Vannatta
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
Cynthia A. Gerhardt
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
Terry Stancin
Affiliation:
Department of Pediatrics, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio Department of Psychiatry, MetroHealth Medical Center, Cleveland, Ohio
Keith Owen Yeates
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
*
Correspondence and reprint requests to: Maureen Dennis, Department of Psychology, The Hospital for Sick Children, 555 University Avenue, Toronto, ON, Canada, M5G 1X8. E-mail: [email protected]
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Abstract

Social communication involves influencing what other people think and feel about themselves. We use the term conative theory of mind (ToM) to refer to communicative interactions involving one person trying to influence the mental and emotional state of another, paradigmatic examples of which are irony and empathy. This study reports how children with traumatic brain injury (TBI) understand ironic criticism and empathic praise, on a task requiring them to identify speaker belief and intention for direct conative speech acts involving literal truth, and indirect speech acts involving either ironic criticism or empathic praise. Participants were 71 children in the chronic state of a single TBI and 57 age- and gender-matched children with orthopedic injuries (OI). Group differences emerged on indirect speech acts involving conation (i.e., irony and empathy), but not on structurally and linguistically identical direct speech acts, suggesting specific deficits in this aspect of social cognition in school-age children with TBI. Deficits in children with mild-moderate TBI were less widespread and more selective than those of children with more severe injuries. Deficits in understanding the social, conative function of indirect speech acts like irony and empathy have widespread and deep implications for social function in children with TBI. (JINS, 2013, 19, 1–11)

Keywords

SarcasmChildhood head injuryGlasgow Coma ScaleSocial cognitionSpeech acts
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 3 , March 2013 , pp. 338 - 348
Copyright
Copyright © The International Neuropsychological Society 2013

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References

Ackerman, B.P. (1981). Young children's understanding of a speaker's intentional use of false utterance. Developmental Psychology, 17, 472–480.CrossRefGoogle Scholar
Ackerman, B.P. (1982). Contextual integration and utterance interpretation: The ability of children and adults to interpret sarcastic utterances. Child Development, 53, 1075–1083.CrossRefGoogle Scholar
Brown, R.L. (2010). Epidemiology of injury and the impact of health disparities. Current Opinion in Pediatrics, 22, 321–325.CrossRefGoogle ScholarPubMed
Chapman, S.B., Sparks, G., Levin, H.S., Dennis, M., Roncadin, C., Zhang, L., Song, J. (2004). Discourse macrolevel processing after severe pediatric traumatic brain injury. Developmental Neuropsychology, 25, 37–60.CrossRefGoogle ScholarPubMed
Crystal, D. (1997). Pragmatics. In, The Cambridge encyclopedia of language (2nd ed., pp. 121). New York, NY: Cambridge University Press.Google Scholar
Decety, J., Chaminade, T. (2003). Neural correlates of feeling sympathy. Neuropsychologia, 41, 127–138.CrossRefGoogle ScholarPubMed
de Groot, A., Kaplan, J., Rosenblatt, E., Dews, S., Winner, E. (1995). Understanding versus discriminating nonliteral utterances: Evidence for a dissociation. Metaphor and Symbol, 10, 255–273.CrossRefGoogle Scholar
Dennis, M., Barnes, M.A. (2000). Speech acts after mild or severe childhood head injury. Aphasiology, 14, 391–405.CrossRefGoogle Scholar
Dennis, M., Barnes, M.A. (2001). Comparison of literal, inferential, and intentional text comprehension in children with mild or severe closed head injury. Journal of Head Trauma Rehabilitation, 16, 1–14.CrossRefGoogle ScholarPubMed
Dennis, M., Francis, D.J., Cirino, P.T., Schachar, R., Barnes, M.A., Fletcher, J.M. (2009). Why IQ is not a covariate in cognitive studies of neurodevelopmental disorders. Journal of the International Neuropsychological Society, 15, 331–343.CrossRefGoogle Scholar
Dennis, M., Purvis, K., Barnes, M.A., Wilkinson, M., Winner, E. (2001). Understanding of literal truth, ironic criticism, and deceptive praise after childhood head injury. Brain and Language, 78, 1–16.CrossRefGoogle Scholar
Dennis, M., Wilkinson, M., Humphreys, R.P. (1998). How children with head injury represent real and deceptive emotion in short narratives. Brain and Language, 61, 450–483.CrossRefGoogle ScholarPubMed
Dews, S., Winner, E. (1997). Attributing meaning to deliberately false utterances: The case of irony. In C. Mandell & A. McCabe (Eds.), The problem of meaning: Behavioral and cognitive perspectives. New York, NY: Elsevier Science.Google Scholar
Dews, S., Winner, E., Nicolaides, N., Hunt, M. , 1995. Forms and functions of verbal irony found in children's and adults’ television shows. Paper presented at American Psychological Association, New York.Google Scholar
Gibbs, R.W. (1984). Literal meaning and psychological theory. Cognitive Science, 8, 275–304.CrossRefGoogle Scholar
Gibbs, R.W., O'Brien, J.E., Doolittle, S. (1995). Inferring meanings that are not intended: Speakers’ intentions and irony comprehension. Discourse Processes, 20, 187–203.CrossRefGoogle Scholar
Hancock, J.T., Dunham, P.J., Purdy, K. (2000). Children's comprehension of critical and complimentary forms of verbal irony. Journal of Cognition and Development, 1, 227–248.CrossRefGoogle Scholar
Harris, M., Pexman, P.M. (2003). Children's perceptions of the social functions of verbal irony. Discourse Processes, 36, 147–165.CrossRefGoogle Scholar
Haverkate, H. (1990). A speech act analysis of irony. Journal of Pragmatics, 14, 77–109.CrossRefGoogle Scholar
Hein, G., Silani, G., Preuschoff, K., Batson, C.D., Singer, T. (2010). Neural responses to ingroup and outgroup members’ suffering predict individual differences in costly helping. Neuron, 68, 149–160.CrossRefGoogle ScholarPubMed
Hein, G., Singer, T. (2008). I feel how you feel but not always: The empathic brain and its modulation. Current Opinion in Neurobiology, 18, 153–158.CrossRefGoogle Scholar
Hilgard, E.R. (1980). The trilogy of mind: Cognition, affection, and conation. Journal of the History of the Behavorial Sciences, 16(2), 107–117.3.0.CO;2-Y>CrossRefGoogle ScholarPubMed
Howard, I., Joseph, J.G., Natale, J.E. (2005). Pediatric traumatic brain injury: Do racial/ethnic disparities exist in brain injury severity, mortality, or medical disposition? Ethnicity & Disease, 15, 51–56.Google ScholarPubMed
Huang, L., Galinsky, A.D. (2011). Mind-body dissonance: Conflict between the senses expands the mind's horizon. Social Psychological and Personality Science, 2, 351–359.CrossRefGoogle Scholar
Hutcheon, L. (1992). Eco's echoes: Ironizing the (post)modern. Diacritics: A Review of Contemporary Criticism, 22, 2–16.CrossRefGoogle Scholar
Krach, S., Cohrs, J.C., de Echeverria Loebell, N.C., Kircher, T., Sommer, J., Jansen, A., Paulus, F.M. (2011). Your flaws are my pain: Linking empathy to vicarious embarrassment. PloS One, 6, e18675.CrossRefGoogle ScholarPubMed
Langlois, J.A., Rutland-Brown, W., Thomas, K.E. (2005). The incidence of traumatic brain injury among children in the United States: Differences by race. Journal of Head Trauma Rehabilitation, 20, 229–238.CrossRefGoogle ScholarPubMed
Leggitt, J.S., Gibbs, R.W. (2000). Emotional reactions to verbal irony. Discourse Processes, 29, 1–24.CrossRefGoogle Scholar
Levin, H.S., Hanten, G., Roberson, G., Li, X., Ewing-Cobbs, L., Dennis, M., Swank, P. (2008). Prediction of cognitive sequelae based on abnormal computed tomography findings in children following mild traumatic brain injury. Journal of Neurosurgery: Pediatrics, 1, 461–470.Google ScholarPubMed
Masten, C.L., Morelli, S.A., Eisenberger, N.I. (2011). An fMRI investigation of empathy for “social pain” and subsequent prosocial behavior. Neuroimage, 55, 381–388.CrossRefGoogle ScholarPubMed
McCauley, S.R., Wilde, E.A., Anderson, V.A., Bedell, G., Beers, S.R., Campbell, T.F., Yeates, K.O. (2012). Recommendations for the use of common outcome measures in pediatric traumatic brain injury research. Journal of Neurotrauma, 29, 678–705.CrossRefGoogle ScholarPubMed
McDonald, S. (1992). Differential pragmatic language loss after closed head injury. Applied Psycholinguistics, 13(3), 295–312.CrossRefGoogle Scholar
McDonald, S. (2000). Neuropsychological studies of sarcasm. Metaphor and Symbol, 15(1-2), 85–98.CrossRefGoogle Scholar
McKinlay, A., Kyonka, E.G.E., Grace, R.C., Horwood, L.J., Fergusson, D.M., MacFarlane, M.R. (2010). An investigation of the pre-injury risk factors associated with children who experience traumatic brain injury. Injury Prevention, 16, 31–35.CrossRefGoogle ScholarPubMed
Mobbs, D., Yu, R., Meyer, M., Passamonti, L., Seymour, B., Calder, A.J., Dalgleish, T. (2009). A key role for similarity in vicarious reward. Science, 324, 900.CrossRefGoogle ScholarPubMed
Olsson, A., Nearing, K.L., Phelps, E.A. (2007). Learning fears by observing others: The neural systems of social fear transmission. Social Cognitive and Affective Neuroscience, 2, 3–11.CrossRefGoogle ScholarPubMed
Parslow, R.C., Morris, K.P., Tasker, R.C., Forsyth, R.J., Hawley, C.A. (2005). Epidemiology of traumatic brain injury in children receiving intensive care in the UK. Archives of Disease in Childhood, 90, 1182–1187.CrossRefGoogle ScholarPubMed
Pexman, P.M., Glenwright, M. (2007). How do typically developing children grasp the meaning of verbal irony? Journal of Neurolinguistics, 20, 178–196.CrossRefGoogle Scholar
Rameson, L.T., Morelli, S.A., Lieberman, M.D. (2012). The neural correlates of empathy: Experience, automaticity, and prosocial behavior. Journal of Cognitive Neuroscience, 24(1), 235–245.CrossRefGoogle ScholarPubMed
Shamay-Tsoory, S.G., Aharon-Peretz, J. (2007). Dissociable prefrontal networks for cognitive and affective theory of mind: A lesion study. Neuropsychologia, 45(13), 3054–3067.CrossRefGoogle ScholarPubMed
Singer, T., Seymour, B., O'Doherty, J., Kaube, H., Dolan, R.J., Firth, C.D. (2004). Empathy for pain involves the affective but not sensory components of pain. Science, 303, 1157–1162.CrossRefGoogle Scholar
Sperber, B., Wilson, D. (1995). Relevance: Communication and cognition (2nd ed.). Cambridge, MA: Blackwell.Google Scholar
Tankersley, D., Stowe, J.C., Huettel, S.A. (2007). Altruism is associated with an increased neural response to agency. Nature Neuroscience, 10, 150–151.CrossRefGoogle ScholarPubMed
Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness: A practical scale. Lancet, 2, 81–84.CrossRefGoogle ScholarPubMed
Winner, E., Leekham, S. (1991). Distinguishing irony from deception: Understanding the speaker's second-order intention. British Journal of Developmental Psychology, 9, 257–270.CrossRefGoogle Scholar
Yeates, K.O., Taylor, H.G. (1997). Predicting premorbid neuropsychological functioning following pediatric traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 19, 825–837.CrossRefGoogle ScholarPubMed
Yeates, P.J., Williams, W.H., Harris, A., Round, A., Jenkins, R. (2006). An epidemiological study of head injuries in a UK population attending an emergency department. Journal of Neurology, Neurosurgery, & Psychiatry, 77, 699–701.CrossRefGoogle Scholar
Yuh, E.L., Cooper, S.R., Ferguson, A.R., Manley, G.T. (2012). Quantitative CT improves outcome prediction in acute traumatic brain injury. Journal of Neurotrauma, 29, 735–746.CrossRefGoogle ScholarPubMed