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A Novel Method to Compare Lateralized Versus Non-Lateralized Specialization
Accounts of the Mechanism Underlying Theory of Mind
Haley J. Fallowfield
Honors Psychology Thesis
Department of Psychology
University of Western Ontario
London, Ontario, CANADA
April, 2012
Thesis Advisor: Adam S. Cohen, Ph.D.
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Abstract
Significant conflict exists within current Theory of Mind (ToM) literature regarding
whether the neural mechanism underlying ToM are represented bi-laterally or specifically in the
right hemisphere of the brain. The present study compares these hypotheses using a novel
method that borrows from methodologies used to assess functional lateralization in corpus
callosotomized patients. Following the presentation of true-belief and false-belief scenarios,
participants were required to make a forced-choice button press response in a violation of
expectation paradigm. Information regarding belief attribution was presented specifically to
either the right or left hemisphere of the brain, and reaction times were compared between trials
to determine whether presentation of stimuli to the right hemisphere resulted in a significant
reaction time advantage. No significant effects of hemisphere presentation were observed.
Bayesian analysis revealed a Bayes Factor of 21:1 in favour of the bi-lateral specialization
hypothesis. Results are discussed in terms of both bi-laterally specialized and non-specialized
neural models of ToM.
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A Novel Method to Compare Lateralized Versus Non-Lateralized Specialization Accounts
of the Mechanism Underlying Theory of Mind
Humans are equipped with a powerful inference mechanism that spontaneously imputes
mental states underlying the behaviours of others. This ability, often referred to as Theory of
Mind (ToM), is foundational to human cognition and social competence (Premack & Woodruff,
1978). A large body of evidence supports the universal (Avis & Harris, 1991; Callaghan et al.,
2005), automatic (Cohen & German, 2009; Kovács, Téglás, & Endress, 2010), and modular
(Mar, 2011; Saxe, Carey, & Kanwisher, 2004) nature of ToM in humans. Paleontologist Richard
Leakey concludes that the social interactions of upper primates are akin to a challenging game of
social chess in which "the pieces not only unpredictably change identity, [but] they occasionally
switch colours to become the enemy," (Leakey & Lewin, 1992, p. 191-293). Because the
reproductive success of higher primates hinges heavily upon social skills, possessing the ability
to not only understand but also predict the behaviours of others is highly adaptive.
Mindblindness, or the absence of a developed ToM, is evident in individuals diagnosed
with autism spectrum disorders (ASD) (Baron-Cohen, Leslie, & Frith, 1985; Senju, Southgate,
White, & Frith, 2009). Without the ability to make use of mentalistic explanations for the
behaviours of others, many individuals with ASD suffer from severe deficits in social
competence. To compensate, these individuals often rely upon inefficient and inflexible non-
mentalistic behavioural explanations that are unable to adequately reflect the complexity and
variability observed in human behaviour (Baron-Cohen, 1997; Leslie, 1999).
At present, there is a large amount of conflict in ToM literature regarding both the neural
system responsible for belief attribution as well as how neurodevelopmental changes within this
system are associated with age-related changes in ToM processing. While there is a large body of
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evidence indicating that both the left and right temoporo-parietal junction (lTPJ and rTPJ,
respectively) independently support ToM processing (Hampton, Bossaerts, & O'Doherty, 2008;
Saxe & Kanwisher, 2005; Young, Dodell-Feder, & Saxe, 2010), other evidence supports a
lateralized specialization account, wherein the rTPJ specifically supports the ability to infer
mental states in humans (Gweon, Dodell-Feder, Bedny, & Saxe, 2012; Perner, Aichhorn,
Kronbichler, Staffen, & Ladurner, 2006). Furthermore, recent evidence indicates that the
selectivity of the rTPJ for ToM processing increases throughout development, and that this
increase in selectivity is related to increased performance on tasks assessing ToM ability (Gweon
et al., 2012; Saxe, Whitfield-Gabrieli, Scholz, & Pelphrey, 2009).
Virtually all of the existing evidence regarding the neural representation of ToM in the
brain has been derived from research involving neuroimaging procedures. Current neuroimaging
technologies, while foundational in identifying patterns of neural activity associated with specific
functions, lack the spatial and temporal resolution necessary to adequately resolve this conflict.
Additionally, the ability to obtain evidence from young populations or populations of individuals
with ASD is extremely limited because of persistent reliance on neuroimaging techniques. In
order to understand both the normative and non-normative developmental trajectories of the
system underlying ToM processing, it is necessary to gain insight into the structural and
functional representation of this system in a developmental framework. As a result, the present
study aims to compare the bi-lateral specialization hypothesis and the right hemisphere
specialization hypothesis using a novel approach that borrows from techniques used to assess
functional lateralization in corpus callosotomized patients.
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Domain Specificity of Theory of Mind Mechanism
Many evolutionary theories purport that the neural mechanism underlying ToM in
humans evolved to cope with increasingly complex and cognitively demanding social
interactions (Baron-Cohen, 1997; Brüne & Brüne-Cohrs, 2006). Brain regions hypothesized to
be specifically involved in reasoning about beliefs include the medial prefrontal cortex (mPFC),
the precuneus (PC) and the TPJ bi-laterally. In 2004, Saxe and colleagues conducted a systematic
review of functional magnetic resonance imaging (fMRI) data from studies assessing the neural
representation of ToM. Functional magnetic resonance imaging techniques measure temporal
and spatial changes in the blood-oxygen level dependent (BOLD) response within various
tissues. Because increased functional activity in a particular brain region is associated with
increased metabolic demands, temporal and spatial patterns of change in the BOLD response can
be used as an indirect measure of patterns of neural activity in the brain. The authors surmised
that the mPFC, PC, and bi-lateral TPJ meet both specificity and generality criterion required of a
domain-specific system. That is, changes in activity were observed within these regions during
tasks that required belief attribution, but no such changes were observed during cognitively
similar tasks that did not involve belief attribution (specificity). Additionally, reliable changes in
activity were observed within these regions whenever belief attribution processes were engaged
(generality).
Critics of this domain-specific hypothesis, however, have identified a variety of concerns
with respect to the data reviewed by Saxe and colleagues (2004). In particular, to determine
whether a specific brain region met the aforementioned specificity criterion, the authors
compared regional patterns of activity during tasks involving belief attribution to those observed
during cognitively similar control tasks. A region met specificity criterion if changes in activity
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were observed during belief attribution tasks but not during relevant control tasks. In order for
this process of assigning regional specificity to have been valid, the control tasks included in the
review must have been designed appropriately such that they invited processing within systems
that may have been recruited concurrently with the ToM system in the belief attribution task, but
did not invite processing within the system directly involved in belief attribution. Since the
publication of this review it has become evident that many control tasks previously thought to be
appropriate are either representationally different from belief attribution tasks or may
inadvertently invite belief attribution processes. Furthermore, subsequent data indicates that the
mPFC and PC may be involved in processing a variety of social information (Mar, 2011;
Sebastian et al., 2011), whereas only the TPJ meets the specificity criterion for domain-
specificity (Perner et al., 2006). Although there is a large amount of concurrence in the literature
regarding the role of the TPJ in ToM, there is conflicting evidence concerning the localization of
ToM processing in the brain. Some research evidence supports a domain-specific bi-lateral
representation, wherein both the lTPJ and rTPJ can independently support ToM, while others
evidence indicates a domain-specific lateralized representation, in which the rTPJ is selectively
responsible for mental state attribution.
Lateralization of Theory of Mind Mechanism in Adults
Domain-Specific Bi-Lateral Representation. Multiple sources of evidence have indicated
that both the lTPJ and rTPJ show similar patterns of activity during tasks involving belief
attribution. Hampton and colleagues (2007) used fMRI analysis to measure changes in the
BOLD response associated with mentalizing during a competitive interaction paradigm.
Participants in an fMRI scanner competed strategically with opponents outside of the scanner in
an “inspection” task for a monetary reward. Each participant was given a role (employee or
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employer) and received specific incentives based on the interaction of their own actions with the
actions of their opponent. For example, the employer could choose to either inspect or not
inspect the employee while the employee was supposed to be working. The employer received
100 cents if the employee was working and an inspection was not conducted, 25 cents if the
employee was absent and an inspection was conducted, and zero cents in any other scenario. The
incentives of the employee were similarly structured such that, when one player received a
reward, the other player did not. Thus, the employer and employee in this game had competing
objectives, making the ability to predict the likely actions of the competitor advantageous. The
authors found that most participants used an influence learning model during the interaction; that
is, participants tracked the opponent’s actions and incorporated knowledge of how their own
actions influenced the strategies employed by the opponent into their own subsequent strategies.
Significant activity was observed in the bi-lateral superior temporal sulcus (STS; a region
anatomically adjacent to the TPJ) when information regarding the opponent’s strategy was
updated based on personal influence.
Previously, the STS and the TPJ were considered interchangeably when describing the
neural mechanism of ToM because of their anatomical proximity and apparent similarities in
patterns of neural activity during belief attribution tasks. With advances in neuroimaging
techniques, it has become evident that the STS and TPJ are functionally distinct; the STS is
involved in processing of a plethora of social information, whereas activity in the TPJ is
associated specifically with belief attribution processes (Saxe, in press). Because of the close
proximity of the two regions in the brain, activity in the TPJ may have previously been
overlooked as activity specifically in the STS, even though both regions were likely recruited for
different processes (Saxe, in press). Regardless of the potential misinterpretation of results
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reported by Hampton et al. (2007), the observed bi-laterality of activity in the vicinity of the lTPJ
and rTPJ indicates that both regions may be necessary for predicting both the strategic
motivations and the future behaviours of opponents in competitive interactions via belief
attribution.
False-belief tasks have been widely used in ToM research, as these tasks require the
ability of the observer to infer an agent’s belief when the beliefs of the agent and observer are
incongruent. Because correctly inferring a false-belief involves the dissociation between an
individual’s belief(s) and the belief(s) of the observer, false-belief tasks effectively assess the
individual’s ability to conceive of mental states. In a typical false-belief task, participants
observe the following scenario: an agent interacts with an object and then places the object in a
specific concealed location (e.g. a box or a drawer). After concealing the object, the agent
becomes distracted or moves to a location that is not within viewing range of the object’s
location. During this time, the object is moved to a different concealed location, and is thus no
longer located where the agent originally placed it. When the agent returns, participants are
asked to indicate where the agent will first look for the object. The correct response is to indicate
the location at which the agent initially placed the object. False-photograph tasks are very
similar, and are often used as controls when employing false-belief tasks. In the false-photograph
task, the scenario is exactly the same as in the false-belief task, except a photograph is taken of
the initial object placement before the switch occurs. When the agent returns, participants in the
false-photograph task are asked to indicate where the object is located in the photograph.
In an effort to measure patterns of neural activity related specifically to belief attribution,
Saxe and Kanwisher (2005) compared fMRI data within subjects during presentation of stories
varying in the degree to which ToM processes were recruited. The authors compared changes in
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the BOLD response in adults during the presentation of a story requiring belief attribution (false-
belief) to BOLD response changes observed during four cognitively similar control stories (not
requiring belief attribution) containing information regarding false-photographs, desires,
inanimate descriptions, or physical descriptions. The authors found that activity in the bi-lateral
TPJ increased significantly from baseline during the presentation of false-belief stories, but did
not differ significantly from baseline during the presentation of control stories. These results
provide evidence that in adults, the bi-lateral TPJ is specifically recruited during tasks requiring
belief attribution.
Domain-Specific Right Hemisphere Lateralized Representation. While the evidence
provided by Hampton et al. (2007) and Saxe and Kanwisher (2005) are in support of the bi-
lateral representation hypothesis, there are inherent weaknesses to both studies that may have
masked lateralized patterns of activity associated with belief attribution. The main weakness of
both studies is the lack of appropriate control procedures. In the paradigm employed by Hampton
and colleagues (2007), no control task was assigned to disentangle activity patterns associated
with the multitude of cognitive processes being elicited during the competitive interaction.
Additionally, while Saxe and Kanwisher (2005) made use of control tasks, these tasks may have
unintentionally invited belief attribution. For example, many individuals attribute beliefs to non-
human or inanimate objects via anthropomorphisms; and, because beliefs are often attributed
spontaneously, control stories describing inanimate objects or physical descriptions of people
may still invite ToM processing. Additionally, the use of false-photograph tasks as cognitively
similar controls for false-belief tasks is problematic; while false-belief tasks involve inferring a
belief to an agent when the agent has a belief that is incongruent with the present reality, false-
photograph tasks require making reference to a true photograph that reflects a past reality
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regardless of the fact that the present reality and past reality are incongruent. The false-
photograph task, when observed more closely, is thus representationally very different from the
false-belief task.
To address concerns regarding the use of inappropriate controls in paradigms assessing
the neural mechanism underlying ToM processing, Perner and colleagues (2006) developed the
false-sign task. In the false-sign task, participants observe the following scenario: initially, a sign
is presented that correctly points in the direction of a location or landmark. The sign is then
changed such that it points in the wrong direction, and no longer represents the correct path to
the destination. Participants are then asked to indicate which path correctly represents the path to
the destination. The false-sign task, unlike the false-photograph task, requires participants to
make inferences about a false-representation that is incongruent with the present reality, and is
thus representationally equivalent to the false-belief task. The authors used fMRI analysis to
compare changes in the BOLD response associated with the following four vignettes in adults:
standard false-belief, false-sign, false-photograph, and temporal change. Concurrent with the
results reported by Saxe and Kanwisher (2005), Perner and colleagues (2006) found that both the
lTPJ and rTPJ showed significant changes in the BOLD response during the false-belief vignette,
but not during the false-photograph or temporal change vignettes. Interestingly, however, only
changes in activity within the rTPJ distinguished between the false-belief vignette and the false-
sign vignette. These results indicate that the rTPJ is selectively associated with belief attribution
during false-belief tasks in adults.
Individuals with ASD (regardless of whether they are classified as high-or low-
functioning) consistently fail typical false-belief tasks, and often perform worse on belief
attribution tasks than individuals diagnosed with other developmental disorders such as Down’s
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syndrome (Leslie, 1999). Comparisons of patterns of neural activity between developmentally
normative populations and developmentally non-normative populations wherein a specific deficit
in ToM is evident may provide strong insight into the neural mechanism underlying ToM.
Lombardo, Chakrabarti, Bullmore, and Baron-Cohen (2011) were able to overcome the
many inherent difficulties associated with designing appropriate neuroimaging procedures for
use with ASD individuals. Using fMRI, changes in the BOLD response associated with task
performance were compared between adult males with ASD and intelligence-matched males
with no known developmental, cognitive, or social impairments. The tasks involved either
inferring beliefs to agents (mentalizing) or making physical judgments about agents (control).
The agents in this task were either the “Self” or a non-close “Other” (the British Queen). As
expected, among typical male participants, a significant increase in the BOLD response was
observed in the rTPJ during the mentalizing condition. Strikingly, however, no such increase in
activity was observed in the rTPJ of males with ASD, and whole-brain analyses revealed that the
rTPJ was the only region that responded atypically in ASD participants during the mentalizing
condition. It is thus possible that many of the social impairments associated with ASD result
from atypical patterns of activity within the rTPJ in response to information relevant to ToM.
These results also support the hypothesis that the rTPJ is selectively responsible for belief
attribution in adults.
Developmental Trajectory of ToM
Decades of research concerning the developmental trajectory of ToM centered on the
hypothesis that ToM is acquired in stages throughout childhood (Caron, 2009; Song, Onishi,
Baillargeon, & Fisher, 2008). Many of the step-wise theories of development are supported by
evidence from the performance of children on false-belief tasks. While many studies observed
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that children were able to attribute agency by around age two, these studies also found that
children routinely failed false-belief tasks until approximately age four. Until recently, however,
researchers employing false-belief tasks relied solely upon explicit response measures, which
place high demands on cognitive control processes that are severely underdeveloped in young
children. In false-belief tasks, for instance, children must inhibit the pre-potent tendency to
respond using information relative to their own personal beliefs in favour of responding using
information relative to the beliefs of the identified agent. It is well known that response
inhibition is limited in young children, and thus their observed poor performance on standard
false-belief tasks involving explicit response measures may, in actuality, result from limited
cognitive control abilities and not an absence of ToM.
Recent evidence from studies making use of implicit measures of belief attribution (eye
tracking and active helping) indicates that children may have the ability to attribute beliefs within
the first two years of life. For example, Surian, Caldi & Sperber, (2007) found that 13-month old
infants looked reliably longer when an agent chose the correct goal path to a preferred object
(following a habituation phase wherein the preferred object was always retrieved from an
alternative location) when the child but not the agent could see the object at the new location,
versus when both the child and agent could see the object at the new location. Because increased
looking time is associated with violation of expectation, these results indicate that when children
inferred that the agent could not see that the object had been moved to the new location, they
expected the agent to look for the object first at the old location, and were surprised when the
agent instead chose the correct path. Thus, by 13 months of age, children seem to be able to
impute mental states based on their perception of an agent’s visual perspective.
Lateralization Changes and ToM Competence. While the evidence provided by Surian, et
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al. (2007) indicates that children implicitly infer beliefs to agents within the first two years of
life, the evidence fails to explain why children are unable to explicitly attribute false-beliefs to
agents until around age four. In consideration of the evidence indicating the role of the rTPJ in
thinking about thoughts, it is possible that developmental changes in the specificity of the rTPJ
for processing information related to mental state attribution underlie these seemingly conflicting
observations. In 2009, Saxe, and colleagues used fMRI analysis to monitor changes in the BOLD
response in children between the ages of 6 and 11 during the presentation of aural stories
describing physical facts about objects (Physical), characters’ appearance and social
relationships (People), or mental states (Mental). The authors then identified three regions of
interest (ROI: regions in which reliable task-related differences in the BOLD response were
observed for a majority of subjects). The ROI included the mPFC, the PC, and the TPJ, bi-
laterally. They found that activity in the rTPJ was not significantly more selective for mental
state facts relative to other social facts than the mPFC, PC, or lTPJ. The authors then calculated a
Selectivity Score for each ROI by measuring the difference in BOLD response observed between
the Mental versus People conditions relative to the difference in response observed between the
Mental versus Physical conditions. According to the authors:
A low Selectivity Score…indicates that the response to the people sections was
approximately as high as the response to the Mental sections; a high Selectivity Score
indicates that the response to the People sections was approximately as low as the
response to the Physical sections (p. 1205).
They reported that the rTPJ was not significantly more selective for belief attribution than the
other identified ROI in children. They did note, however, that the rTPJ was the only region
identified as having a significant correlation between age and selectivity index. Although these
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results provide evidence of age-related changes in the selectivity of the rTPJ for processing
information related to beliefs, the authors fail to provide evidence of a link between the
hypothesized developmental changes in rTPJ selectivity and ToM competence.
In a follow-up fMRI study, Gweon and colleagues (2012) compared changes in the
BOLD response associated with the presentation of the same three categories of aural stories as
were used in the study by Saxe et al. (2009; Physical, People, and Mental) in adults and children
aged 5 to 12. Additionally, data was compared within subjects to performance on a ToM task
battery that was administered following completion of the fMRI portion of the study. The mPFC,
PC, and TPJ, bi-laterally were all identified as ROI in both adults and children, and a Selectivity
Score was calculated for each ROI within each participant. The selectivity of both the rTPJ and
PC was significantly higher in adults than in children. Upon comparison of the Selectivity Score
of each individual ROI with age, the authors found that the selectivity of both the lTPJ and rTPJ
was significantly correlated with age. Furthermore, comparisons between ROI selectivity and
performance on the ToM task battery revealed only one significant correlation: increased
selectivity of the rTPJ for mental state information was significantly correlated with increased
performance on the ToM task battery. Thus, developmental changes in the functional
lateralization of the TPJ may explain the observed age-related changes in performance on belief
attribution tasks.
Limitations of Previous Research
In consideration of the evidence reviewed thus far, it is important to note the utility of
neuroimaging procedures in identifying patterns of neural activity associated with ToM
processes. Strict reliance on neuroimaging techniques, however, may have negative implications
for ToM research. For example, in order to accurately identify regions associated with belief
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attribution it is necessary to have appropriate control tasks or there is a severe risk of
misinterpretation. While it was previously believed that false-photograph tasks were
representationally equivalent to false-belief tasks, further assessment indicated that there are
various aspects of false-photograph tasks that render them inadequate as controls for false belief
tasks. Additionally, the spatial resolution of fMRI in itself can be misleading. Evidence of the
impact of poor spatial resolution on the understanding of the ToM mechanism was described
previously when discussing the misconception of functional equivalence between the STS and
TPJ. Also, the TPJ is a relatively large region in the brain, so it is not surprising that there may
be functionally distinct regions of the TPJ that support processes other than ToM. Furthermore,
reliance on neuroimaging procedures introduces limitations in the study of both the normative
and the non-normative developmental trajectories of ToM, as it is not yet procedurally possible
to obtain data from very young children or from a majority of individuals with ASD.
Neuroimaging evidence supporting developmental changes in the functional lateralization of the
TPJ and associated changes in ToM competence were unable to provide data for children under
the age of five, and to date few studies have attempted to gather neuroimaging data from
individuals with ASD due to ethical and procedural issues. Finally, converging evidence from
different methodologies is necessary to provide versatility in proposed theories as well as to help
resolve the existing conflict within neuroimaging data.
Borrowing from Split-Brain Research
Research initiatives involving patients who have undergone surgical resection of the
corpus callosum provide powerful insight into the functional lateralization of specific processes.
Because these patients lack the main mechanism of inter-hemispheric communication, lateralized
presentation of stimuli can effectively determine which hemisphere(s) is/are responsible for
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processing specific types of information or for computing specific forms of behavioural outputs.
From these research initiatives, it has become evident that visual information is projected to
contralateral hemispheres of the brain; that is, information presented to the left visual field (LVF)
is processed in the right hemisphere of the brain and vice versa (Gazzaniga, 2000). Furthermore,
motor pathways are also arranged contralaterally such that the right motor cortex controls both
proximal and distal musculature on the left side of the body and the left motor cortex controls
both proximal and distal musculature on the right side of the body (Gazzaniga, 2000).
The present study borrows from the methodologies employed in research assessing
functional lateralization in corpus callosotomized patients and addresses the previously discussed
limitations in existing evidence regarding the neural mechanism underlying ToM. The objective
of the present study is to compare the domain specific bi-lateral representation hypothesis with
the domain specific right hemisphere lateralized representation hypothesis of the mechanism
underlying belief attribution. Participants will be presented with a series of images on a computer
that depict either a false-belief or a true-belief scenario in a violation of expectation paradigm.
Participants will then be required to focus on a cross-hair that will appear in the center of the
screen. A final image will be presented on either the left side of the screen (LVF) or the right
side of the screen (right visual field: RVF) showing the agent looking for the object in one of the
two possible locations. Participants will be asked to indicate via a forced choice button press
response whether the image depicts where they expected the agent to look for the object.
Interhemispheric communication, although extremely rapid, introduces a temporal lag in
information processing. If belief attribution processes are lateralized to the right hemisphere, a
reaction time advantage is expected on trials in which the final scene is presented to the right
hemisphere (left visual field) versus trials in which the final scene is presented to the left
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hemisphere (right visual field). If, however, both the lTPJ and rTPJ can independently support
belief attribution, no expected reaction time advantage is predicted.
Methods
Participants
Twenty-eight English-speaking undergraduate students (M = 18.6 years, SD = 0.92;
males = 11, females = 17) enrolled in an introductory Psychology course at the University of
Western Ontario (UWO) completed the study for a course credit. All participants had corrected
or normal-to-corrected vision and no known motor disorders. Participants were recruited through
the Psychology Research Participation Pool (see Appendix A), and completed all measures on
campus in a designated testing room after giving informed consent. All participants completed a
handedness inventory to rule out effects of hand preference on performance (see Appendix B). 	
  
Measures
Belief Attribution. Belief attribution vignettes were adapted from the widely used Sally-
Anne task developed by Baron-Cohen, Leslie, and Frith (1985). For adult participants, a total of
eight vignettes were constructed. Vignettes were then separated into two categories containing
four vignettes each based on belief attribution condition (true belief or false belief). Within each
category, vignettes varied based on the gender of the agent (male agent or female agent) as well
as object and agent start location (right side or left side of the frame). Each vignette consisted of
11 still frames (9.5 cm x 14 cm), and a final still frame with dimensions (9.5 cm x 7.0 cm).
Vignettes were developed using E-prime 2.0 experiment generator software (Psychology
Software Tools Inc., Pittsburgh, PA) and were presented on an integrated Tobii T120 eye-
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tracking monitor with a display resolution of 1280 x 1024 pixels (Psychology Software Tools
Inc., Pittsburgh, PA) on a white background.
Adult participants viewed a total of 36 randomly assigned vignettes, 18 of which were
randomly selected true belief vignettes and 18 of which were randomly selected false belief
vignettes. Both true and false belief vignettes began similarly, with the agent removing an object
from one of two possible concealed locations, interacting with the object, and then replacing the
object back in the concealed location from which it was removed. The agent was then observed
leaving the room. In true belief vignettes, the agent returned to the room and observed a
confederate remove the object from the concealed location, interact with the object, and then
place the object in the second concealed location (not the location in which the agent had
previously placed the object). In the false belief condition, the agent remained out of sight while
the confederate interacted with the object, and did not observe the confederate place the object in
the new location. Refer to Appendix C for an example of a true belief vignette and Appendix D
for an example of a false belief vignette as developed for adults. The final still frame presented
depicted the agent looking in one of the two possible locations, either the expected location (in
which the agent would logically search given their knowledge of the object's location) or in the
unexpected location. The final still frame was randomly selected for each vignette based on
expectedness value to minimize any effects of expectedness on task performance measures.
Following the presentation of the final still frame, participants were required to indicate whether
it depicted where they expected the agent to look for the object.
Hemifield Presentation. In order to assess the effect of hemifield presentation on
response reaction time, the experiment was further subdivided into two trial blocks based on
visual field presentation (right visual field or left visual field: RVF or LVF, respectively). It is
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important to note that visual field presentation and hand response were coordinated such that
participants responded with the right hand (RH) throughout the RVF trial block and with the left
hand (LH) throughout the LVF trial block. All participants completed both trial blocks in a
randomized order. Each block consisted of an instructional segment, 2 randomized practice
trials, and 16 randomized experimental trials (eight from each belief attribution condition)
wherein all stimuli were presented either left (LVF) or right (RVF) justified on the display
monitor.
An experimental trial involved the following sequence of events: (a) the first 11 still
frames of a vignette were presented for 1.5 s each; (b) a fixation point (crosshairs) appeared in
the center of the monitor; (c) after 1 s of visual fixation, the final searching still frame was
presented for 0.5 s to the left (LVF) or right (RVF) of the fixation point; (d) a response screen
prompted the participant to indicate whether the agent was searching in the expected location
(press “R” button on keyboard if expected and “Y” button on keyboard if unexpected); (e) an
inter-trial interval of 10 s was initiated. Participants were instructed to maintain visual fixation
on the crosshairs until it was no longer present on the screen to ensure lateralized visual
processing. Each experimental trial took approximately 30 s to complete. Practice trials were
similar to experimental trials, except that captions were included throughout the vignettes, and
still frames within a vignette were presented for 5 s each to better acquaint participants with the
underlying storyline. Practice trials took approximately 1 min to complete.
Eye Tracking. The Tobii T120 eye tracking monitor was used to monitor participants'
eye movements throughout the task and is capable of collecting data at a rate of 120 Hz, with an
average gaze position error of less than 0.5°. The presentation of the final image was gaze
contingent, such that participants were required to maintain visual fixation on the crosshairs for 1
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s before the image would appear. Since even small shifts from central fixation can have
significant effects of visual cue processing, a focal radius of 0.5 cm from the center of the
crosshairs was enforced, and response reaction time data was not collected on any trial wherein a
participant's gaze fell outside of the focal range at any point during the presentation of the
crosshairs. Furthermore, to ensure the stimulus was processed in the desired hemifield,
participants sat approximately 57 cm from the monitor, and the final still frame in each vignette
was oriented with the centermost edge 2 cm from the center of the fixation point to produce a
minimum visual angle from the point of central fixation to the stimulus of 2°.
Procedure
Each adult participant completed 32 experimental trials and 4 practice trials subdivided
into two blocks of 16 experimental and 2 practice trials. Participants were instructed to sit
approximately 57 cm from the monitor, and were trained on how to monitor their position using
a gaze feedback screen that was presented prior to calibration, as well as prior to the start of each
trial block. A five-point calibration was completed prior to task commencement, and was
repeated (if necessary) until optimal calibration criterion was achieved. Before each trial block,
participants completed a brief instructional exercise to practice focusing on the crosshairs during
lateralized stimulus presentation and responding correctly with the appropriate hand. Participants
were explicitly told which side of the screen subsequent images would appear on and which hand
to respond with. They were instructed to press the “R” key when the word “expected” appeared,
and to press the “Y” key when the word “unexpected” appeared. Each instructional exercise
consisted of six randomly assigned word presentations (three “expected” and three
“unexpected”). In each trial, participants observed the first 11 still frames from a randomly
selected vignette, following which they were asked to fixate on a crosshairs until the crosshairs
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was no longer present on the screen. After 1 s of visual fixation on the crosshairs, the final image
for the vignette was presented. Following presentation of the final image, participants were asked
to press the “R” key on a keyboard with the index finger of the responding hand if the final
image depicted the agent searching for the object in the expected location, and the “Y” key on
the keyboard with the index finger of the responding hand if the final image depicted the agent
searching for the object in the unexpected location. Between trials, participants were instructed
to position the index finger of the responding hand over the “T” key, which was located centrally
to the two response keys. It was made clear to all participants that they were to answer as
quickly and accurately as possible on all trials. All response reaction time data was collected in
E-prime 2.0. Following completion of the experiment, participants completed the handedness
inventory to assess dexterity.
Results	
  
	
   A	
  significant	
  RT	
  advantage	
  on	
  trials	
  wherein	
  the	
  final	
  image	
  was	
  presented	
  to	
  the	
  
LVF	
  was	
  predicted	
  to	
  support	
  the	
  right	
  hemisphere	
  lateralized	
  representation	
  hypothesis	
  
of	
  the	
  mechanism	
  underlying	
  belief	
  attribution.	
  Mean	
  RTs	
  were	
  compared	
  with	
  a	
  three-­‐
factor	
  repeated	
  measures	
  analysis	
  of	
  variance	
  (ANOVA)	
  with	
  visual	
  field	
  presentation	
  (LVF,	
  
RVF),	
  belief	
  condition	
  (true	
  belief,	
  false	
  belief),	
  and	
  expectedness	
  value	
  (expected,	
  
unexpected)	
  as	
  within	
  subjects	
  factors	
  using	
  IBM	
  SPSS	
  Statistics	
  Software	
  (see	
  Table	
  1	
  for	
  
descriptive	
  statistics).	
  	
  Because	
  the	
  main	
  purpose	
  of	
  this	
  study	
  was	
  to	
  assess	
  two	
  
competing	
  hypotheses,	
  Bayesian	
  analysis	
  was	
  conducted	
  to	
  compare	
  the	
  probability	
  that	
  
the	
  bi-­‐lateral	
  specialization	
  hypothesis	
  is	
  favoured	
  over	
  the	
  right	
  hemisphere	
  lateralized	
  
specialization	
  hypothesis.	
  The	
  computed	
  Bayes	
  Factor	
  “is	
  the	
  ratio	
  of	
  the	
  marginal	
  
likelihoods	
  of	
  two	
  contrasted	
  hypotheses,”	
  (Gallistel,	
  2009,	
  p.	
  4).	
  
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Table	
  1	
   	
   	
   	
   	
   	
  
Sample	
  Size,	
  Mean	
  RT,	
  Standard	
  Deviation,	
  and	
  Standard	
  Error	
  for	
  Visual	
  Field,	
  Belief,	
  
and	
  Expectedness	
  Factors	
  
Factor	
   Description	
   N	
   M	
  	
   SD	
   SE	
  
Visual	
  Field	
   Left	
   18	
   1278.43	
   481.00	
   113.37	
  
Right	
   18	
   1366.95	
   587.38	
   138.45	
  
Belief	
  Value	
   True	
   18	
   1309.17	
   439.06	
   103.49	
  
False	
   18	
   1361.51	
   504.25	
   118.85	
  
Expectedness	
  Value	
   Expected	
   18	
   1248.70	
   428.97	
   101.11	
  
Unexpected	
   18	
   1433.57	
   520.94	
   122.79	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
	
  
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Seven	
  participants	
  were	
  excluded	
  from	
  analysis	
  because	
  of	
  lower	
  than	
  chance	
  
performance	
  during	
  either	
  one	
  or	
  both	
  of	
  the	
  experimental	
  blocks.	
  Participants	
  were	
  also	
  
excluded	
  from	
  analysis	
  if	
  no	
  data	
  was	
  available	
  for	
  any	
  one	
  of	
  the	
  experimental	
  conditions,	
  
which	
  resulted	
  in	
  the	
  exclusion	
  of	
  an	
  additional	
  eight	
  participants.	
  A	
  total	
  of	
  18	
  participants	
  
were	
  included	
  in	
  the	
  final	
  analysis	
  (M	
  =	
  18.6	
  years,	
  SD	
  =	
  0.92;	
  males	
  =	
  8,	
  females	
  =	
  10).	
  	
  
Reaction	
  times	
  were	
  not	
  included	
  in	
  the	
  average	
  calculation	
  for	
  trials	
  wherein	
  participants	
  
responded	
  incorrectly	
  (16%	
  of	
  trials),	
  or	
  for	
  trials	
  during	
  which	
  the	
  contingent	
  eye	
  tracking	
  
malfunctioned	
  and	
  the	
  image	
  depicting	
  the	
  agent	
  searching	
  in	
  one	
  of	
  the	
  two	
  possible	
  
locations	
  was	
  not	
  automatically	
  presented	
  to	
  participants	
  (13%	
  of	
  trials).	
  	
  Additionally,	
  RTs	
  
were	
  not	
  included	
  in	
  the	
  average	
  calculation	
  if	
  they	
  fell	
  outside	
  of	
  3	
  SD	
  of	
  the	
  subject’s	
  
mean	
  RT	
  across	
  all	
  trials	
  (4%	
  of	
  trials).	
  	
  
The	
  three-­‐factor	
  repeated	
  measures	
  ANOVA	
  (see	
  Table	
  2)	
  revealed	
  a	
  main	
  effect	
  of	
  
expectedness	
  value,	
  F(1,17)	
  =	
  5.29,	
  p	
  =	
  .34,	
  ηp
2	
  	
  =	
  .237,	
  characterized	
  by	
  a	
  significantly	
  
faster	
  RT	
  on	
  trials	
  in	
  which	
  the	
  final	
  image	
  depicted	
  the	
  agent	
  searching	
  in	
  the	
  expected	
  
location	
  (M	
  =	
  1248.70,	
  SD	
  =	
  428.97)	
  than	
  on	
  trials	
  in	
  which	
  the	
  agent	
  was	
  depicted	
  
searching	
  in	
  the	
  unexpected	
  location	
  (M	
  =	
  1433.56,	
  SD	
  =	
  520.94).	
  There	
  was	
  no	
  significant	
  
main	
  effect	
  of	
  	
  	
  belief	
  condition,	
  F	
  =	
  0.82,	
  p	
  =	
  .38,	
  ηp
2	
  =	
  	
  .046,	
  nor	
  were	
  any	
  significant	
  
interactions	
  observed.	
  	
  Importantly,	
  participants	
  did	
  not	
  respond	
  significantly	
  faster	
  on	
  
LVF	
  trials	
  (M	
  =	
  1278.43,	
  SD	
  =	
  481.00)	
  than	
  on	
  RVF	
  trials	
  (M	
  =	
  1366.95,	
  SD	
  =	
  587.38),	
  
F(1,17)	
  =	
  0.21,	
  p	
  =	
  .65,	
  ηp
2	
  	
  =	
  .012.	
  Bayesian	
  analysis	
  comparing	
  participants’	
  mean	
  RTs	
  
between	
  LVF	
  and	
  RVF	
  trials	
  produced	
  an	
  odds	
  ratio	
  of	
  22:1	
  in	
  favour	
  of	
  the	
  bi-­‐lateral	
  
representation	
  hypothesis.	
  	
  All	
  participants	
  reported	
  being	
  right	
  handed,	
  and	
  as	
  such	
  no	
  
further	
  analysis	
  regarding	
  the	
  effects	
  of	
  handedness	
  on	
  RT	
  was	
  required.	
  	
  	
  
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Table	
  2	
  
Visual	
  Field	
  x	
  Belief	
  x	
  Expectedness	
  Repeated	
  Measures	
  Analysis	
  of	
  Variance	
  for	
  
Response	
  Reaction	
  Time	
  
Source	
   Df	
   F	
   ηp
2	
   p	
  
(A)	
  Visual	
  Field	
   1	
   0.21	
   .012	
   .65	
  
(B)	
  Belief	
  Value	
   1	
   0.82	
   .46	
   .38	
  
(C)	
  Expectedness	
  Value	
   1	
   5.29	
   .24	
   .03	
  
A	
  x	
  B	
  (interaction)	
   1	
   0.03	
   .002	
   .86	
  
A	
  x	
  C	
  (interaction)	
   1	
   1.36	
   .074	
   .26	
  
B	
  x	
  C	
  (interaction)	
   1	
   1.79	
   .95	
   .20	
  
A	
  x	
  B	
  x	
  C	
  (interaction)	
   1	
   1.50	
   .081	
   .24	
  
Error	
  (within	
  groups)	
   17	
   	
   	
   	
  
	
  
	
  
	
  
	
  
	
  
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Discussion	
  
Previous	
  neuroimaging	
  research	
  has	
  produced	
  conflicting	
  results	
  regarding	
  the	
  
neural	
  mechanism	
  underlying	
  ToM.	
  While	
  the	
  TPJ	
  has	
  been	
  noted	
  by	
  various	
  sources	
  as	
  a	
  
brain	
  region	
  specifically	
  designated	
  to	
  reasoning	
  about	
  beliefs,	
  the	
  hemispheric	
  
distribution	
  of	
  belief	
  reasoning	
  is	
  of	
  burgeoning	
  interest	
  in	
  ToM	
  research.	
  While	
  some	
  
evidence	
  indicates	
  that	
  both	
  the	
  lTPJ	
  and	
  rTPJ	
  are	
  independently	
  capable	
  of	
  supporting	
  
belief	
  attribution	
  processes	
  (Hampton, Bossaerts, & O'Doherty, 2008; Saxe & Kanwisher,
2005; Young, Dodell-Feder, & Saxe, 2010) other	
  evidence	
  suggests	
  that	
  the	
  rTPJ	
  is	
  
specifically	
  responsible	
  for	
  belief	
  attribution	
  (Gweon, Dodell-Feder, Bedny, & Saxe, 2012;
Perner, Aichhorn, Kronbichler, Staffen, & Ladurner, 2006).	
  A	
  small	
  number	
  of	
  studies	
  have	
  
even	
  reported	
  that	
  the	
  lTPJ,	
  and	
  not	
  the	
  rTPJ,	
  is	
  the	
  control	
  center	
  for	
  belief	
  attribution	
  (van
der Meer, Groenwold, Nolen, Pijenborg, & Aleman, 2011).
The use of neuroimaging techniques to reconcile this conflict has various limitations.
When conducting neuroimaging research, neural activity is measured in discrete spatial units, or
voxels, which span one or more square centimetres of cortex. It is therefore not surprising that a
single voxel may contain multiple functionally distinct neural pathways. This lack of spatial
resolution hinders efforts to assign functional specificity to a particular region, as control tasks
may activate functionally distinct neural networks within the same voxel as experimental tasks.
Furthermore, because individual brains are anatomically and functionally different, the alignment
and normalization procedures conducted for group analyses can blur activation maps and lead to
false assumptions regarding common neural mechanisms for distinct processes. While cognizant
of the inherent limitations of neuroimaging techniques, few have endeavored to develop novel
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tasks that can be easily and ethically used to provide converging evidence for theories regarding
neural organization in humans. 	
  
The	
  present	
  study	
  aimed	
  to	
  assess	
  two	
  competing	
  hypotheses	
  of	
  the	
  mechanism	
  
underlying	
  belief	
  attribution:	
  the	
  domain-­‐specific	
  bi-­‐lateral	
  representation	
  hypothesis	
  and	
  
the	
  domain-­‐specific	
  right	
  hemisphere	
  lateralized	
  representation	
  hypothesis.	
  Participants	
  
completed	
  a	
  computerized	
  violation	
  of	
  expectation	
  task	
  requiring	
  the	
  attribution	
  of	
  both	
  
true	
  and	
  false	
  beliefs	
  in	
  a	
  novel	
  paradigm	
  featuring	
  lateralized	
  presentation	
  of	
  ToM	
  
relevant	
  stimuli.	
  A	
  significant	
  RT	
  advantage	
  for	
  trials	
  in	
  which	
  the	
  relevant	
  stimuli	
  were	
  
presented	
  to	
  the	
  RVF	
  was	
  predicted	
  to	
  support	
  the	
  latter	
  hypothesis,	
  and	
  Bayesian	
  
statistics	
  were	
  conducted	
  to	
  determine	
  the	
  odds	
  in	
  favour	
  of	
  or	
  against	
  the	
  former	
  
hypothesis.	
  	
  The	
  lack	
  of	
  an	
  observed	
  significant	
  effect	
  of	
  hemisphere	
  presentation	
  on	
  RT	
  
indicates	
  that	
  right	
  hemisphere	
  is	
  not	
  specifically	
  responsible	
  for	
  belief	
  attribution.	
  	
  
Additionally,	
  Bayesian	
  analysis	
  revealed	
  that	
  the	
  bi-­‐lateral	
  representation	
  hypothesis	
  is	
  
strongly	
  favoured	
  over	
  the	
  lateralized	
  representation	
  hypothesis.	
  	
  
Despite the shortcomings of neuroimaging techniques and the sizeable disagreement
regarding where, hemispherically, the belief computation center is located, many studies thus far
claim to support a domain-specific representation (Hampton, Bossaerts, & O'Doherty, 2008;
Saxe et al., 2004, Saxe & Kanwisher, 2005; Young, Dodell-Feder, & Saxe, 2010). While the
results of the present study can be explained in terms of a domain-specific bi-lateral
representation hypothesis, it is unclear whether the lTPJ and rTPJ independently support belief
attribution, or whether both are functionally dissimilar but necessary for this process. Also,
while the results of the present study support the hypothesis that beliefs are computed bi-
laterally, they do not provide evidence for or against domain-specificity. Many researchers have
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expressed skepticism towards domain-specific ToM hypotheses, as "the roles of [brain regions
hypothesized to form the domain-specific ToM module] are not well understood because there is
no consensus about the cognitive requirements of ToM tasks," (Apperly, Samson, & Humphreys,
2005, p. 572). In consideration of evidence indicating that ToM may share a common neural
basis with a variety of cognitively similar processes, the present results are also explained in
terms of a domain-general bi-laterally distributed neural network.
Domain-­‐Specific	
  Mechanisms	
  
Evidence for a Duplicate System. Perner and colleagues (2006) reported that while the
rTPJ and lTPJ showed similar levels of activation during false belief vignettes, the rTPJ showed
a more selective activity profile than the lTPJ: the lTPJ showed significant increases in neural
activity during false belief vignettes as well as false sign vignettes but not during false
photograph vignettes, whereas the rTPJ showed increased activity during false belief vignettes
only. The authors concluded that the lTPJ might be associated with a more broad range of tasks,
including basic mentalizing and processing perspective contrasts, whereas the rTPJ may be
specifically associated with belief attribution. It is possible, however, that a secondary process
engaged during both false belief vignettes and false sign vignettes is functionally represented in
the same anatomical region of the lTPJ as belief reasoning. The latter explanation is more
concurrent with the present findings, for if the rTPJ is more specifically attuned to belief
attribution than the lTPJ, it is likely that information processing would have occurred more
rapidly when relevant stimuli were presented to the right hemisphere versus the left hemisphere.
The idea that both the lTPJ and rTPJ can independently support belief attribution is
supported by the present findings as well as by studies showing similar profiles of activity in
both regions during tasks involving mentalizing but not during cognitively similar control tasks
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  Mind	
   	
   	
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(Hampton, Bossaerts, & O'Doherty, 2008; Saxe & Kanwisher, 2005; Young et al., 2010). This
bi-lateral representation theory fails, however, to explain evidence indicating that abnormalities
in the functional profile of the rTPJ may underlie mindblindness in individuals diagnosed with
ASD (Lombardo et al., 2011) or evidence suggesting that increases in the selectivity of the rTPJ
for thinking about thoughts underlies age-related changes in ToM competence (Saxe et al., 2009;
Gweon et al., 2012). Additionally, a research endeavor assessing ToM ability in patients with
lTPJ lesions reported that the patients showed impaired performance on the false-belief task
(Apperly, Samson, Chiavarino, & Humphreys, 2004). Similar impairments in belief reasoning
were also observed in a study that employed transcranial magnetic stimulation (TMS) to disrupt
activity within the rTPJ (Young, Camprodon, Hauser, Pascual-Leone, & Saxe, 2010).
Unfortunately, no studies have yet assessed the effects of TMS administered to the lTPJ on the
ability to attribute beliefs to others.
These sources of evidence provide a theoretical stumbling block for a duplicate-system
hypothesis: if the lTPJ and rTPJ represent a duplicate system, and are both independently
capable of supporting belief attribution, then disruption of activity specifically within one region
should not have a significant effect on ToM competence. Despite the shortcomings of lesion
studies (heterogeneity of the lesion area, multiple functional networks affected) and studies
employing TMS to temporarily disrupt neural activity (lack of spatial accuracy and specificity of
functional region affected), a second explanation for the present results is suggested: the rTPJ
and lTPJ are functionally distinct but are both required for process of belief attribution.
Evidence for a Functional Dissociation. One possible functional distinction put forth by
Apperly and colleagues (2004) and supported by the aforementioned study by Perner et al.
(2006), suggests that the lTPJ is responsible for reasoning about perspective conflicts, whereas
Lateralization	
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   29	
  
	
  
the rTPJ is specifically involved in belief attribution. While this view may sufficiently explain
why no RT advantage was observed upon presentation of ToM-relevant information to one
hemisphere or the other during false belief vignettes, it does not explain the same observation
during true belief vignettes wherein the perspectives of the participant and agent were congruent.
Furthermore, no studies have directly assessed the role of the lTPJ in computing perspective
contrasts, and as such there is little support for this view.
An interesting possibility that has also received little direct attention is that the functional
distinction between the lTPJ and lTPJ relates to attributing beliefs to the self versus attributing
beliefs to others. For example, in a study assessing the neural correlates of the self-serving bias,
participants attributed negatively or positively valenced responsibility in various social situations
to either the self or a specified other (Seidel et al., 2010). The authors reported different
functional profiles between self- and other-attribution conditions. Self-attributions were
associated with increased activity in the rTPJ whereas increased activity in the lTPJ was
associated with attributing responsibility to a specified other. Furthermore, using positron
emission tomography (PET), Lou and colleagues (2004) observed a similar lateralized pattern of
activity during episodic retrieval of previous judgments about the self versus a best friend or a
distant other (the Danish Queen). Specifically, decreased self-reference was associated with
increased activity within the vicinity of the left lateral temporal cortex and decreased activity
within the right inferior parietal cortex. The belief attribution task employed in the present study
required participants to simultaneously reason about their own belief as well as the agent's belief
(true or false) regarding the object's location, and as such was not sensitive to any possible
lateralization differences in reasoning about self-beliefs versus reasoning about the beliefs of
others. Future research is necessary to evaluate the validity of this proposed functional
Lateralization	
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   30	
  
	
  
dissociation.
Domain-General Mechanism
Several studies have reported a high level of functional correspondence between ToM
and a variety of other cognitive processes. In a quantitative meta-analysis employing the
activation likelihood estimation (ALE) approach, Spreng, Mar, and Kim (2008) reported that the
number of shared clusters of activation between ToM, autobiographical memory, prospection,
and navigation far outweighed the number of unique clusters. Of particular interest in terms of
the present results, convergence in the rTPJ was found for all processes, and convergence was
observed in the lTPJ for all but navigation. Others have concurrently reported a strong
correlation in neural activity between belief reasoning and autobiographical memory (Gweon,
Young, and Saxe, 2011), characterized by bi-lateral activity within the TPJ. The present results
may thus also be explained in terms of a bi-laterally represented domain-general mechanism of
belief attribution.
Effect of Expectedness and Belief Value
Participants	
  responded	
  significantly	
  faster	
  on	
  congruent	
  trials	
  (the	
  agent	
  was	
  
depicted	
  searching	
  in	
  the	
  expected	
  location)	
  than	
  on	
  incongruent	
  trials	
  (the	
  agent	
  was	
  
depicted	
  searching	
  in	
  the	
  undexpected	
  location).	
  Sommer	
  and	
  colleagues	
  (2007)	
  reported	
  
similar	
  results	
  when	
  they	
  employed	
  a	
  violation	
  of	
  expectation	
  paradigm	
  to	
  compare	
  the	
  
neural	
  correlates	
  of	
  true	
  and	
  false	
  belief	
  reasoning.	
  The	
  authors	
  also	
  noted	
  that	
  there	
  was	
  
no	
  significant	
  effect	
  of	
  belief	
  condition	
  on	
  RT,	
  which	
  concurs	
  with	
  the	
  results	
  reported	
  here.	
  	
  
Increased	
  response	
  competition	
  during	
  incongruent	
  belief	
  attribution	
  trials	
  likely	
  
accounted	
  for	
  this	
  observation,	
  as	
  a	
  large	
  body	
  of	
  evidence	
  has	
  found	
  that	
  the	
  amount	
  of	
  
attentional	
  control	
  (and	
  subsequently	
  the	
  rate	
  of	
  response)	
  required	
  to	
  respond	
  
Lateralization	
  and	
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  Mind	
   	
   	
   31	
  
	
  
appropriately	
  increases	
  as	
  a	
  function	
  of	
  the	
  amount	
  of	
  cognitive	
  conflict	
  elicited	
  by	
  a	
  
stimulus	
  (Davelaar	
  &	
  Stevens,	
  2009).	
  By	
  this	
  account,	
  it	
  seems	
  counter-­‐intuitive	
  that	
  no	
  RT	
  
advantage	
  was	
  observed	
  for	
  true	
  belief	
  trials	
  over	
  false	
  belief	
  trials,	
  as	
  correctly	
  attributing	
  
a	
  false	
  belief	
  involves	
  more	
  response	
  competition	
  that	
  correctly	
  attribution	
  a	
  false	
  belief.	
  As	
  
discussed	
  shortly	
  in	
  study	
  limitations,	
  the	
  process	
  of	
  belief	
  attribution	
  may	
  have	
  temporally	
  
preceded	
  the	
  process	
  of	
  selecting	
  the	
  appropriate	
  response	
  based	
  on	
  expectedness	
  value,	
  
which	
  could	
  explain	
  why	
  no	
  effect	
  of	
  belief	
  condition	
  was	
  observed	
  on	
  RT.	
  	
  	
  	
  
Limitations
Central Bottleneck Effects. Uleman (1989) characterized the average RT of a single
automatic process as approximately 300 ms or less. In the present study, absolute RT for the task
fell between 500 and 2000 ms, which suggests that the task required multiple processes for
successful completion. Most notably, the task involved reading and verbal comprehension during
probe sentences as well as executive control to select appropriate motor responses, neither of
which is directly involved in the process of belief attribution. Furthermore, the task involved
rapid sequential determination of where the agent would logically search for the object given
his/her beliefs (true or false), as well as whether the agent was depicted in the final image as
searching for the object in the expected or unexpected location. It is thus possible that processing
during this task was subject to a bottleneck effect.
It has been noted that “despite the impressive complexity and processing power of the
human brain, it exhibits severe capacity limits in information processing…when we attempt to
preform two tasks at once, as such conditions will almost invariably lead to interference between
the tasks,” (Dux, Ivanoff, Asplund, & Marois, 2006, p. 1109). The authors noted that a central
bottleneck of information processing occurs via a neural network of frontal lobe areas; this
Lateralization	
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amodal stage of information processing during dual-tasks leads to increasing RT to the second
task as the temporal disparity between the two tasks decreases. This effect has been observed in a
study assessing the effects of cognitive load on implicit theory of mind processing (Schneider,
Lam, Bayliss, & Dux, 2012). Eye movements associated with implicit belief processing were
reported to be absent among participants in a dual-task (high cognitive load) condition, wherein
they were required to perform a separate task concurrently with either a true or false belief task.
These results suggest that belief processing is a capacity-limited operation that draws on
executive processing resources. Thus, the presently employed task may not have been sensitive
to differences in RT specifically related to the process of belief attribution due to the effects of
dual-task interference.
Time-Course of Anticipating Behaviour. While the results reported here suggest that
belief attribution processes are represented bi-laterally in the brain, the experimental design
employed may have failed to garner a measure of the rate at which ToM relevant information is
processed. A large body of evidence indicates that ToM is rapidly and automatically imputed
(Cohen & German, 2009; Kovács et al., 2010). Ferguson and Breheny (2011) measured
anticipatory eye movements in adults in a visual world paradigm to gain a better understanding
of the time-course of ToM inference during language processing. Participants listened to stories
consisting of two sentences; the first sentence contained contextual information regarding an
agent’s willingness for others to know about his or her preferences (open or secret), and the
second sentence described the agent completing a contextually appropriate action. Following the
cessation of the first sentence, a display featuring four images (the agent, the open referent, the
secret referent, and a distracter) was presented to participants. The second sentence was played
following the presentation of the display. Participants’ anticipatory eye movements were
Lateralization	
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   33	
  
	
  
monitored to see at what point during the second sentence individuals made predictions
regarding the agent’s actions in the context of the agent’s previously described intentional stance.
Analysis of the probabilities of gazes to the open and secret referents as a function of time
revealed that participants anticipated towards the appropriate referent well before the
disambiguating target word (explicitly identifying the correct referent) was auditorily mentioned.
Thus, healthy adults appear to be capable of rapidly predicting the behaviours of others through
belief reasoning.
In relation to the methods employed presently, participants likely formed expectations
regarding where the agent would most likely search for the hidden object prior to the lateralized
presentation of the response-eliciting stimulus. As noted by Cohen and German (2009), assessing
belief attribution processes offline “inevitably measures the extent to which any encoded belief
information might have been maintained in the cognitive system, rather than whether or not it
was ever encoded, (p. 361). This problem may be circumvented in the present study by
incorporating online assessments of belief reasoning in real time, such as those employed in the
previously discussed study conducted by Ferguson and Breheny (2011).
Suggestions for Future Research
It is important to note that the paradigm developed in this study provides indirect
evidence regarding functional lateralization only. That being said, the relatively cost effective
and simple design of the employed paradigm may help to provide exciting insight into the
representation of belief attribution processes in populations of individuals who would otherwise
be excluded from analysis due to ethical or procedural constraints. Employing the present
paradigm to assess differences in lateralization between normative and non-normative
populations (such as those with ASD) may provide valuable insight into the neural substrates
Lateralization	
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   34	
  
	
  
underlying ToM impairments. For example, evidence indicates that individuals with ASD show
abnormal functional profiles in the rTPJ during belief attribution tasks (Lombardo et al., 2011),
and thus neural activity may be less bi-laterally represented in these individuals. Also, as this
task is suitable for use with young children, it may be useful in assessing whether changes in
lateralization occur throughout development. Understanding how the neural representation of
ToM differs between normative, non-normative, and developmentally immature individuals may
be helpful in informing both pharmacological and behavioural therapies for clinical populations
as well as educational strategies to facilitate optimal development among normative populations.
As noted previously, a large body of research has thus far focused on the role of the rTPJ
as the belief control center, and little attention has been given to the specific role of the lTPJ in
belief reasoning. This paradigm may be useful in disambiguation the contributions of the lTPJ
and rTPJ to ToM. For example, a paradigm could be developed comparing response RT
associated with trials in which participants attributed beliefs to the self versus a specific other to
determine whether the lTPJ is specifically responsible for reasoning about self-beliefs and the
rTPJ is specifically responsible for reasoning about other-beliefs.
Conclusion
The right-hemisphere lateralization hypothesis is not supported, as presenting ToM-
relevant information specifically to the LVF did not result in a significant RT advantage over
presenting the same information specifically to the RVF. The bi-lateral specialization hypothesis
is favoured over the alternative with a Bayes factor of 22. Concurrent functional frameworks
include both domain-specific and domain-general theories of the neural organization underlying
belief attribution.
Lateralization	
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Lateralization	
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  Theory	
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Appendix A
Study description as observed by participants in UWO’s Psychology Research Participation Pool
Research Participants Needed
How do people reason and solve problems? In this study, participants first watch videos or
view a series of pictures of people interacting with other people and with objects and then
answer questions based on the information provided. The study takes 60 minutes and you
will receive 1 credit for your participation.
If you are interested, please contact Dr. Adam Cohen for more information.
acohen42@uwo.ca
	
  
	
  
Lateralization	
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   41	
  
	
  
Appendix B
Handedness Inventory
Please	
  indicate	
  your	
  hand	
  preferences	
  in	
  the	
  following	
  activities	
  by	
  putting	
  a	
  check	
  in	
  the	
  
appropriate	
  column.	
  If	
  in	
  any	
  case	
  you	
  are	
  really	
  indifferent,	
  put	
  a	
  check	
  in	
  both	
  columns.	
  	
  
Some	
  of	
  the	
  activities	
  listed	
  below	
  require	
  the	
  use	
  of	
  both	
  hands.	
  In	
  these	
  cases,	
  the	
  part	
  of	
  
the	
  task,	
  or	
  object,	
  for	
  which	
  hand	
  preference	
  is	
  wanted	
  is	
  indicated	
  in	
  parentheses.	
  	
  
Please	
  try	
  and	
  answer	
  all	
  of	
  the	
  questions,	
  and	
  only	
  leave	
  a	
  blank	
  if	
  you	
  have	
  no	
  experience	
  
at	
  all	
  with	
  the	
  object	
  or	
  task.	
  
	
  
1.	
  Writing	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
2.	
  Throwing	
  a	
  ball	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
3.	
  Holding	
  a	
  racquet	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
4.	
  Lighting	
  a	
  match	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
5.	
  Cutting	
  with	
  scissors	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
6.	
  Threading	
  a	
  needle	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
7.	
  Sweeping	
  with	
  a	
  broom	
  (top	
  hand)	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
8.	
  Shoveling	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
9.	
  Dealing	
  cards	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
10.	
  Hammering	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
11.	
  Holding	
  a	
  toothbrush	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right	
  
	
  	
  	
  	
  	
  
12.	
  Unscrewing	
  a	
  lid	
  
	
  	
  	
  	
  Left	
  	
  	
  	
  	
  Right
Lateralization	
  and	
  Theory	
  of	
  Mind	
   	
   	
   42	
  
	
  
Appendix C
Sample of True Belief Vignette for Adult Participants
1 6 11
2 7 12
3 8 13
4 9
5 10
Lateralization	
  and	
  Theory	
  of	
  Mind	
   	
   	
   43	
  
	
  
Appendix D
Sample of False Belief Vignette for Adult Participants
1 6 11
2 7 12
3 8 13
4 9
5 10

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Theses_Final

  • 1. Lateralization  and  Theory  of  Mind       1     A Novel Method to Compare Lateralized Versus Non-Lateralized Specialization Accounts of the Mechanism Underlying Theory of Mind Haley J. Fallowfield Honors Psychology Thesis Department of Psychology University of Western Ontario London, Ontario, CANADA April, 2012 Thesis Advisor: Adam S. Cohen, Ph.D.
  • 2. Lateralization  and  Theory  of  Mind       2     Abstract Significant conflict exists within current Theory of Mind (ToM) literature regarding whether the neural mechanism underlying ToM are represented bi-laterally or specifically in the right hemisphere of the brain. The present study compares these hypotheses using a novel method that borrows from methodologies used to assess functional lateralization in corpus callosotomized patients. Following the presentation of true-belief and false-belief scenarios, participants were required to make a forced-choice button press response in a violation of expectation paradigm. Information regarding belief attribution was presented specifically to either the right or left hemisphere of the brain, and reaction times were compared between trials to determine whether presentation of stimuli to the right hemisphere resulted in a significant reaction time advantage. No significant effects of hemisphere presentation were observed. Bayesian analysis revealed a Bayes Factor of 21:1 in favour of the bi-lateral specialization hypothesis. Results are discussed in terms of both bi-laterally specialized and non-specialized neural models of ToM.
  • 3. Lateralization  and  Theory  of  Mind       3     A Novel Method to Compare Lateralized Versus Non-Lateralized Specialization Accounts of the Mechanism Underlying Theory of Mind Humans are equipped with a powerful inference mechanism that spontaneously imputes mental states underlying the behaviours of others. This ability, often referred to as Theory of Mind (ToM), is foundational to human cognition and social competence (Premack & Woodruff, 1978). A large body of evidence supports the universal (Avis & Harris, 1991; Callaghan et al., 2005), automatic (Cohen & German, 2009; Kovács, Téglás, & Endress, 2010), and modular (Mar, 2011; Saxe, Carey, & Kanwisher, 2004) nature of ToM in humans. Paleontologist Richard Leakey concludes that the social interactions of upper primates are akin to a challenging game of social chess in which "the pieces not only unpredictably change identity, [but] they occasionally switch colours to become the enemy," (Leakey & Lewin, 1992, p. 191-293). Because the reproductive success of higher primates hinges heavily upon social skills, possessing the ability to not only understand but also predict the behaviours of others is highly adaptive. Mindblindness, or the absence of a developed ToM, is evident in individuals diagnosed with autism spectrum disorders (ASD) (Baron-Cohen, Leslie, & Frith, 1985; Senju, Southgate, White, & Frith, 2009). Without the ability to make use of mentalistic explanations for the behaviours of others, many individuals with ASD suffer from severe deficits in social competence. To compensate, these individuals often rely upon inefficient and inflexible non- mentalistic behavioural explanations that are unable to adequately reflect the complexity and variability observed in human behaviour (Baron-Cohen, 1997; Leslie, 1999). At present, there is a large amount of conflict in ToM literature regarding both the neural system responsible for belief attribution as well as how neurodevelopmental changes within this system are associated with age-related changes in ToM processing. While there is a large body of
  • 4. Lateralization  and  Theory  of  Mind       4     evidence indicating that both the left and right temoporo-parietal junction (lTPJ and rTPJ, respectively) independently support ToM processing (Hampton, Bossaerts, & O'Doherty, 2008; Saxe & Kanwisher, 2005; Young, Dodell-Feder, & Saxe, 2010), other evidence supports a lateralized specialization account, wherein the rTPJ specifically supports the ability to infer mental states in humans (Gweon, Dodell-Feder, Bedny, & Saxe, 2012; Perner, Aichhorn, Kronbichler, Staffen, & Ladurner, 2006). Furthermore, recent evidence indicates that the selectivity of the rTPJ for ToM processing increases throughout development, and that this increase in selectivity is related to increased performance on tasks assessing ToM ability (Gweon et al., 2012; Saxe, Whitfield-Gabrieli, Scholz, & Pelphrey, 2009). Virtually all of the existing evidence regarding the neural representation of ToM in the brain has been derived from research involving neuroimaging procedures. Current neuroimaging technologies, while foundational in identifying patterns of neural activity associated with specific functions, lack the spatial and temporal resolution necessary to adequately resolve this conflict. Additionally, the ability to obtain evidence from young populations or populations of individuals with ASD is extremely limited because of persistent reliance on neuroimaging techniques. In order to understand both the normative and non-normative developmental trajectories of the system underlying ToM processing, it is necessary to gain insight into the structural and functional representation of this system in a developmental framework. As a result, the present study aims to compare the bi-lateral specialization hypothesis and the right hemisphere specialization hypothesis using a novel approach that borrows from techniques used to assess functional lateralization in corpus callosotomized patients.
  • 5. Lateralization  and  Theory  of  Mind       5     Domain Specificity of Theory of Mind Mechanism Many evolutionary theories purport that the neural mechanism underlying ToM in humans evolved to cope with increasingly complex and cognitively demanding social interactions (Baron-Cohen, 1997; Brüne & Brüne-Cohrs, 2006). Brain regions hypothesized to be specifically involved in reasoning about beliefs include the medial prefrontal cortex (mPFC), the precuneus (PC) and the TPJ bi-laterally. In 2004, Saxe and colleagues conducted a systematic review of functional magnetic resonance imaging (fMRI) data from studies assessing the neural representation of ToM. Functional magnetic resonance imaging techniques measure temporal and spatial changes in the blood-oxygen level dependent (BOLD) response within various tissues. Because increased functional activity in a particular brain region is associated with increased metabolic demands, temporal and spatial patterns of change in the BOLD response can be used as an indirect measure of patterns of neural activity in the brain. The authors surmised that the mPFC, PC, and bi-lateral TPJ meet both specificity and generality criterion required of a domain-specific system. That is, changes in activity were observed within these regions during tasks that required belief attribution, but no such changes were observed during cognitively similar tasks that did not involve belief attribution (specificity). Additionally, reliable changes in activity were observed within these regions whenever belief attribution processes were engaged (generality). Critics of this domain-specific hypothesis, however, have identified a variety of concerns with respect to the data reviewed by Saxe and colleagues (2004). In particular, to determine whether a specific brain region met the aforementioned specificity criterion, the authors compared regional patterns of activity during tasks involving belief attribution to those observed during cognitively similar control tasks. A region met specificity criterion if changes in activity
  • 6. Lateralization  and  Theory  of  Mind       6     were observed during belief attribution tasks but not during relevant control tasks. In order for this process of assigning regional specificity to have been valid, the control tasks included in the review must have been designed appropriately such that they invited processing within systems that may have been recruited concurrently with the ToM system in the belief attribution task, but did not invite processing within the system directly involved in belief attribution. Since the publication of this review it has become evident that many control tasks previously thought to be appropriate are either representationally different from belief attribution tasks or may inadvertently invite belief attribution processes. Furthermore, subsequent data indicates that the mPFC and PC may be involved in processing a variety of social information (Mar, 2011; Sebastian et al., 2011), whereas only the TPJ meets the specificity criterion for domain- specificity (Perner et al., 2006). Although there is a large amount of concurrence in the literature regarding the role of the TPJ in ToM, there is conflicting evidence concerning the localization of ToM processing in the brain. Some research evidence supports a domain-specific bi-lateral representation, wherein both the lTPJ and rTPJ can independently support ToM, while others evidence indicates a domain-specific lateralized representation, in which the rTPJ is selectively responsible for mental state attribution. Lateralization of Theory of Mind Mechanism in Adults Domain-Specific Bi-Lateral Representation. Multiple sources of evidence have indicated that both the lTPJ and rTPJ show similar patterns of activity during tasks involving belief attribution. Hampton and colleagues (2007) used fMRI analysis to measure changes in the BOLD response associated with mentalizing during a competitive interaction paradigm. Participants in an fMRI scanner competed strategically with opponents outside of the scanner in an “inspection” task for a monetary reward. Each participant was given a role (employee or
  • 7. Lateralization  and  Theory  of  Mind       7     employer) and received specific incentives based on the interaction of their own actions with the actions of their opponent. For example, the employer could choose to either inspect or not inspect the employee while the employee was supposed to be working. The employer received 100 cents if the employee was working and an inspection was not conducted, 25 cents if the employee was absent and an inspection was conducted, and zero cents in any other scenario. The incentives of the employee were similarly structured such that, when one player received a reward, the other player did not. Thus, the employer and employee in this game had competing objectives, making the ability to predict the likely actions of the competitor advantageous. The authors found that most participants used an influence learning model during the interaction; that is, participants tracked the opponent’s actions and incorporated knowledge of how their own actions influenced the strategies employed by the opponent into their own subsequent strategies. Significant activity was observed in the bi-lateral superior temporal sulcus (STS; a region anatomically adjacent to the TPJ) when information regarding the opponent’s strategy was updated based on personal influence. Previously, the STS and the TPJ were considered interchangeably when describing the neural mechanism of ToM because of their anatomical proximity and apparent similarities in patterns of neural activity during belief attribution tasks. With advances in neuroimaging techniques, it has become evident that the STS and TPJ are functionally distinct; the STS is involved in processing of a plethora of social information, whereas activity in the TPJ is associated specifically with belief attribution processes (Saxe, in press). Because of the close proximity of the two regions in the brain, activity in the TPJ may have previously been overlooked as activity specifically in the STS, even though both regions were likely recruited for different processes (Saxe, in press). Regardless of the potential misinterpretation of results
  • 8. Lateralization  and  Theory  of  Mind       8     reported by Hampton et al. (2007), the observed bi-laterality of activity in the vicinity of the lTPJ and rTPJ indicates that both regions may be necessary for predicting both the strategic motivations and the future behaviours of opponents in competitive interactions via belief attribution. False-belief tasks have been widely used in ToM research, as these tasks require the ability of the observer to infer an agent’s belief when the beliefs of the agent and observer are incongruent. Because correctly inferring a false-belief involves the dissociation between an individual’s belief(s) and the belief(s) of the observer, false-belief tasks effectively assess the individual’s ability to conceive of mental states. In a typical false-belief task, participants observe the following scenario: an agent interacts with an object and then places the object in a specific concealed location (e.g. a box or a drawer). After concealing the object, the agent becomes distracted or moves to a location that is not within viewing range of the object’s location. During this time, the object is moved to a different concealed location, and is thus no longer located where the agent originally placed it. When the agent returns, participants are asked to indicate where the agent will first look for the object. The correct response is to indicate the location at which the agent initially placed the object. False-photograph tasks are very similar, and are often used as controls when employing false-belief tasks. In the false-photograph task, the scenario is exactly the same as in the false-belief task, except a photograph is taken of the initial object placement before the switch occurs. When the agent returns, participants in the false-photograph task are asked to indicate where the object is located in the photograph. In an effort to measure patterns of neural activity related specifically to belief attribution, Saxe and Kanwisher (2005) compared fMRI data within subjects during presentation of stories varying in the degree to which ToM processes were recruited. The authors compared changes in
  • 9. Lateralization  and  Theory  of  Mind       9     the BOLD response in adults during the presentation of a story requiring belief attribution (false- belief) to BOLD response changes observed during four cognitively similar control stories (not requiring belief attribution) containing information regarding false-photographs, desires, inanimate descriptions, or physical descriptions. The authors found that activity in the bi-lateral TPJ increased significantly from baseline during the presentation of false-belief stories, but did not differ significantly from baseline during the presentation of control stories. These results provide evidence that in adults, the bi-lateral TPJ is specifically recruited during tasks requiring belief attribution. Domain-Specific Right Hemisphere Lateralized Representation. While the evidence provided by Hampton et al. (2007) and Saxe and Kanwisher (2005) are in support of the bi- lateral representation hypothesis, there are inherent weaknesses to both studies that may have masked lateralized patterns of activity associated with belief attribution. The main weakness of both studies is the lack of appropriate control procedures. In the paradigm employed by Hampton and colleagues (2007), no control task was assigned to disentangle activity patterns associated with the multitude of cognitive processes being elicited during the competitive interaction. Additionally, while Saxe and Kanwisher (2005) made use of control tasks, these tasks may have unintentionally invited belief attribution. For example, many individuals attribute beliefs to non- human or inanimate objects via anthropomorphisms; and, because beliefs are often attributed spontaneously, control stories describing inanimate objects or physical descriptions of people may still invite ToM processing. Additionally, the use of false-photograph tasks as cognitively similar controls for false-belief tasks is problematic; while false-belief tasks involve inferring a belief to an agent when the agent has a belief that is incongruent with the present reality, false- photograph tasks require making reference to a true photograph that reflects a past reality
  • 10. Lateralization  and  Theory  of  Mind       10     regardless of the fact that the present reality and past reality are incongruent. The false- photograph task, when observed more closely, is thus representationally very different from the false-belief task. To address concerns regarding the use of inappropriate controls in paradigms assessing the neural mechanism underlying ToM processing, Perner and colleagues (2006) developed the false-sign task. In the false-sign task, participants observe the following scenario: initially, a sign is presented that correctly points in the direction of a location or landmark. The sign is then changed such that it points in the wrong direction, and no longer represents the correct path to the destination. Participants are then asked to indicate which path correctly represents the path to the destination. The false-sign task, unlike the false-photograph task, requires participants to make inferences about a false-representation that is incongruent with the present reality, and is thus representationally equivalent to the false-belief task. The authors used fMRI analysis to compare changes in the BOLD response associated with the following four vignettes in adults: standard false-belief, false-sign, false-photograph, and temporal change. Concurrent with the results reported by Saxe and Kanwisher (2005), Perner and colleagues (2006) found that both the lTPJ and rTPJ showed significant changes in the BOLD response during the false-belief vignette, but not during the false-photograph or temporal change vignettes. Interestingly, however, only changes in activity within the rTPJ distinguished between the false-belief vignette and the false- sign vignette. These results indicate that the rTPJ is selectively associated with belief attribution during false-belief tasks in adults. Individuals with ASD (regardless of whether they are classified as high-or low- functioning) consistently fail typical false-belief tasks, and often perform worse on belief attribution tasks than individuals diagnosed with other developmental disorders such as Down’s
  • 11. Lateralization  and  Theory  of  Mind       11     syndrome (Leslie, 1999). Comparisons of patterns of neural activity between developmentally normative populations and developmentally non-normative populations wherein a specific deficit in ToM is evident may provide strong insight into the neural mechanism underlying ToM. Lombardo, Chakrabarti, Bullmore, and Baron-Cohen (2011) were able to overcome the many inherent difficulties associated with designing appropriate neuroimaging procedures for use with ASD individuals. Using fMRI, changes in the BOLD response associated with task performance were compared between adult males with ASD and intelligence-matched males with no known developmental, cognitive, or social impairments. The tasks involved either inferring beliefs to agents (mentalizing) or making physical judgments about agents (control). The agents in this task were either the “Self” or a non-close “Other” (the British Queen). As expected, among typical male participants, a significant increase in the BOLD response was observed in the rTPJ during the mentalizing condition. Strikingly, however, no such increase in activity was observed in the rTPJ of males with ASD, and whole-brain analyses revealed that the rTPJ was the only region that responded atypically in ASD participants during the mentalizing condition. It is thus possible that many of the social impairments associated with ASD result from atypical patterns of activity within the rTPJ in response to information relevant to ToM. These results also support the hypothesis that the rTPJ is selectively responsible for belief attribution in adults. Developmental Trajectory of ToM Decades of research concerning the developmental trajectory of ToM centered on the hypothesis that ToM is acquired in stages throughout childhood (Caron, 2009; Song, Onishi, Baillargeon, & Fisher, 2008). Many of the step-wise theories of development are supported by evidence from the performance of children on false-belief tasks. While many studies observed
  • 12. Lateralization  and  Theory  of  Mind       12     that children were able to attribute agency by around age two, these studies also found that children routinely failed false-belief tasks until approximately age four. Until recently, however, researchers employing false-belief tasks relied solely upon explicit response measures, which place high demands on cognitive control processes that are severely underdeveloped in young children. In false-belief tasks, for instance, children must inhibit the pre-potent tendency to respond using information relative to their own personal beliefs in favour of responding using information relative to the beliefs of the identified agent. It is well known that response inhibition is limited in young children, and thus their observed poor performance on standard false-belief tasks involving explicit response measures may, in actuality, result from limited cognitive control abilities and not an absence of ToM. Recent evidence from studies making use of implicit measures of belief attribution (eye tracking and active helping) indicates that children may have the ability to attribute beliefs within the first two years of life. For example, Surian, Caldi & Sperber, (2007) found that 13-month old infants looked reliably longer when an agent chose the correct goal path to a preferred object (following a habituation phase wherein the preferred object was always retrieved from an alternative location) when the child but not the agent could see the object at the new location, versus when both the child and agent could see the object at the new location. Because increased looking time is associated with violation of expectation, these results indicate that when children inferred that the agent could not see that the object had been moved to the new location, they expected the agent to look for the object first at the old location, and were surprised when the agent instead chose the correct path. Thus, by 13 months of age, children seem to be able to impute mental states based on their perception of an agent’s visual perspective. Lateralization Changes and ToM Competence. While the evidence provided by Surian, et
  • 13. Lateralization  and  Theory  of  Mind       13     al. (2007) indicates that children implicitly infer beliefs to agents within the first two years of life, the evidence fails to explain why children are unable to explicitly attribute false-beliefs to agents until around age four. In consideration of the evidence indicating the role of the rTPJ in thinking about thoughts, it is possible that developmental changes in the specificity of the rTPJ for processing information related to mental state attribution underlie these seemingly conflicting observations. In 2009, Saxe, and colleagues used fMRI analysis to monitor changes in the BOLD response in children between the ages of 6 and 11 during the presentation of aural stories describing physical facts about objects (Physical), characters’ appearance and social relationships (People), or mental states (Mental). The authors then identified three regions of interest (ROI: regions in which reliable task-related differences in the BOLD response were observed for a majority of subjects). The ROI included the mPFC, the PC, and the TPJ, bi- laterally. They found that activity in the rTPJ was not significantly more selective for mental state facts relative to other social facts than the mPFC, PC, or lTPJ. The authors then calculated a Selectivity Score for each ROI by measuring the difference in BOLD response observed between the Mental versus People conditions relative to the difference in response observed between the Mental versus Physical conditions. According to the authors: A low Selectivity Score…indicates that the response to the people sections was approximately as high as the response to the Mental sections; a high Selectivity Score indicates that the response to the People sections was approximately as low as the response to the Physical sections (p. 1205). They reported that the rTPJ was not significantly more selective for belief attribution than the other identified ROI in children. They did note, however, that the rTPJ was the only region identified as having a significant correlation between age and selectivity index. Although these
  • 14. Lateralization  and  Theory  of  Mind       14     results provide evidence of age-related changes in the selectivity of the rTPJ for processing information related to beliefs, the authors fail to provide evidence of a link between the hypothesized developmental changes in rTPJ selectivity and ToM competence. In a follow-up fMRI study, Gweon and colleagues (2012) compared changes in the BOLD response associated with the presentation of the same three categories of aural stories as were used in the study by Saxe et al. (2009; Physical, People, and Mental) in adults and children aged 5 to 12. Additionally, data was compared within subjects to performance on a ToM task battery that was administered following completion of the fMRI portion of the study. The mPFC, PC, and TPJ, bi-laterally were all identified as ROI in both adults and children, and a Selectivity Score was calculated for each ROI within each participant. The selectivity of both the rTPJ and PC was significantly higher in adults than in children. Upon comparison of the Selectivity Score of each individual ROI with age, the authors found that the selectivity of both the lTPJ and rTPJ was significantly correlated with age. Furthermore, comparisons between ROI selectivity and performance on the ToM task battery revealed only one significant correlation: increased selectivity of the rTPJ for mental state information was significantly correlated with increased performance on the ToM task battery. Thus, developmental changes in the functional lateralization of the TPJ may explain the observed age-related changes in performance on belief attribution tasks. Limitations of Previous Research In consideration of the evidence reviewed thus far, it is important to note the utility of neuroimaging procedures in identifying patterns of neural activity associated with ToM processes. Strict reliance on neuroimaging techniques, however, may have negative implications for ToM research. For example, in order to accurately identify regions associated with belief
  • 15. Lateralization  and  Theory  of  Mind       15     attribution it is necessary to have appropriate control tasks or there is a severe risk of misinterpretation. While it was previously believed that false-photograph tasks were representationally equivalent to false-belief tasks, further assessment indicated that there are various aspects of false-photograph tasks that render them inadequate as controls for false belief tasks. Additionally, the spatial resolution of fMRI in itself can be misleading. Evidence of the impact of poor spatial resolution on the understanding of the ToM mechanism was described previously when discussing the misconception of functional equivalence between the STS and TPJ. Also, the TPJ is a relatively large region in the brain, so it is not surprising that there may be functionally distinct regions of the TPJ that support processes other than ToM. Furthermore, reliance on neuroimaging procedures introduces limitations in the study of both the normative and the non-normative developmental trajectories of ToM, as it is not yet procedurally possible to obtain data from very young children or from a majority of individuals with ASD. Neuroimaging evidence supporting developmental changes in the functional lateralization of the TPJ and associated changes in ToM competence were unable to provide data for children under the age of five, and to date few studies have attempted to gather neuroimaging data from individuals with ASD due to ethical and procedural issues. Finally, converging evidence from different methodologies is necessary to provide versatility in proposed theories as well as to help resolve the existing conflict within neuroimaging data. Borrowing from Split-Brain Research Research initiatives involving patients who have undergone surgical resection of the corpus callosum provide powerful insight into the functional lateralization of specific processes. Because these patients lack the main mechanism of inter-hemispheric communication, lateralized presentation of stimuli can effectively determine which hemisphere(s) is/are responsible for
  • 16. Lateralization  and  Theory  of  Mind       16     processing specific types of information or for computing specific forms of behavioural outputs. From these research initiatives, it has become evident that visual information is projected to contralateral hemispheres of the brain; that is, information presented to the left visual field (LVF) is processed in the right hemisphere of the brain and vice versa (Gazzaniga, 2000). Furthermore, motor pathways are also arranged contralaterally such that the right motor cortex controls both proximal and distal musculature on the left side of the body and the left motor cortex controls both proximal and distal musculature on the right side of the body (Gazzaniga, 2000). The present study borrows from the methodologies employed in research assessing functional lateralization in corpus callosotomized patients and addresses the previously discussed limitations in existing evidence regarding the neural mechanism underlying ToM. The objective of the present study is to compare the domain specific bi-lateral representation hypothesis with the domain specific right hemisphere lateralized representation hypothesis of the mechanism underlying belief attribution. Participants will be presented with a series of images on a computer that depict either a false-belief or a true-belief scenario in a violation of expectation paradigm. Participants will then be required to focus on a cross-hair that will appear in the center of the screen. A final image will be presented on either the left side of the screen (LVF) or the right side of the screen (right visual field: RVF) showing the agent looking for the object in one of the two possible locations. Participants will be asked to indicate via a forced choice button press response whether the image depicts where they expected the agent to look for the object. Interhemispheric communication, although extremely rapid, introduces a temporal lag in information processing. If belief attribution processes are lateralized to the right hemisphere, a reaction time advantage is expected on trials in which the final scene is presented to the right hemisphere (left visual field) versus trials in which the final scene is presented to the left
  • 17. Lateralization  and  Theory  of  Mind       17     hemisphere (right visual field). If, however, both the lTPJ and rTPJ can independently support belief attribution, no expected reaction time advantage is predicted. Methods Participants Twenty-eight English-speaking undergraduate students (M = 18.6 years, SD = 0.92; males = 11, females = 17) enrolled in an introductory Psychology course at the University of Western Ontario (UWO) completed the study for a course credit. All participants had corrected or normal-to-corrected vision and no known motor disorders. Participants were recruited through the Psychology Research Participation Pool (see Appendix A), and completed all measures on campus in a designated testing room after giving informed consent. All participants completed a handedness inventory to rule out effects of hand preference on performance (see Appendix B).   Measures Belief Attribution. Belief attribution vignettes were adapted from the widely used Sally- Anne task developed by Baron-Cohen, Leslie, and Frith (1985). For adult participants, a total of eight vignettes were constructed. Vignettes were then separated into two categories containing four vignettes each based on belief attribution condition (true belief or false belief). Within each category, vignettes varied based on the gender of the agent (male agent or female agent) as well as object and agent start location (right side or left side of the frame). Each vignette consisted of 11 still frames (9.5 cm x 14 cm), and a final still frame with dimensions (9.5 cm x 7.0 cm). Vignettes were developed using E-prime 2.0 experiment generator software (Psychology Software Tools Inc., Pittsburgh, PA) and were presented on an integrated Tobii T120 eye-
  • 18. Lateralization  and  Theory  of  Mind       18     tracking monitor with a display resolution of 1280 x 1024 pixels (Psychology Software Tools Inc., Pittsburgh, PA) on a white background. Adult participants viewed a total of 36 randomly assigned vignettes, 18 of which were randomly selected true belief vignettes and 18 of which were randomly selected false belief vignettes. Both true and false belief vignettes began similarly, with the agent removing an object from one of two possible concealed locations, interacting with the object, and then replacing the object back in the concealed location from which it was removed. The agent was then observed leaving the room. In true belief vignettes, the agent returned to the room and observed a confederate remove the object from the concealed location, interact with the object, and then place the object in the second concealed location (not the location in which the agent had previously placed the object). In the false belief condition, the agent remained out of sight while the confederate interacted with the object, and did not observe the confederate place the object in the new location. Refer to Appendix C for an example of a true belief vignette and Appendix D for an example of a false belief vignette as developed for adults. The final still frame presented depicted the agent looking in one of the two possible locations, either the expected location (in which the agent would logically search given their knowledge of the object's location) or in the unexpected location. The final still frame was randomly selected for each vignette based on expectedness value to minimize any effects of expectedness on task performance measures. Following the presentation of the final still frame, participants were required to indicate whether it depicted where they expected the agent to look for the object. Hemifield Presentation. In order to assess the effect of hemifield presentation on response reaction time, the experiment was further subdivided into two trial blocks based on visual field presentation (right visual field or left visual field: RVF or LVF, respectively). It is
  • 19. Lateralization  and  Theory  of  Mind       19     important to note that visual field presentation and hand response were coordinated such that participants responded with the right hand (RH) throughout the RVF trial block and with the left hand (LH) throughout the LVF trial block. All participants completed both trial blocks in a randomized order. Each block consisted of an instructional segment, 2 randomized practice trials, and 16 randomized experimental trials (eight from each belief attribution condition) wherein all stimuli were presented either left (LVF) or right (RVF) justified on the display monitor. An experimental trial involved the following sequence of events: (a) the first 11 still frames of a vignette were presented for 1.5 s each; (b) a fixation point (crosshairs) appeared in the center of the monitor; (c) after 1 s of visual fixation, the final searching still frame was presented for 0.5 s to the left (LVF) or right (RVF) of the fixation point; (d) a response screen prompted the participant to indicate whether the agent was searching in the expected location (press “R” button on keyboard if expected and “Y” button on keyboard if unexpected); (e) an inter-trial interval of 10 s was initiated. Participants were instructed to maintain visual fixation on the crosshairs until it was no longer present on the screen to ensure lateralized visual processing. Each experimental trial took approximately 30 s to complete. Practice trials were similar to experimental trials, except that captions were included throughout the vignettes, and still frames within a vignette were presented for 5 s each to better acquaint participants with the underlying storyline. Practice trials took approximately 1 min to complete. Eye Tracking. The Tobii T120 eye tracking monitor was used to monitor participants' eye movements throughout the task and is capable of collecting data at a rate of 120 Hz, with an average gaze position error of less than 0.5°. The presentation of the final image was gaze contingent, such that participants were required to maintain visual fixation on the crosshairs for 1
  • 20. Lateralization  and  Theory  of  Mind       20     s before the image would appear. Since even small shifts from central fixation can have significant effects of visual cue processing, a focal radius of 0.5 cm from the center of the crosshairs was enforced, and response reaction time data was not collected on any trial wherein a participant's gaze fell outside of the focal range at any point during the presentation of the crosshairs. Furthermore, to ensure the stimulus was processed in the desired hemifield, participants sat approximately 57 cm from the monitor, and the final still frame in each vignette was oriented with the centermost edge 2 cm from the center of the fixation point to produce a minimum visual angle from the point of central fixation to the stimulus of 2°. Procedure Each adult participant completed 32 experimental trials and 4 practice trials subdivided into two blocks of 16 experimental and 2 practice trials. Participants were instructed to sit approximately 57 cm from the monitor, and were trained on how to monitor their position using a gaze feedback screen that was presented prior to calibration, as well as prior to the start of each trial block. A five-point calibration was completed prior to task commencement, and was repeated (if necessary) until optimal calibration criterion was achieved. Before each trial block, participants completed a brief instructional exercise to practice focusing on the crosshairs during lateralized stimulus presentation and responding correctly with the appropriate hand. Participants were explicitly told which side of the screen subsequent images would appear on and which hand to respond with. They were instructed to press the “R” key when the word “expected” appeared, and to press the “Y” key when the word “unexpected” appeared. Each instructional exercise consisted of six randomly assigned word presentations (three “expected” and three “unexpected”). In each trial, participants observed the first 11 still frames from a randomly selected vignette, following which they were asked to fixate on a crosshairs until the crosshairs
  • 21. Lateralization  and  Theory  of  Mind       21     was no longer present on the screen. After 1 s of visual fixation on the crosshairs, the final image for the vignette was presented. Following presentation of the final image, participants were asked to press the “R” key on a keyboard with the index finger of the responding hand if the final image depicted the agent searching for the object in the expected location, and the “Y” key on the keyboard with the index finger of the responding hand if the final image depicted the agent searching for the object in the unexpected location. Between trials, participants were instructed to position the index finger of the responding hand over the “T” key, which was located centrally to the two response keys. It was made clear to all participants that they were to answer as quickly and accurately as possible on all trials. All response reaction time data was collected in E-prime 2.0. Following completion of the experiment, participants completed the handedness inventory to assess dexterity. Results     A  significant  RT  advantage  on  trials  wherein  the  final  image  was  presented  to  the   LVF  was  predicted  to  support  the  right  hemisphere  lateralized  representation  hypothesis   of  the  mechanism  underlying  belief  attribution.  Mean  RTs  were  compared  with  a  three-­‐ factor  repeated  measures  analysis  of  variance  (ANOVA)  with  visual  field  presentation  (LVF,   RVF),  belief  condition  (true  belief,  false  belief),  and  expectedness  value  (expected,   unexpected)  as  within  subjects  factors  using  IBM  SPSS  Statistics  Software  (see  Table  1  for   descriptive  statistics).    Because  the  main  purpose  of  this  study  was  to  assess  two   competing  hypotheses,  Bayesian  analysis  was  conducted  to  compare  the  probability  that   the  bi-­‐lateral  specialization  hypothesis  is  favoured  over  the  right  hemisphere  lateralized   specialization  hypothesis.  The  computed  Bayes  Factor  “is  the  ratio  of  the  marginal   likelihoods  of  two  contrasted  hypotheses,”  (Gallistel,  2009,  p.  4).  
  • 22. Lateralization  and  Theory  of  Mind       22     Table  1             Sample  Size,  Mean  RT,  Standard  Deviation,  and  Standard  Error  for  Visual  Field,  Belief,   and  Expectedness  Factors   Factor   Description   N   M     SD   SE   Visual  Field   Left   18   1278.43   481.00   113.37   Right   18   1366.95   587.38   138.45   Belief  Value   True   18   1309.17   439.06   103.49   False   18   1361.51   504.25   118.85   Expectedness  Value   Expected   18   1248.70   428.97   101.11   Unexpected   18   1433.57   520.94   122.79                  
  • 23. Lateralization  and  Theory  of  Mind       23     Seven  participants  were  excluded  from  analysis  because  of  lower  than  chance   performance  during  either  one  or  both  of  the  experimental  blocks.  Participants  were  also   excluded  from  analysis  if  no  data  was  available  for  any  one  of  the  experimental  conditions,   which  resulted  in  the  exclusion  of  an  additional  eight  participants.  A  total  of  18  participants   were  included  in  the  final  analysis  (M  =  18.6  years,  SD  =  0.92;  males  =  8,  females  =  10).     Reaction  times  were  not  included  in  the  average  calculation  for  trials  wherein  participants   responded  incorrectly  (16%  of  trials),  or  for  trials  during  which  the  contingent  eye  tracking   malfunctioned  and  the  image  depicting  the  agent  searching  in  one  of  the  two  possible   locations  was  not  automatically  presented  to  participants  (13%  of  trials).    Additionally,  RTs   were  not  included  in  the  average  calculation  if  they  fell  outside  of  3  SD  of  the  subject’s   mean  RT  across  all  trials  (4%  of  trials).     The  three-­‐factor  repeated  measures  ANOVA  (see  Table  2)  revealed  a  main  effect  of   expectedness  value,  F(1,17)  =  5.29,  p  =  .34,  ηp 2    =  .237,  characterized  by  a  significantly   faster  RT  on  trials  in  which  the  final  image  depicted  the  agent  searching  in  the  expected   location  (M  =  1248.70,  SD  =  428.97)  than  on  trials  in  which  the  agent  was  depicted   searching  in  the  unexpected  location  (M  =  1433.56,  SD  =  520.94).  There  was  no  significant   main  effect  of      belief  condition,  F  =  0.82,  p  =  .38,  ηp 2  =    .046,  nor  were  any  significant   interactions  observed.    Importantly,  participants  did  not  respond  significantly  faster  on   LVF  trials  (M  =  1278.43,  SD  =  481.00)  than  on  RVF  trials  (M  =  1366.95,  SD  =  587.38),   F(1,17)  =  0.21,  p  =  .65,  ηp 2    =  .012.  Bayesian  analysis  comparing  participants’  mean  RTs   between  LVF  and  RVF  trials  produced  an  odds  ratio  of  22:1  in  favour  of  the  bi-­‐lateral   representation  hypothesis.    All  participants  reported  being  right  handed,  and  as  such  no   further  analysis  regarding  the  effects  of  handedness  on  RT  was  required.      
  • 24. Lateralization  and  Theory  of  Mind       24     Table  2   Visual  Field  x  Belief  x  Expectedness  Repeated  Measures  Analysis  of  Variance  for   Response  Reaction  Time   Source   Df   F   ηp 2   p   (A)  Visual  Field   1   0.21   .012   .65   (B)  Belief  Value   1   0.82   .46   .38   (C)  Expectedness  Value   1   5.29   .24   .03   A  x  B  (interaction)   1   0.03   .002   .86   A  x  C  (interaction)   1   1.36   .074   .26   B  x  C  (interaction)   1   1.79   .95   .20   A  x  B  x  C  (interaction)   1   1.50   .081   .24   Error  (within  groups)   17                  
  • 25. Lateralization  and  Theory  of  Mind       25     Discussion   Previous  neuroimaging  research  has  produced  conflicting  results  regarding  the   neural  mechanism  underlying  ToM.  While  the  TPJ  has  been  noted  by  various  sources  as  a   brain  region  specifically  designated  to  reasoning  about  beliefs,  the  hemispheric   distribution  of  belief  reasoning  is  of  burgeoning  interest  in  ToM  research.  While  some   evidence  indicates  that  both  the  lTPJ  and  rTPJ  are  independently  capable  of  supporting   belief  attribution  processes  (Hampton, Bossaerts, & O'Doherty, 2008; Saxe & Kanwisher, 2005; Young, Dodell-Feder, & Saxe, 2010) other  evidence  suggests  that  the  rTPJ  is   specifically  responsible  for  belief  attribution  (Gweon, Dodell-Feder, Bedny, & Saxe, 2012; Perner, Aichhorn, Kronbichler, Staffen, & Ladurner, 2006).  A  small  number  of  studies  have   even  reported  that  the  lTPJ,  and  not  the  rTPJ,  is  the  control  center  for  belief  attribution  (van der Meer, Groenwold, Nolen, Pijenborg, & Aleman, 2011). The use of neuroimaging techniques to reconcile this conflict has various limitations. When conducting neuroimaging research, neural activity is measured in discrete spatial units, or voxels, which span one or more square centimetres of cortex. It is therefore not surprising that a single voxel may contain multiple functionally distinct neural pathways. This lack of spatial resolution hinders efforts to assign functional specificity to a particular region, as control tasks may activate functionally distinct neural networks within the same voxel as experimental tasks. Furthermore, because individual brains are anatomically and functionally different, the alignment and normalization procedures conducted for group analyses can blur activation maps and lead to false assumptions regarding common neural mechanisms for distinct processes. While cognizant of the inherent limitations of neuroimaging techniques, few have endeavored to develop novel
  • 26. Lateralization  and  Theory  of  Mind       26     tasks that can be easily and ethically used to provide converging evidence for theories regarding neural organization in humans.   The  present  study  aimed  to  assess  two  competing  hypotheses  of  the  mechanism   underlying  belief  attribution:  the  domain-­‐specific  bi-­‐lateral  representation  hypothesis  and   the  domain-­‐specific  right  hemisphere  lateralized  representation  hypothesis.  Participants   completed  a  computerized  violation  of  expectation  task  requiring  the  attribution  of  both   true  and  false  beliefs  in  a  novel  paradigm  featuring  lateralized  presentation  of  ToM   relevant  stimuli.  A  significant  RT  advantage  for  trials  in  which  the  relevant  stimuli  were   presented  to  the  RVF  was  predicted  to  support  the  latter  hypothesis,  and  Bayesian   statistics  were  conducted  to  determine  the  odds  in  favour  of  or  against  the  former   hypothesis.    The  lack  of  an  observed  significant  effect  of  hemisphere  presentation  on  RT   indicates  that  right  hemisphere  is  not  specifically  responsible  for  belief  attribution.     Additionally,  Bayesian  analysis  revealed  that  the  bi-­‐lateral  representation  hypothesis  is   strongly  favoured  over  the  lateralized  representation  hypothesis.     Despite the shortcomings of neuroimaging techniques and the sizeable disagreement regarding where, hemispherically, the belief computation center is located, many studies thus far claim to support a domain-specific representation (Hampton, Bossaerts, & O'Doherty, 2008; Saxe et al., 2004, Saxe & Kanwisher, 2005; Young, Dodell-Feder, & Saxe, 2010). While the results of the present study can be explained in terms of a domain-specific bi-lateral representation hypothesis, it is unclear whether the lTPJ and rTPJ independently support belief attribution, or whether both are functionally dissimilar but necessary for this process. Also, while the results of the present study support the hypothesis that beliefs are computed bi- laterally, they do not provide evidence for or against domain-specificity. Many researchers have
  • 27. Lateralization  and  Theory  of  Mind       27     expressed skepticism towards domain-specific ToM hypotheses, as "the roles of [brain regions hypothesized to form the domain-specific ToM module] are not well understood because there is no consensus about the cognitive requirements of ToM tasks," (Apperly, Samson, & Humphreys, 2005, p. 572). In consideration of evidence indicating that ToM may share a common neural basis with a variety of cognitively similar processes, the present results are also explained in terms of a domain-general bi-laterally distributed neural network. Domain-­‐Specific  Mechanisms   Evidence for a Duplicate System. Perner and colleagues (2006) reported that while the rTPJ and lTPJ showed similar levels of activation during false belief vignettes, the rTPJ showed a more selective activity profile than the lTPJ: the lTPJ showed significant increases in neural activity during false belief vignettes as well as false sign vignettes but not during false photograph vignettes, whereas the rTPJ showed increased activity during false belief vignettes only. The authors concluded that the lTPJ might be associated with a more broad range of tasks, including basic mentalizing and processing perspective contrasts, whereas the rTPJ may be specifically associated with belief attribution. It is possible, however, that a secondary process engaged during both false belief vignettes and false sign vignettes is functionally represented in the same anatomical region of the lTPJ as belief reasoning. The latter explanation is more concurrent with the present findings, for if the rTPJ is more specifically attuned to belief attribution than the lTPJ, it is likely that information processing would have occurred more rapidly when relevant stimuli were presented to the right hemisphere versus the left hemisphere. The idea that both the lTPJ and rTPJ can independently support belief attribution is supported by the present findings as well as by studies showing similar profiles of activity in both regions during tasks involving mentalizing but not during cognitively similar control tasks
  • 28. Lateralization  and  Theory  of  Mind       28     (Hampton, Bossaerts, & O'Doherty, 2008; Saxe & Kanwisher, 2005; Young et al., 2010). This bi-lateral representation theory fails, however, to explain evidence indicating that abnormalities in the functional profile of the rTPJ may underlie mindblindness in individuals diagnosed with ASD (Lombardo et al., 2011) or evidence suggesting that increases in the selectivity of the rTPJ for thinking about thoughts underlies age-related changes in ToM competence (Saxe et al., 2009; Gweon et al., 2012). Additionally, a research endeavor assessing ToM ability in patients with lTPJ lesions reported that the patients showed impaired performance on the false-belief task (Apperly, Samson, Chiavarino, & Humphreys, 2004). Similar impairments in belief reasoning were also observed in a study that employed transcranial magnetic stimulation (TMS) to disrupt activity within the rTPJ (Young, Camprodon, Hauser, Pascual-Leone, & Saxe, 2010). Unfortunately, no studies have yet assessed the effects of TMS administered to the lTPJ on the ability to attribute beliefs to others. These sources of evidence provide a theoretical stumbling block for a duplicate-system hypothesis: if the lTPJ and rTPJ represent a duplicate system, and are both independently capable of supporting belief attribution, then disruption of activity specifically within one region should not have a significant effect on ToM competence. Despite the shortcomings of lesion studies (heterogeneity of the lesion area, multiple functional networks affected) and studies employing TMS to temporarily disrupt neural activity (lack of spatial accuracy and specificity of functional region affected), a second explanation for the present results is suggested: the rTPJ and lTPJ are functionally distinct but are both required for process of belief attribution. Evidence for a Functional Dissociation. One possible functional distinction put forth by Apperly and colleagues (2004) and supported by the aforementioned study by Perner et al. (2006), suggests that the lTPJ is responsible for reasoning about perspective conflicts, whereas
  • 29. Lateralization  and  Theory  of  Mind       29     the rTPJ is specifically involved in belief attribution. While this view may sufficiently explain why no RT advantage was observed upon presentation of ToM-relevant information to one hemisphere or the other during false belief vignettes, it does not explain the same observation during true belief vignettes wherein the perspectives of the participant and agent were congruent. Furthermore, no studies have directly assessed the role of the lTPJ in computing perspective contrasts, and as such there is little support for this view. An interesting possibility that has also received little direct attention is that the functional distinction between the lTPJ and lTPJ relates to attributing beliefs to the self versus attributing beliefs to others. For example, in a study assessing the neural correlates of the self-serving bias, participants attributed negatively or positively valenced responsibility in various social situations to either the self or a specified other (Seidel et al., 2010). The authors reported different functional profiles between self- and other-attribution conditions. Self-attributions were associated with increased activity in the rTPJ whereas increased activity in the lTPJ was associated with attributing responsibility to a specified other. Furthermore, using positron emission tomography (PET), Lou and colleagues (2004) observed a similar lateralized pattern of activity during episodic retrieval of previous judgments about the self versus a best friend or a distant other (the Danish Queen). Specifically, decreased self-reference was associated with increased activity within the vicinity of the left lateral temporal cortex and decreased activity within the right inferior parietal cortex. The belief attribution task employed in the present study required participants to simultaneously reason about their own belief as well as the agent's belief (true or false) regarding the object's location, and as such was not sensitive to any possible lateralization differences in reasoning about self-beliefs versus reasoning about the beliefs of others. Future research is necessary to evaluate the validity of this proposed functional
  • 30. Lateralization  and  Theory  of  Mind       30     dissociation. Domain-General Mechanism Several studies have reported a high level of functional correspondence between ToM and a variety of other cognitive processes. In a quantitative meta-analysis employing the activation likelihood estimation (ALE) approach, Spreng, Mar, and Kim (2008) reported that the number of shared clusters of activation between ToM, autobiographical memory, prospection, and navigation far outweighed the number of unique clusters. Of particular interest in terms of the present results, convergence in the rTPJ was found for all processes, and convergence was observed in the lTPJ for all but navigation. Others have concurrently reported a strong correlation in neural activity between belief reasoning and autobiographical memory (Gweon, Young, and Saxe, 2011), characterized by bi-lateral activity within the TPJ. The present results may thus also be explained in terms of a bi-laterally represented domain-general mechanism of belief attribution. Effect of Expectedness and Belief Value Participants  responded  significantly  faster  on  congruent  trials  (the  agent  was   depicted  searching  in  the  expected  location)  than  on  incongruent  trials  (the  agent  was   depicted  searching  in  the  undexpected  location).  Sommer  and  colleagues  (2007)  reported   similar  results  when  they  employed  a  violation  of  expectation  paradigm  to  compare  the   neural  correlates  of  true  and  false  belief  reasoning.  The  authors  also  noted  that  there  was   no  significant  effect  of  belief  condition  on  RT,  which  concurs  with  the  results  reported  here.     Increased  response  competition  during  incongruent  belief  attribution  trials  likely   accounted  for  this  observation,  as  a  large  body  of  evidence  has  found  that  the  amount  of   attentional  control  (and  subsequently  the  rate  of  response)  required  to  respond  
  • 31. Lateralization  and  Theory  of  Mind       31     appropriately  increases  as  a  function  of  the  amount  of  cognitive  conflict  elicited  by  a   stimulus  (Davelaar  &  Stevens,  2009).  By  this  account,  it  seems  counter-­‐intuitive  that  no  RT   advantage  was  observed  for  true  belief  trials  over  false  belief  trials,  as  correctly  attributing   a  false  belief  involves  more  response  competition  that  correctly  attribution  a  false  belief.  As   discussed  shortly  in  study  limitations,  the  process  of  belief  attribution  may  have  temporally   preceded  the  process  of  selecting  the  appropriate  response  based  on  expectedness  value,   which  could  explain  why  no  effect  of  belief  condition  was  observed  on  RT.         Limitations Central Bottleneck Effects. Uleman (1989) characterized the average RT of a single automatic process as approximately 300 ms or less. In the present study, absolute RT for the task fell between 500 and 2000 ms, which suggests that the task required multiple processes for successful completion. Most notably, the task involved reading and verbal comprehension during probe sentences as well as executive control to select appropriate motor responses, neither of which is directly involved in the process of belief attribution. Furthermore, the task involved rapid sequential determination of where the agent would logically search for the object given his/her beliefs (true or false), as well as whether the agent was depicted in the final image as searching for the object in the expected or unexpected location. It is thus possible that processing during this task was subject to a bottleneck effect. It has been noted that “despite the impressive complexity and processing power of the human brain, it exhibits severe capacity limits in information processing…when we attempt to preform two tasks at once, as such conditions will almost invariably lead to interference between the tasks,” (Dux, Ivanoff, Asplund, & Marois, 2006, p. 1109). The authors noted that a central bottleneck of information processing occurs via a neural network of frontal lobe areas; this
  • 32. Lateralization  and  Theory  of  Mind       32     amodal stage of information processing during dual-tasks leads to increasing RT to the second task as the temporal disparity between the two tasks decreases. This effect has been observed in a study assessing the effects of cognitive load on implicit theory of mind processing (Schneider, Lam, Bayliss, & Dux, 2012). Eye movements associated with implicit belief processing were reported to be absent among participants in a dual-task (high cognitive load) condition, wherein they were required to perform a separate task concurrently with either a true or false belief task. These results suggest that belief processing is a capacity-limited operation that draws on executive processing resources. Thus, the presently employed task may not have been sensitive to differences in RT specifically related to the process of belief attribution due to the effects of dual-task interference. Time-Course of Anticipating Behaviour. While the results reported here suggest that belief attribution processes are represented bi-laterally in the brain, the experimental design employed may have failed to garner a measure of the rate at which ToM relevant information is processed. A large body of evidence indicates that ToM is rapidly and automatically imputed (Cohen & German, 2009; Kovács et al., 2010). Ferguson and Breheny (2011) measured anticipatory eye movements in adults in a visual world paradigm to gain a better understanding of the time-course of ToM inference during language processing. Participants listened to stories consisting of two sentences; the first sentence contained contextual information regarding an agent’s willingness for others to know about his or her preferences (open or secret), and the second sentence described the agent completing a contextually appropriate action. Following the cessation of the first sentence, a display featuring four images (the agent, the open referent, the secret referent, and a distracter) was presented to participants. The second sentence was played following the presentation of the display. Participants’ anticipatory eye movements were
  • 33. Lateralization  and  Theory  of  Mind       33     monitored to see at what point during the second sentence individuals made predictions regarding the agent’s actions in the context of the agent’s previously described intentional stance. Analysis of the probabilities of gazes to the open and secret referents as a function of time revealed that participants anticipated towards the appropriate referent well before the disambiguating target word (explicitly identifying the correct referent) was auditorily mentioned. Thus, healthy adults appear to be capable of rapidly predicting the behaviours of others through belief reasoning. In relation to the methods employed presently, participants likely formed expectations regarding where the agent would most likely search for the hidden object prior to the lateralized presentation of the response-eliciting stimulus. As noted by Cohen and German (2009), assessing belief attribution processes offline “inevitably measures the extent to which any encoded belief information might have been maintained in the cognitive system, rather than whether or not it was ever encoded, (p. 361). This problem may be circumvented in the present study by incorporating online assessments of belief reasoning in real time, such as those employed in the previously discussed study conducted by Ferguson and Breheny (2011). Suggestions for Future Research It is important to note that the paradigm developed in this study provides indirect evidence regarding functional lateralization only. That being said, the relatively cost effective and simple design of the employed paradigm may help to provide exciting insight into the representation of belief attribution processes in populations of individuals who would otherwise be excluded from analysis due to ethical or procedural constraints. Employing the present paradigm to assess differences in lateralization between normative and non-normative populations (such as those with ASD) may provide valuable insight into the neural substrates
  • 34. Lateralization  and  Theory  of  Mind       34     underlying ToM impairments. For example, evidence indicates that individuals with ASD show abnormal functional profiles in the rTPJ during belief attribution tasks (Lombardo et al., 2011), and thus neural activity may be less bi-laterally represented in these individuals. Also, as this task is suitable for use with young children, it may be useful in assessing whether changes in lateralization occur throughout development. Understanding how the neural representation of ToM differs between normative, non-normative, and developmentally immature individuals may be helpful in informing both pharmacological and behavioural therapies for clinical populations as well as educational strategies to facilitate optimal development among normative populations. As noted previously, a large body of research has thus far focused on the role of the rTPJ as the belief control center, and little attention has been given to the specific role of the lTPJ in belief reasoning. This paradigm may be useful in disambiguation the contributions of the lTPJ and rTPJ to ToM. For example, a paradigm could be developed comparing response RT associated with trials in which participants attributed beliefs to the self versus a specific other to determine whether the lTPJ is specifically responsible for reasoning about self-beliefs and the rTPJ is specifically responsible for reasoning about other-beliefs. Conclusion The right-hemisphere lateralization hypothesis is not supported, as presenting ToM- relevant information specifically to the LVF did not result in a significant RT advantage over presenting the same information specifically to the RVF. The bi-lateral specialization hypothesis is favoured over the alternative with a Bayes factor of 22. Concurrent functional frameworks include both domain-specific and domain-general theories of the neural organization underlying belief attribution.
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  • 40. Lateralization  and  Theory  of  Mind       40     Appendix A Study description as observed by participants in UWO’s Psychology Research Participation Pool Research Participants Needed How do people reason and solve problems? In this study, participants first watch videos or view a series of pictures of people interacting with other people and with objects and then answer questions based on the information provided. The study takes 60 minutes and you will receive 1 credit for your participation. If you are interested, please contact Dr. Adam Cohen for more information. acohen42@uwo.ca    
  • 41. Lateralization  and  Theory  of  Mind       41     Appendix B Handedness Inventory Please  indicate  your  hand  preferences  in  the  following  activities  by  putting  a  check  in  the   appropriate  column.  If  in  any  case  you  are  really  indifferent,  put  a  check  in  both  columns.     Some  of  the  activities  listed  below  require  the  use  of  both  hands.  In  these  cases,  the  part  of   the  task,  or  object,  for  which  hand  preference  is  wanted  is  indicated  in  parentheses.     Please  try  and  answer  all  of  the  questions,  and  only  leave  a  blank  if  you  have  no  experience   at  all  with  the  object  or  task.     1.  Writing          Left          Right             2.  Throwing  a  ball          Left          Right             3.  Holding  a  racquet          Left          Right             4.  Lighting  a  match          Left          Right             5.  Cutting  with  scissors          Left          Right             6.  Threading  a  needle          Left          Right             7.  Sweeping  with  a  broom  (top  hand)          Left          Right             8.  Shoveling          Left          Right             9.  Dealing  cards          Left          Right             10.  Hammering          Left          Right             11.  Holding  a  toothbrush          Left          Right             12.  Unscrewing  a  lid          Left          Right
  • 42. Lateralization  and  Theory  of  Mind       42     Appendix C Sample of True Belief Vignette for Adult Participants 1 6 11 2 7 12 3 8 13 4 9 5 10
  • 43. Lateralization  and  Theory  of  Mind       43     Appendix D Sample of False Belief Vignette for Adult Participants 1 6 11 2 7 12 3 8 13 4 9 5 10