The Japanese Journal of Special Education
Online ISSN : 2186-5132
Print ISSN : 0387-3374
ISSN-L : 0387-3374
Theory of Mind Impairments and Their Relation to Executive Functioning Following Viral Encephalitis : A Case Study
Ayumu GOUKONToshihiko KIKUCHIMikio HIRANOKazuhito NOGUCHIToru HOSOKAWA
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2005 Volume 43 Issue 4 Pages 291-298

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Abstract
Several studies (e.g., Perrier & Lang, 1999) have suggested a developmental link between executive functions and theory of mind. However, other recent studies (e.g., Lough, Gregory, & Hodges, 2001) have demonstrated dissociations between executive functions and theory of mind in individuals with brain damage. We report a case study of a patient who, after living in a persistent vegetative state for 6 years subsequent to contracting encephalitis at the age of 10, showed a dramatic recovery, and was of nearly normal intelligence at 20 years of age. However, he showed maladaptive social behavior. We conducted a series of experimental investigations to determine his cognitive functioning. He performed poorly on theory of mind tasks, although his scores on executive functions were in the normal range. These results suggest that executive functions can develop independently of theory of mind. Several hypotheses about relations between executive functions and theory of mind are discussed.
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© 2005 The Japanese Association of Special Education
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