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The rise of the ego: social cognition and interaction in cocaine users


Quednow, Boris B (2016). The rise of the ego: social cognition and interaction in cocaine users. In: Preedy, V R. Neuropathology of Drug Addictions and Substance Misuse. London: Academic Press, 257-268.

Abstract

Beyond impairments in attention, memory, and executive functions, chronic cocaine users also exhibit specific impairments of sociocognitive abilities likely contributing to the social dysfunctions that occur in their daily life. It was demonstrated that recreational cocaine users show deficits in emotional empathy and emotion recognition from prosody, whereas in dependent users difficulties with emotional and mental perspective-taking (Theory-of-Mind) accrue. Additionally, cocaine users have smaller social networks and show less prosocial behavior in social interaction tasks, which is in line with their higher scores of Machiavellian attitudes. As they reveal decreased activation of the medial orbitofrontal cortex during social gaze contact, we proposed that cocaine users are afflicted with a blunted social reward system. Preliminary data now suggest that impairments of empathy and social behavior might partially be a consequence, and not only a predisposition, of cocaine use. In conclusion, training of social reward and social cognition might improve the therapeutic relationship and, thus, enhance treatment success of stimulant addiction.

Abstract

Beyond impairments in attention, memory, and executive functions, chronic cocaine users also exhibit specific impairments of sociocognitive abilities likely contributing to the social dysfunctions that occur in their daily life. It was demonstrated that recreational cocaine users show deficits in emotional empathy and emotion recognition from prosody, whereas in dependent users difficulties with emotional and mental perspective-taking (Theory-of-Mind) accrue. Additionally, cocaine users have smaller social networks and show less prosocial behavior in social interaction tasks, which is in line with their higher scores of Machiavellian attitudes. As they reveal decreased activation of the medial orbitofrontal cortex during social gaze contact, we proposed that cocaine users are afflicted with a blunted social reward system. Preliminary data now suggest that impairments of empathy and social behavior might partially be a consequence, and not only a predisposition, of cocaine use. In conclusion, training of social reward and social cognition might improve the therapeutic relationship and, thus, enhance treatment success of stimulant addiction.

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Additional indexing

Item Type:Book Section, not refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Psychiatric University Hospital Zurich > Clinic for Psychiatry, Psychotherapy, and Psychosomatics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2016
Deposited On:30 Jan 2017 10:57
Last Modified:01 Oct 2017 10:37
Publisher:Academic Press
ISBN:9780128002124
Publisher DOI:https://doi.org/10.1016/B978-0-12-800212-4.00025-X
Related URLs:http://www.recherche-portal.ch/ZAD:default_scope:ebi01_prod010780348 (Library Catalogue)

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