The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients

Introduction Following the mentalization of interpersonal relations can be improved through reading for which the influence of literary fiction can also serve as a model. Schizophrenia is characterized by extensive deficits in mentalization, and the amelioration of these impairments is a major focu...

Full description

Bibliographic Details
Main Authors: J. Fekete, T. Tényi, Z. Pótó, E. Varga, R. Herold
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822004138/type/journal_article
_version_ 1827753929000091648
author J. Fekete
T. Tényi
Z. Pótó
E. Varga
R. Herold
author_facet J. Fekete
T. Tényi
Z. Pótó
E. Varga
R. Herold
author_sort J. Fekete
collection DOAJ
description Introduction Following the mentalization of interpersonal relations can be improved through reading for which the influence of literary fiction can also serve as a model. Schizophrenia is characterized by extensive deficits in mentalization, and the amelioration of these impairments is a major focus in psychosocial treatment research. Reading literature can be a potential tool in improving mentalizing skills. Objectives We aimed to examine and compare healthy participants with patients living with schizophrenia, focusing on measuring mentalizing skills and the impact of reading literary fiction on their mentalization skills. Methods 47 persons with schizophrenia in remission and 48 healthy controls were assessed and compared with Short Story Task (SST) a new measurement of ToM. SST proved to be a sensitive tool, to individual differences. After reading the short story “The End of Something” (Hemingway) a structured interview was done with 14 questions. Results We found that patients with schizophrenia performed significantly worse in their ToM scores compared to healthy controls (ANOVA test, p<0,05 ). Previous reading experiences correlated significantly with mentalizing scores not just in healthy controls (Independent Samples T-test, p<0,05) but also in patients with schizophrenia. ToM scores were twice as high among those who had prior reading experiences in the schizophrenia group ((MS= 3,91, SD=3,166, M=8,08, SD=4,542; p<0,05, t=-3,509). Conclusions We found that mentalization skills could be improved by regular reading. Our results could also be influenced by several other factors such as empathy skills, identification with the characters etc. Our results and conclusions are in line with the results of international research on this topic. Disclosure No significant relationships.
first_indexed 2024-03-11T07:43:09Z
format Article
id doaj.art-67cb91bb2af94b359cb71f9ac38052cd
institution Directory Open Access Journal
issn 0924-9338
1778-3585
language English
last_indexed 2024-03-11T07:43:09Z
publishDate 2022-06-01
publisher Cambridge University Press
record_format Article
series European Psychiatry
spelling doaj.art-67cb91bb2af94b359cb71f9ac38052cd2023-11-17T05:08:13ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S154S15410.1192/j.eurpsy.2022.413The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patientsJ. Fekete0T. Tényi1Z. Pótó2E. Varga3R. Herold4University of Pécs, Department Of Languages For Biomedical Purposes And Communication, Pécs, HungaryMedical Faculty, University of Pécs, Hungary, Department Of Psychiatry And Psychotherapy, Pécs, HungaryUniversity of Pécs, Faculty Of Humanities And Social Sciences, Pécs, HungaryMedical Faculty, University of Pécs, Hungary, Department Of Psychiatry And Psychotherapy, Pécs, HungaryMedical Faculty, University of Pécs, Hungary, Department Of Psychiatry And Psychotherapy, Pécs, Hungary Introduction Following the mentalization of interpersonal relations can be improved through reading for which the influence of literary fiction can also serve as a model. Schizophrenia is characterized by extensive deficits in mentalization, and the amelioration of these impairments is a major focus in psychosocial treatment research. Reading literature can be a potential tool in improving mentalizing skills. Objectives We aimed to examine and compare healthy participants with patients living with schizophrenia, focusing on measuring mentalizing skills and the impact of reading literary fiction on their mentalization skills. Methods 47 persons with schizophrenia in remission and 48 healthy controls were assessed and compared with Short Story Task (SST) a new measurement of ToM. SST proved to be a sensitive tool, to individual differences. After reading the short story “The End of Something” (Hemingway) a structured interview was done with 14 questions. Results We found that patients with schizophrenia performed significantly worse in their ToM scores compared to healthy controls (ANOVA test, p<0,05 ). Previous reading experiences correlated significantly with mentalizing scores not just in healthy controls (Independent Samples T-test, p<0,05) but also in patients with schizophrenia. ToM scores were twice as high among those who had prior reading experiences in the schizophrenia group ((MS= 3,91, SD=3,166, M=8,08, SD=4,542; p<0,05, t=-3,509). Conclusions We found that mentalization skills could be improved by regular reading. Our results could also be influenced by several other factors such as empathy skills, identification with the characters etc. Our results and conclusions are in line with the results of international research on this topic. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822004138/type/journal_articletheory of mindschizophreniamentalisationreadingliterary fiction
spellingShingle J. Fekete
T. Tényi
Z. Pótó
E. Varga
R. Herold
The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
European Psychiatry
theory of mind
schizophrenia
mentalisation
reading
literary fiction
title The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
title_full The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
title_fullStr The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
title_full_unstemmed The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
title_short The effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
title_sort effects of reading literary fiction on the measurement and development of mentalization skills among schizophrenic patients
topic theory of mind
schizophrenia
mentalisation
reading
literary fiction
url https://www.cambridge.org/core/product/identifier/S0924933822004138/type/journal_article
work_keys_str_mv AT jfekete theeffectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT ttenyi theeffectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT zpoto theeffectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT evarga theeffectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT rherold theeffectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT jfekete effectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT ttenyi effectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT zpoto effectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT evarga effectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients
AT rherold effectsofreadingliteraryfictiononthemeasurementanddevelopmentofmentalizationskillsamongschizophrenicpatients