Social Impairments in Mental Disorders: Recent Developments in Studying the Mechanisms of Interactive Behavior

Research output: Contribution to journalResearch articleContributedpeer-review



Background: Most mental disorders are associated with impairments in social functioning. Paradigms developed to study social functioning in laboratory settings mostly put participants in a detached observer point of view. However, some phenomena are inherently interactive and studying full-blown reciprocal interactions may be indispensable to understand social deficits in psychopathology.
Method: We conducted a narrative review on recent developments in the field of experimental clinical psychology and clinical social neuroscience that employs a second-person approach to studying social impairments in Autism Spectrum Disorder (ASD), Personality Disorder, Social Anxiety Disorder (SAD), and Schizophrenia.
Results: Recent developments in methodological, analytical, and technical approaches, such as dual eye-tracking, mobile eye-tracking, live video-feed, hyperscanning, or motion capture allow for a more ecologically valid assessment of social functioning. In individuals with ASD, these methods revealed reduced sensitivity to the presence of a real interaction partner as well as diminished behavioral and neural synchronicity with interaction partners. Initial evidence suggests that interactive paradigms might be a powerful tool to reveal reduced interpersonal sensitivity in Personality Disorders and increased interpersonal sensitivity in individuals with SAD.
Conclusion: A shift towards adapting a second-person account has clearly benefitted research on social interaction in psychopathology. Several studies showed profound differences in behavioral and neural measures during actual social interactions, as compared to engaging participants as mere observers. While research using truly interactive paradigms is still in its infancy, it holds great potential for clinical research on social interaction.


Original languageEnglish
Article numbere33143
Pages (from-to)1-15
Number of pages15
JournalClinical Psychology in Europe
Issue number2
Publication statusPublished - 1 Jun 2019

External IDs

Scopus 85075568279
ORCID /0000-0002-9375-2222/work/142255882
ORCID /0000-0003-2906-7471/work/142257928



  • social interaction, social cognition, second-person approach, mental disorders, social immersion, ecological validity