Anxiety and Mentalizing: Uncertainty as a Driver of Egocentrism

Emotions shape how people understand and interact with others. Here, we review evidence on the relationship between anxiety-a future-oriented emotion characterized by negative valence, high arousal, and uncertainty-and mentalizing-the ascription of mental content to other agents. We examine three aspects of this relationship: how people with anxiety disorders perform on mentalizing tasks relative to controls; how situational anxiety alters mentalizing performance; and how autistic people, who experience the impacts of mentalizing differences, are at high risk of anxiety. We propose a bidirectional model for understanding how short-term and longer term anxiety are related to mentalizing. Key to this relationship is the aversive experience of uncertainty and the motivations that result from it.