Skip to main content
Log in

Everyday social and conversation applications of theory-of-mind understanding by children with autism-spectrum disorders or typical development

  • ORIGINAL CONTRIBUTION
  • Published:
European Child & Adolescent Psychiatry Aims and scope Submit manuscript

Abstract

Children with autism-spectrum disorders (ASD) often fail laboratory false-belief tests of theory of mind (ToM). Yet how this impacts on their everyday social behavior is less clear, partly owing to uncertainty over which specific everyday conversational and social skills require ToM understanding. A new caregiver-report scale of these everyday applications of ToM was developed and validated in two studies. Study 1 obtained parent ratings of 339 children (85 with autism; 230 with Asperger’s; 24 typically-developing) on the new scale and results revealed (a) that the scale had good psychometric properties and (b) that children with ASD had significantly more everyday mindreading difficulties than typical developers. In Study 2, we directly tested links between laboratory ToM and everyday mindreading using teacher ratings on the new scale. The sample of 25 children included 15 with autism and 10 typical developers aged 5–12 years. Children in both groups who passed laboratory ToM tests had fewer everyday mindreading difficulties than those of the same diagnosis who failed. Yet, intriguingly, autistic ToM-passers still had more problems with everyday mindreading than younger typically-developing ToM-failers. The possible roles of family conversation and peer interaction, along with ToM, in everyday social functioning were considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. APA, Washington DC

    Google Scholar 

  2. Astington JW (2001) The future of theory of mind research. Child Dev 72:685–687

    Article  PubMed  CAS  Google Scholar 

  3. Astington JW (2003) Sometimes necessary, never sufficient: false belief and social competence. In: Repacholi B, Slaughter V (eds) Individual differences in theory of mind: implications for typical and atypical development. Psychology Press, Hove, pp 13–38

    Google Scholar 

  4. Baron-Cohen S, Leslie A, Frith U (1985) Does the autistic child have a theory of mind? Cognition 21:37–46

    Google Scholar 

  5. Baron-Cohen S (1995) Mindblindness. MIT Press, Cambridge

    Google Scholar 

  6. Baron-Cohen S (2000) Theory of mind and autism: a 15 year review. In: Baron-Cohen S, Tager-Flusberg H, Cohen D (eds) Understanding other minds. Oxford University Press, Oxford, pp 3–20

    Google Scholar 

  7. Bishop D, Baird G (2001) Parent and teacher report of pragmatic aspects of communication. Developmental Medicine and Child Neurology 43:809–818

    Google Scholar 

  8. Bruner J, Feldman C (1993) Theories of mind and the problem of autism. In: Baron-Cohen S, Tager-Flusberg H, Cohen D (Eds.) Understanding otherminds. Oxford, Oxford University Press, pp. 267–291

  9. Dissanayake C, MacIntosh K (2003) In: Repacholi B, Slaughter V (eds) Individual differences in theory of mind: implications for typical and atypical development. Psychology Press, Hove, pp 213–240

  10. Dunn J (1996) The Emanuel Miller Memorial Lecture: 1995. J Child Psychol Psychiatry 37:507–518

    Article  PubMed  CAS  Google Scholar 

  11. Eisenmajer R, Prior M (1991) Cognitive and linguistic correlates theory of mind ability in autistic children. British Journal of Developmental Psychology 9:351–364

    Google Scholar 

  12. Frith U, Happe F, Siddons F (1994) Autism and theory of mind in everyday life. Soc Dev 3:108–123

    Article  Google Scholar 

  13. Garfield J, Peterson CC, Perry T (2001) Social cognition, language acquisition and the development of theory of mind. Mind Lang 16:494–541

    Google Scholar 

  14. Grandin T (2006) Thinking in pictures. London, Bloomsbury Publishing

  15. Happé F (1995) The role of age and verbal ability in the ToM performance of subjects with autism. Child Dev 66:843–855

    Article  PubMed  Google Scholar 

  16. Hughes C, Soares-Boucaud J, Hochman F, Frith U (1997) Social behavior in pervasive developmental disorders. Eur Child Adolesc Psychiatry 6:191–198

    PubMed  CAS  Google Scholar 

  17. Knott F, Dunlop A, Mackay T (2006) Living with ASD: How do children and their parents assess their difficulties with social interaction and understanding? Autism 10:609–617

    Google Scholar 

  18. Lalonde C, Chandler M (1995) False belief understanding goes to school. Cogn Emot 9:167–185

    Article  Google Scholar 

  19. Leslie AM, Thaiss L (1992) Domain specificity and conceptual development. Cognition 43:225–251

    Article  PubMed  CAS  Google Scholar 

  20. Losh M, Capps L (2006) Understanding of emotional experience in autism: insights from personal accounts of high-functioning children with autism. Dev Psychol 41:809–818

    Article  Google Scholar 

  21. Peterson C, Siegal M (1999) Representing inner worlds: theory of mind in autistic, deaf, and normal hearing children. Psychol Sci 10(2):126–129

    Article  Google Scholar 

  22. Peterson CC, Siegal M (2000) Insights into a theory of mind from deafness and autism. Mind Lang 16:77–99

    Google Scholar 

  23. Ronald A, Happe F, Hughes C, Plomin R (2005) Nice and nasty theory of mind in preschool children: nature versus nurture. Soc Dev 14:664–684

    Article  Google Scholar 

  24. Sparrow S, Balla D, Cicchetti D (1984) Vineland adaptive behavior scale. American Guidance Service, Circle Pines

    Google Scholar 

  25. Tabachnick B, Fidell L (1989) Using multivariate statistics. Harper-Collins, New York

    Google Scholar 

  26. Tager-Flusberg H (2003) Exploring the relationship between theory of mind and social-communicative functioning in children with autism. In: Repacholi B, Slaughter V (eds) Individual differences in theory of mind: implications for typical and atypical development. Psychology Press, Hove, pp 197–212

    Google Scholar 

  27. Wellman HM, Cross D, Watson J (2001) Meta-analysis of theory-of-mind development: the truth about false belief. Child Dev 72:655–684

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Candida C. Peterson PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Peterson, C.C., Garnett, M., Kelly, A. et al. Everyday social and conversation applications of theory-of-mind understanding by children with autism-spectrum disorders or typical development. Eur Child Adolesc Psychiatry 18, 105–115 (2009). https://doi.org/10.1007/s00787-008-0711-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00787-008-0711-y

Keywords

Navigation