Assessment & Research

A clinical assessment tool for advanced theory of mind performance in 5 to 12 year olds.

O'Hare et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Happé's strange stories now have age norms so you can benchmark advanced theory-of-mind in verbal clients with ASD.

✓ Read this if BCBAs who assess school-age clients with ASD in clinic or schools.
✗ Skip if Practitioners working only with toddlers or non-speaking clients.

01Research in Context

01

What this study did

Lancioni et al. (2009) gave Happé's strange stories to kids without disabilities. They wanted age norms for advanced theory-of-mind skills.

The sample covered ages five to twelve. No one had autism in this norm group.

02

What they found

Scores went up with age. Boys and girls did the same.

The tables let you see if a school-age client with ASD is ahead or behind their peers.

03

How this fits with other research

Patton et al. (2020) later used the same task with adults who have sub-clinical autistic traits. They found older adults scored lower, showing the tool can track age change across the life span.

Day et al. (2021) asked adults to fill out BAP surveys instead of story tasks. They saw traits drop with age, which seems opposite to Patton et al. (2020). The gap is about method: self-rating vs. live story test.

Baghdadli et al. (2012) tracked real kids with ASD for ten years. Early language and low autism severity predicted better adaptive gains. Lancioni et al. (2009) now gives you a quick ToM checkpoint to add to those early predictors.

04

Why it matters

You now have a five-minute story set with solid norms. Use it to show parents and teachers where a verbal client with ASD stands. Pair the score with language and adaptive data to plan social-skills goals that fit the child's true level, not just their age.

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→ Action — try this Monday

Print the age-norm table and give one story to your highest-verbal client to see if they hit the expected level.

02At a glance

Intervention
not applicable
Design
other
Sample size
140
Population
neurotypical
Finding
not reported

03Original abstract

One hundred forty typically developing 5- to 12-year-old children were assessed with a test of advanced theory of mind employing Happé's strange stories. There was no significant difference in performance between boys and girls. The stories discriminated performance across the different ages with the lowest performance being in the younger children who nevertheless managed to achieve a third of their potential total. However, some of the individual mentalising concepts such as persuasion were too difficult for these younger children. This normative data provides a useful clinical tool to measure mentalising ability in more able children with autism spectrum disorder.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-009-0699-2