Assessment & Research

Implicit and explicit Theory of Mind reasoning in autism spectrum disorders: the impact of experience.

Schuwerk et al. (2015) · Autism : the international journal of research and practice 2015
★ The Verdict

A single viewing of the false-belief outcome sharpens anticipatory eye gaze in adults with ASD, but explicit questioning still needs extra support.

✓ Read this if BCBAs running social-cognition programs with verbal adults on the spectrum.
✗ Skip if Clinicians focused only on preschool language or daily living skills.

01Research in Context

01

What this study did

Tobias and team asked the adults with autism and 24 typical adults to watch short false-belief clips.

An eye-tracker watched where each person looked before the big reveal.

After each clip the adults answered out loud what the actor would do next.

02

What they found

Autistic adults looked at the wrong spot before the answer, showing they did not expect the false belief.

Once they saw the outcome, their eyes quickly matched the typical group.

On spoken questions they passed some tasks and failed others, so the gap was not fixed everywhere.

03

How this fits with other research

Carr (1994) already showed that autistic adults who pass classic false-belief stories still stumble on real-life mental-state questions. Tobias adds eye-tracking proof that the hitch lives in fast, automatic thinking.

Hou et al. (2023) saw the same split in kids: eyes moved okay, but spoken joint-intention answers stayed weak. Together the papers say the looking system works; the talking system needs help.

Begeer et al. (2015) taught ToM lessons to children and gained test scores, yet parents saw no daily-life change. Tobias shows why: a quick peek at the answer fixes eye gaze, but deeper teaching is needed for lasting use.

04

Why it matters

You now know that brief feedback can unlock anticipatory looking in adults with ASD. Use this during social-skills sessions by showing the surprising outcome right after a false-belief clip. One replay may prime their eyes and set the stage for deeper language-based lessons you plan to run next.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Show a 10-second false-belief video, pause at the key frame, let the client watch the ending, then replay and discuss what each person thought.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

This study aimed to investigate the relationship between explicit and implicit forms of Theory of Mind reasoning and to test the influence of experience on implicit Theory of Mind reasoning in individuals with autism spectrum disorders and in neurotypical adults. Results from two standard explicit Theory of Mind tasks are mixed: Individuals with autism spectrum disorders did not differ from neurotypical adults in their performance in the Strange Stories Test, but scored significantly lower on the Reading the Mind in the Eyes Test. Furthermore, in an implicit false-belief task, individuals with autism spectrum disorders differed from neurotypical adults in false belief-congruent anticipatory looking. However, this group difference disappeared by (1) providing participants with the outcome of a false belief-based action and (2) subsequently repeating this test trial. Although the tendency to fixate the false belief-congruent location significantly increased from the first to the second test trial in individuals with autism spectrum disorders, it differed in neither test trial from chance. These findings support the notion of an implicit Theory of Mind deficit in autism spectrum disorders, but give rise to the idea that anticipatory looking behaviors in autism spectrum disorders may be affected by experience. Additionally, the pattern of results from implicit and explicit Theory of Mind measures supports the theory of two independent Theory of Mind reasoning systems.

Autism : the international journal of research and practice, 2015 · doi:10.1177/1362361314526004