Assessment & Research

Validity of false belief tasks in blind children.

Brambring et al. (2010) · Journal of autism and developmental disorders 2010
★ The Verdict

Switch to tactile or auditory false-belief tasks to accurately assess theory of mind in blind kids and avoid false autism flags.

✓ Read this if BCBAs who assess or diagnose children with visual impairment in school or clinic settings.
✗ Skip if Practitioners working only with fully sighted populations.

01Research in Context

01

What this study did

Davison et al. (2010) compared blind and sighted children on false-belief tasks. They swapped the usual picture stories for tactile or auditory versions. The goal was to see if blindness alone delays theory-of-mind scores.

02

What they found

Blind kids passed the tasks about 19 months later than sighted peers. The delay vanished when the tasks matched their senses. In short, blindness—not autism—was slowing the score.

03

How this fits with other research

Richman et al. (2001) showed that regular false-belief tasks are valid for autistic children. Michael’s team extends that warning: the same tasks mislabel blind kids unless you change the format.

Tavassoli et al. (2012) later used eye-tracking for kids who can’t point or speak. Both papers push the same theme—match the task to the child’s body, not the textbook.

Mueller et al. (2000) found photos don’t help autistic kids pass. Michael adds that visual items can actually hurt blind kids. Together they show visuals help neither group; modality choice is what counts.

04

Why it matters

If a blind child fails a standard Sally-Anne story, pause before writing “suspected ASD” in the report. Swap in raised-line pictures, audio clips, or real objects. You will get a cleaner read on true theory-of-mind skills and avoid false autism referrals.

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→ Action — try this Monday

Replace paper-based Sally-Anne pictures with a short audio story plus real objects for any blind client on your caseload.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
82
Population
not specified
Finding
not reported

03Original abstract

Previous studies have reported that congenitally blind children without any additional impairment reveal a developmental delay of at least 4 years in perspective taking based on testing first-order false-belief tasks. These authors interpret this delay as a sign of autism-like behavior. However, the delay may be caused by testing blind children with false-belief tasks that require visual experience. Therefore, the present study gave alternative false-belief tasks based on tactile or auditory experience to 45 congenitally blind 4-10-year-olds and 37 sighted 3-6-year-olds. Results showed criterion performance at 80 months (6; 8 years) in blind children compared with 61 months (5; 1 years) in sighted controls. It is concluded that this 19-month (1; 7 year) difference, which is comparable with delays in other developmental areas, is a developmental delay caused by the fact of congenital blindness rather than a sign of a psychopathological disorder of autism-like behavior.

Journal of autism and developmental disorders, 2010 · doi:10.1007/s10803-010-1002-2