Autism & Developmental

Brief report: developmental change in theory of mind abilities in children with autism.

Steele et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Autistic children's theory-of-mind skills can grow strongly in one year when language grows too.

✓ Read this if BCBAs writing preschool or early-elementary goals for autistic learners.
✗ Skip if Clinicians serving mainly non-speaking teens or adults.

01Research in Context

01

What this study did

Steele et al. (2003) tracked autistic children for one year. They tested if the kids' theory-of-mind skills grew over time.

The team gave false-belief tasks at the start and again one year later. They also measured language growth.

02

What they found

Every child improved on theory-of-mind tasks. The gains were large and tied to language growth.

Kids who added more words also added more perspective-taking skills.

03

How this fits with other research

Abrahamsen et al. (1990) showed that early joint-attention gestures, not starting language scores, predict later language. Shelly's study now links that later language to ToM growth, building a timeline: gestures → language → ToM.

Atherton et al. (2019) asked autistic teens about their own social mind. The teens said they see the world differently, not defectively. This fits Shelly's view that growth, not fixed deficit, is possible.

Sigman et al. (2005) clouds the picture. They followed autistic children for ten years and saw language gains slow or even reverse after early childhood. Shelly saw only one year, so the upbeat result may not last through adolescence.

04

Why it matters

Keep language-rich social play on the IEP. Every new word gives the child material for perspective-taking. Track both skills each quarter; when language stalls, add joint-attention or requesting programs to restart the cycle.

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Add a quick false-belief question to your weekly language probe and graph both together.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
57
Population
autism spectrum disorder
Finding
positive

03Original abstract

This longitudinal study investigated developmental change in theory of mind among 57 children with autism aged between 4 to 14 years at the start of the study. On an initial visit and one year later, each participant was administered a battery of tests designed to measure a broad developmental range of theory of mind abilities from early (e.g., desire) to more advanced (e.g., moral judgment) mental state understanding. Both group and individual data indicated significant developmental improvement in theory of mind ability, which was primarily related to the children's language abilities.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1025075115100