Autism & Developmental

Exploring the Components of Advanced Theory of Mind in Autism Spectrum Disorder.

Pedreño et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Autistic teens and adults stumble on different ToM parts—test social-cognitive and social-perceptual skills separately, then teach the weak one.

✓ Read this if BCBAs writing advanced social-skills goals for teens or adults with ASD.
✗ Skip if Clinicians serving only non-verbal or preschool clients.

01Research in Context

01

What this study did

The team gave 40 teens and adults with high-functioning autism the same advanced theory-of-mind battery. They also tested 40 typical peers matched for age and IQ.

Tasks tapped two parts: social-cognitive (reading tricky mental states) and social-perceptual (spotting faces and voices). Everyone did all tests in one sitting.

02

What they found

The autism group scored lower on every advanced task. The gap was large enough to see with the naked eye.

Inside the autism group, the social-cognitive tests clumped together, but they did not link to the perceptual scores. The two skill sets split apart.

03

How this fits with other research

Fisher et al. (2005) showed that short daily ToM lessons can lift false-belief scores in autistic children. C et al. now tell us which older clients still need that help and which piece to target.

Granader et al. (2014) found that planning and shifting skills predict ToM in preschoolers with ASD. The new data say the link holds for teens and adults, so keep executive goals on the plan.

van Timmeren et al. (2016) blamed face-processing problems on emotion, not social complexity. C et al. agree: social-cognitive and perceptual routes are separate, so check both before writing goals.

04

Why it matters

If you write one broad "perspective-taking" goal, you might miss the real deficit. Run quick probes from both buckets: cartoon mind-reading and voice emotion matching. Pick the weak bucket, then teach or coach there. This split saves hours and keeps your intervention laser-focused.

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Add one social-cognitive probe (strange stories) and one perceptual probe (voice emotion ID) to your intake packet.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
35
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

Performance of a group of 35 youth and adults with High-Functioning Autism (HFA) was compared with a typical developing (TD) group on three Advanced Theory of Mind tests. The distinction between the social-cognitive and social-perceptual components of Theory of Mind was also explored. The HFA group had more difficulties in all tasks. Performance on the two social-cognitive tests was highly correlated in the HFA group, but these were not related with the social-perceptual component. These results suggest that the youth with HFA have difficulties on all the components of social knowledge but may be using different underlying cognitive abilities depending on the nature of the task.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3156-7