Autism & Developmental

More than Leisure: Organized Activity Participation and Socio-Emotional Adjustment Among Adolescents with Autism Spectrum Disorder.

Bohnert et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Autism may include a separate 'theory of own mind' weakness, so check self-knowledge directly, not just other-knowledge.

✓ Read this if BCBAs who write social-skills goals or do assessments with teens and adults with autism.
✗ Skip if Clinicians looking only for ready-made lesson plans or data sheets.

01Research in Context

01

What this study did

Amy and colleagues wrote a theory paper. They asked: do people with autism have trouble knowing their own minds?

They looked at past work and built a new idea. They call it a 'theory of own mind' gap. This means the person may not clearly sense or report their own thoughts and feelings.

02

What they found

The paper does not give new data. It argues that classic tests miss self-awareness. Knowing others and knowing yourself may be two different skills.

The authors say we should check both areas in every autism assessment.

03

How this fits with other research

Hobson (2010) made a similar call nine years earlier. That paper urged the field to put self-development at the center of autism work. Yamashiro et al. (2019) refine the idea and give it a clearer name.

Farley et al. (2010) tested the idea in teens. They found autistic adolescents could describe themselves but struggled with agency and with seeing themselves through someone else's eyes. Their data line up with the theory.

Robinson et al. (2017) went further. They showed that poor memory for personal events feeds the self-knowledge gap. Fewer vivid memories mean fewer building blocks for a clear self-picture.

04

Why it matters

If a client can name emotions in others but not in themselves, do not assume defiance or lack of motivation. Add self-focused questions to your interviews and use role-play or video to let them watch themselves in action. Target agency language ('I chose, I caused, I felt') in social-skills lessons. A small shift in assessment can lead to clearer goals and stronger self-advocacy later.

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Add two self-reflection questions to your next session: 'What did you feel?' and 'What made you choose that?'

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Assuming that self-awareness is not a unitary phenomenon, and that one can be aware of different aspects of self at any one time, it follows that selective impairments in self-awareness can occur. This article explores the idea that autism involves a particular deficit in awareness of the 'psychological self', or 'theory of own mind'. This hypothesised deficit renders individuals with autism spectrum disorder (ASD) at least as impaired at recognising their own mental states as at recognising mental states in other people. This deficit, it is argued, stands in contrast to an apparently typical awareness of the 'physical self' amongst people with autism. Theoretical implications of the empirical evidence are discussed.

Journal of autism and developmental disorders, 2019 · doi:10.1177/1362361310366314