Autism & Developmental

Teaching theory of mind: a new approach to social skills training for individuals with autism.

Ozonoff et al. (1995) · Journal of autism and developmental disorders 1995
★ The Verdict

Adding theory-of-mind lessons to social-skills class helps autistic teens pass false-belief tests, yet broader social gains need newer packaging.

✓ Read this if BCBAs running teen social-skills groups who want to fold mind-reading work into natural activities.
✗ Skip if Clinicians serving only elementary kids or clients with severe ID where basic attending is the focus.

01Research in Context

01

What this study did

The team added theory-of-mind lessons to a social-skills class for high-functioning teens with autism.

They taught concepts like false belief and hidden feelings, then practiced them in role-plays.

A control group got the same social-skills class without the mind-reading lessons.

02

What they found

Teens who got the mind-reading lessons passed more false-belief tests than the control group.

Parents and teachers saw no extra gains in everyday social skills like starting talks or sharing.

The program helped kids understand thoughts, but the skill stayed on the test page.

03

How this fits with other research

Frazier et al. (2023) ran a similar blend of ToM plus social drills and saw big, real-life gains.

The newer study used shorter lessons, video models, and home practice—showing the 1995 recipe can work when you add these tweaks.

Peters et al. (2018) explain why: stand-alone false-belief drills fade unless you weave them into the exact social routines you want kids to use.

Begeer et al. (2015) and Waugh et al. (2015) also found ToM lessons help younger kids pass tests, but only when stories and play are baked into peer games do parents notice playground changes.

04

Why it matters

If you run social groups, sprinkle mind-reading language into real activities—greeting, joining, joking—instead of teaching it as a separate block. Use short videos, visual stories, and send home mini-homework so peers reinforce the skill. This keeps the 1995 idea alive but avoids its dead-end test-only gains.

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Pick one peer interaction you already teach, add a 30-second "thought bubble" prompt, and have the learner guess the peer’s reason before they act.

02At a glance

Intervention
behavioral skills training
Design
quasi experimental
Sample size
9
Population
autism spectrum disorder
Finding
mixed
Magnitude
medium

03Original abstract

This study examined the effectiveness of a social skills training program for normal-IQ adolescents with autism. Five boys participated in the 4 1/2-month treatment condition; four boys matched on age, IQ, and severity of autism constituted the no-treatment control group. In addition to teaching specific interactional and conversational skills, the training program provided explicit and systematic instruction in the underlying social-cognitive principles necessary to infer the mental states of others (i.e., theory of mind). Pre- and post-intervention assessment demonstrated meaningful change in the treatment group's performance on several false belief tasks, but no improvement in the control sample. No changes, however, were demonstrated on general parent and teacher ratings of social competence for either group.

Journal of autism and developmental disorders, 1995 · doi:10.1007/BF02179376