Autism & Developmental

Theory of Mind--based action in children from the autism spectrum.

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

A small prize lifts false-belief performance in children with PDD-NOS but not in children with classic autism.

✓ Read this if BCBAs running social-skills groups or false-belief lessons with verbal children on the spectrum.
✗ Skip if Clinicians working with non-verbal or older adults with ASD.

01Research in Context

01

What this study did

The team gave false-belief puzzles to two groups of children. One group had PDD-NOS. The other group had autism.

Half of each group could earn a small prize for every right answer. The rest just played for free.

The researchers counted how often each child fixed the false belief when a reward was on the line.

02

What they found

Kids with PDD-NOS got more answers right when they could win a prize. Kids with autism scored the same whether or not a reward was offered.

The result shows that a simple prize can unlock perspective-taking skills in some children on the spectrum, but not in others.

03

How this fits with other research

Schuwerk et al. (2015) later showed that a quick peek at the right answer also boosts implicit false-belief eye gaze in adults with ASD. Both studies say the same thing: outside help—money or feedback—can wake up sleepy mind-reading skills.

Burnside et al. (2017) looked at preschoolers who ignored faces and moving people. Those kids also failed implicit false-belief tests. The pair of papers links lack of social interest to poor perspective taking, and both hint that extra motivation might bridge the gap.

Begeer et al. (2015) ran a short teaching game after seeing these reward data. The game helped older children pass false-belief tests, but the gains stayed in the classroom. The RCT confirms that motivation works, yet reminds us that real-life social behavior needs more than points and stickers.

04

Why it matters

If you work with children who have PDD-NOS or mild autism, try adding a tiny prize for correct perspective-taking answers. A sticker, token, or point can be enough to turn a wrong answer into a right one. Keep the reward small and deliver it right away. For children with classic autism, the same prize may not help, so pair the task with extra teaching or visual cues instead. Track who perks up with rewards and who needs a different plan.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Hand the child a token each time they correctly say what another person thinks; watch if scores rise within the session.

02At a glance

Intervention
not applicable
Design
single case other
Population
autism spectrum disorder
Finding
mixed

03Original abstract

In this study we investigated whether task interest facilitated the application of Theory of Mind capacities in high-functioning children from the autism spectrum. Children were invited to carry out two simple tasks. Sabotage of both tasks by a third party resulted in the experimenter appearing to have a false belief. Whereas pervasive developmental disorder not otherwise specified (PDDNOS) children tended to correct the experimenter's false belief in the rewarded task condition, children with autism were not influenced by task condition. These results highlight the role played by social and communicative factors in the application of Theory of Mind knowledge in the former clinical group.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1025875311062