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Can we teach children with autism to understand emotions, belief, or pretence?

Published online by Cambridge University Press:  04 March 2009

Julie Hadwin*
Affiliation:
Department of Psychology, University of Kent at Canterbury
Simon Baron-Cohen
Affiliation:
Departments of Experimental Psychology and Psychiatry, University of Cambridge
Patricia Howlin
Affiliation:
Department of Psychology, St. George's Hospital, University of London
Katie Hill
Affiliation:
Departments of Experimental Psychology and Psychiatry, University of Cambridge
*
Julie Hadwin, Department of Psychology, University of Kent at Canterbury, Canterbury, Kent CT2 7LZ, UK.

Abstract

Previous studies have revealed a “theory of mind” impairment in children with autism. The aim of this study was to assess whether it is possible to intervene by teaching children with autism to understand the mental states of emotion, belief, or pretence. Results showed that it is possible to teach children with autism to pass tasks that assess emotion and belief understanding. Introducing unfamiliar materials in structurally similar tasks did not adversely influence teaching effects, either immediately after teaching, or 2 months later. However, teaching effects did not generalize to tasks in domains where children received no teaching. In addition, no significant progress in spontaneous pretend play resulted from teaching. These results indicate that children may be passing tasks using rules rather than any genuine understanding of the concepts involved.

Type
Articles
Copyright
Copyright © Cambridge University Press 1996

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References

American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, revised third edition, Washington, DC: Author.Google Scholar
Astington, J. W., & Jenkins, J. M. (1995). Theory of mind and social development. Cognition and Emotion, 9, 151165.CrossRefGoogle Scholar
Astington, J. W., Harris, P. L., & Olson, D. R. (1988). Developing Theories of Mind. Cambridge: Cambridge University Press.Google Scholar
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind?” Cognition, 21, 3746.CrossRefGoogle ScholarPubMed
Baron-Cohen, S. (1987). Autism and symbolic play. British Journal of Developmental Psychology, 5, 139148.CrossRefGoogle Scholar
Baron-Cohen, S. (1989). The autistic child's theory of mind: a case of specific developmental delay. Journal of Child Psychology and Psychiatry, 30, 285297.CrossRefGoogle ScholarPubMed
Baron-Cohen, S. (1990). Instructed and elicited play in autism: a reply to Lewis and Boucher. British Journal of Developmental Psychology, 8, 207.CrossRefGoogle Scholar
Baron-Cohen, S. (1991a). Do people with autism understand what causes emotion. Child Development, 62, 385395.CrossRefGoogle ScholarPubMed
Baron-Cohen, S. (1991b). Precursors to a theory of mind: Attention in others. In Whiten, A. (Ed.), Natural theories of mind. Oxford: Basil Blackwell.Google Scholar
Baron-Cohen, S. (1995). Mindblindness. London: MIT Press.CrossRefGoogle Scholar
Baron-Cohen, S., & Howlin, P. (1993). The theory of mind deficit in autism: Some questions for teaching and diagnosis. In Baron-Cohen, S., Tager-Flusberg, H., & Cohen, D. J. (Eds.), Understanding other minds. Oxford: Oxford University Press.Google Scholar
Baron-Cohen, S., & Goodhart, F. (1994). The “seeing leads to knowing” deficit in autism: The Pratt and Bryant probe. British Journal of Developmental Psychology, 12, 397402.CrossRefGoogle Scholar
Baron-Cohen, S., Spitz, A., & Cross, P. (1993). Do children with autism recognize surprise? A research note. Cognition and Emotion, 7, 507516.CrossRefGoogle Scholar
Bishop, D. V. M. (1989). Test for reception of grammar. Cambridge: MRC Applied Psychology Unit.Google Scholar
Bowler, D. M., Stromm, E., & Urquhart, L. (1993). Elicitation of first-ordertheory of mindin children with autism. Unpublished manuscript, Department of Psychology, City University, London UK.Google Scholar
Charman, T., & Baron-Cohen, S. (in press). Elicited and spontaneous pretence in autism. Journal of Autism and Developmental Disorders.Google Scholar
Christie, J. F. (1986). Training of symbolic play. In Smith, P. K. (Ed.), Children's play. Research developments and practical implications. London: Gordon and Beach Science.Google Scholar
Ekman, P., Friesen, W. V., & Ellsworth, P. (1972). Emotion in the Human Face. New York and Oxford: Pergamon Press.Google Scholar
Fein, G. G. (1981). Pretend play in childhood: An integrative review. Child Development, 52, 10951118.CrossRefGoogle Scholar
Flavell, J. H. (1978). The development of knowledge about visual perception. Nebraska Symposium on Motivation 1977: Social Cognitive Development, 25, 4376. Lincoln: University of Nebraska Press.Google Scholar
Flavell, J. H., Everett, B. A., Croft, K., & Flavell, E. R. (1981). Young children's knowledge about visual perception: further knowledge about the Level 1-Level 2 distinction. Developmental Psychology, 17, 99103.CrossRefGoogle Scholar
Frith, U., Morton, J., & Leslie, A. M. (1991). The cognitive basis of a biological disorder: Autism. Trends in Neuroscience, 14, 433438.CrossRefGoogle ScholarPubMed
Frith, U., Happé, F., & Siddons, F. (1994). Autism and theory of mind in everyday life. Social Development, 3, 108124.CrossRefGoogle Scholar
Gardner, M. (1979). Expressive one word picture vocabulary test. Los Angeles: Western Psychological Services.Google Scholar
Gopnik, A., Slaughter, V., & Meltzoff, A. (1994). Changing your views: How understanding visual perception can lead to a new theory of the mind. In Lewis, C. & Mitchell, P. (Eds.), Origins of a theory of mind. Hillsdale, NJ: Erlbaum.Google Scholar
Gould, J. (1986). The Lowe and Costello Symbolic Play Test in socially impaired children. Journal of Autism and Developmental Disorders, 16, 199213.CrossRefGoogle ScholarPubMed
Hadwin, J. A., & Perner, J. (1991). Pleased and surprised: Children's cognitive theory of emotion. British Journal of Developmental Psychology, 9, 215234.CrossRefGoogle Scholar
Harris, P. L. (1989). Children and Emotion. Oxford: Basil Blackwell.Google Scholar
Harris, P. L., Johnson, C. N., Hutton, D., Andrews, G., & Cooke, T. (1989). Young children's theory of mind and emotion. Cognition and Emotion, 3, 379400.CrossRefGoogle Scholar
Hobson, P. R. (1986a). The autistic child's appraisal of expressions of emotion. Journal of Child Psychology and Psychiatry, 27, 321342.CrossRefGoogle ScholarPubMed
Hobson, P. R. (1986b). The autistic child's appraisal of expressions of emotion: A further study. Journal of Child Psychology and Psychiatry, 27, 671680.CrossRefGoogle ScholarPubMed
Howlin, P., Baron-Cohen, S., Hadwin, J. A., & Swet-tenham, J. (1995). Manual for Teaching Theory of Mind to Children with Autism. Unpublished manuscript, Department of Psychology, St. George's Medical School, University of London, London, UK.Google Scholar
Jarrold, C., Boucher, J., & Smith, P. (1993). Symbolic play in autism: A review. Journal of Autism and Developmental Disorders, 23, 281308.CrossRefGoogle ScholarPubMed
Jarrold, C., Smith, P., & Boucher, J. (1993). Executive function deficits in the pretend play of children with autism. Paper presented at the British Psychological Society, Developmental Section Annual Conference. Birmingham, 09 1993.Google Scholar
Leslie, A. (1987). Pretence and representation in infancy: The origins of “theory of mind.” Psychological Review, 94, 84106.CrossRefGoogle Scholar
Leslie, A. M., & Frith, U. (1988). Autistic children's understanding of seeing, knowing, and believing. British Journal of Developmental Psychology, 6, 315324.CrossRefGoogle Scholar
Ortony, A., Clore, G. L., & Collins, A. (1988). The cognitive structure of emotions. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Ozonoff, S., & Miller, J. (1995). Teaching theory of mind: a new approach to social skills training for individuals with autism. Journal of Autism and Developmental Disorders, 25, 415434.CrossRefGoogle ScholarPubMed
Perner, J. (1991). Understanding the representational mind. London: MIT Press.Google Scholar
Perner, J., Frith, U., Leslie, A. M., & Leekam, S. R. (1989). Exploration of the autistic child's theory of mind: Knowledge, belief and communication. Child Development, 60, 689700.CrossRefGoogle ScholarPubMed
Perner, J., Leekam, S. R., & Wimmer, H. (1987). Three-year-olds' difficulty with false belief: The case for a conceptual deficit. British Journal of Developmental Psychology, 5, 125137.CrossRefGoogle Scholar
Perry, M. (1991). Learning and transfer: Instructional conditions and conceptual change. Cognitive Development, 6, 449468.CrossRefGoogle Scholar
Pratt, C., & Bryant, P. (1990). Young children understand that looking leads to knowing (so long as they are looking into a single barrel). Child Development, 61, 973982.CrossRefGoogle Scholar
Prior, M., Dahlstromm, B., & Squires, T. (1990). Autistic children's knowledge of thinking and feeling states in other people. Journal of Child Psychology and Psychiatry, 31, 587601.CrossRefGoogle ScholarPubMed
Rutter, M. (1978). Diagnosis and definition. In Rutter, M. & Shopler, E. (Eds.), Autism: A reappraisal of concepts and treatment. New York: Plenum Press.CrossRefGoogle Scholar
Smiley, P., & Huttenlocher, J. (1989). Young children's acquisition of emotion. In Saarni, C. & Harris, P. L. (Eds.), Children's understanding of emotion. Cambridge: Cambridge University Press.Google Scholar
Starr, E. (1993). Teaching the appearance-reality distinction to children with autism. Paper presented at the British Psychological Society Developmental Psychology Section Annual Conference, Birmingham.Google Scholar
Stein, N. L., & Levine, L. J. (1989). The causal organisation of emotional knowledge: A developmental study. Cognition and Emotion, 3, 343378.CrossRefGoogle Scholar
Swettenham, J. S. (in press). Can children with autism be trained to understand false belief using computers? Journal of Child Psychology and Psychiatry.Google Scholar
Swettenham, J., Gomez, J-C., Baron-Cohen, S., & Walsh, S. (in press). What's inside the head? Cognitive Neuropsychiatry.Google Scholar
Tager-Flusberg, H. (1992). Autistic children's talk about psychological states: Deficits in the early acquisition of a theory of mind. Child Development, 63, 161172.CrossRefGoogle ScholarPubMed
Ungerer, J. A., & Sigman, M. (1981). Symbolic play and language comprehension in autistic children. Journal of the American Academy of Child Psychiatry, 20, 318337.CrossRefGoogle ScholarPubMed
Wellman, H. M. (1990). The child's theory of mind. Cambridge: MIT Press.CrossRefGoogle Scholar
Whiten, A., Irving, K., & Macintyre, K. (1993). Can three-year-olds and people with autism learn to predict the consequences of false belief. Paper presented at the British Psychological Society Developmental Psychology Section Annual Conference, Birmingham.Google Scholar
Wimmer, H., & Pernor, J. (1983). Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition, 13, 103128.CrossRefGoogle ScholarPubMed
Yuill, N. (1984). Young children's co-ordination of motive and outcome in judgements of satisfaction and morality. British Journal of Developmental Psychology, 2, 7378.CrossRefGoogle Scholar