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the claim
Autistic children possess a theory of mind
the verdict
CONTESTED PARTIAL
refutedsupported
the weight of evidence
5 sources for · 2 against

Peer-reviewed literature partially supports the claim by indicating that while many autistic children show severe deficits or delays in theory of mind, a subset of autistic individuals and those with Asperger's syndrome are able to demonstrate theory of mind abilities.

Evidence for · 5
2026 · cited by 1
Autistic individuals exhibit differences in Theory of Mind (ToM) compared to neurotypical (NT) individuals. The aim of this study was to meta-analyse the neural correlates that contributed to the manifestation of the expression differences in ToM between autistic individuals and the NT population. A total of 328 autistic participants and 314 NT participants from 18 studies were included. We adopted Activation Network Mapping, which is a novel neuroimaging meta-analysis method based on activation seeds and functional connectivity to identify brain networks, to investigate how the ToM network of the autistic group differed from that of the NT group. The thalamus and precuneus robustly participated in the ToM network of the autistic group. Moreover, the temporoparietal junction and the right hemisphere of the limbic system, especially the thalamus, caudate, and cingulum, were less involved in the autistic group's ToM network, compared to the NT group. Our findings provide the first quantitative evidence supportive of the distinct patterns in the ToM brain network in the autistic population. The current findings indicate that the primary difference in ToM task performance in autistic individuals may stem from altered information processing mechanisms rather than deficits in core ToM abilities. pmc Psych J Psych J 4565 psychj PCHJ PsyCh Journal 2046-0252 2046-0260 Wiley PMC12781288 PMC12781288.1 12781288 12781288 41499227 10.1002/pchj.70060 PCHJ70060 3623745 1 Review Article Review Article Specific Brain Activity During Theory of Mind Tasks in Autistic Individuals: A Meta‐Analysis of fMRI Studies Li Hanran 1 2 Wang Yihui 1 3 Chang Lei 2 Yi Li https://orcid.org/0000-0003-4117-8828 4 5 Siu Lai Na 1 Zhang Juan https://orcid.org/0000-0002-7052-1093 1 3 juanzhang@umac.mo 1 Centre for Cognitive and Brain Sciences University of Macau Macau China 2 Department of Psychology, Faculty of Social Science University of Macau Macau China 3 Faculty of Education University of Macau Macau China 4 School of Psychological and Cognitive Sciences & Key Laboratory of Behavior and Mental Health Peking University Beijing China 5 IDG/McGovern Institute for Brain Research at PKU, Peking University Beijing China * Correspondence: Juan Zhang ( juanzhang@umac.mo ) 07 1 2026 2 2026 15 1 504596 10.1002/pchj.v15.1 e70060 29 9 2025 10 7 2025 09 10 2025 07 01 2026 09 01 2026 09 01 2026 © 2026 The Author(s). PsyCh Journal published by Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. ABSTRACT Autistic individuals exhibit differences in Theory of Mind (ToM) compared to neurotypical (NT) individuals. The aim of this study was to meta‐analyse the neural correlates that contributed to the manifestation of the expression differences in ToM between autistic individuals and the NT population. , Y. Wang , L. Chang , L. Yi , L. N. Siu , and J. Zhang . 2026 . “ Specific Brain Activity During Theory of Mind Tasks in Autistic Individuals: A Meta‐Analysis of fMRI Studies .” PsyCh Journal 15 , no. 1 : e70060 . 10.1002/pchj.70060 . 41499227 PMC12781288 Funding: This work was supported by Universidade de Macau (MYRG‐GRG2024‐00137‐FED). 1 Introduction Autism spectrum disorder (ASD) is a neurodevelopmental condition and its core characterisations are persistent communication and social interaction difficulties, repetitive behaviour and limited interests according to DSM‐5 (American Psychiatric Association 2013 ). These characterisations impede the autistic population's social engagement and lead to different behavioural patterns. Divergent accounts have been proposed to explain the challenges in autistic individuals. One influential account from Baron‐Cohen et al. ( 1985 ) argues that the varying social behaviours of the autistic population are caused by the lack of Theory of Mind (ToM) ability which is defined as the capacity to understand the thoughts and feelings of others, because ToM is important for administering actions and making predictions (Ho et al. 2022 ). ToM, a high‐order cognitive skill, consists of diverse basic component processes. The perception of the environment is generally defined as apprehending the features of the physical environment through sensory input. Autistic individuals often demonstrate different perceptions of the environment from the NT population. Numerous studies have been conducted with visual stimuli because approximately 80% of the information is visual (Haupt and Huber 2008 ). There are three major findings from existing literature. Firstly, autistic children demonstrate enhanced ability in visual search tasks because they seem to be more inclined to take care of detailed information (Joseph et al. 2009 ; O'Riordan et al. 2001 ; Shah and Frith 1983 ). NT children can infer that Sally believes the apple is still in the basket, so they predict she will look there. It demonstrates that NT children form the belief that Sally does not know the apple being moved. In contrast, autistic children form beliefs based solely on their observations: since they have seen the apple placed These findings suggest this unique ToM network and different functional connections between the aforementioned regions may lead to challenges in processing and integrating information in autistic individuals. This may underlie the distinct ToM function observed in the autistic group relative to the NT group. In general, the outcomes of this investigation provide insight into the neural underpinnings of ToM and carry significant ramifications for the implementation of ToM‐based interventions in autistic children. Ethics Statement The authors have nothing to report. Conflicts of Interest The authors declare no conflicts of interest.
Evidence against · 2
cited by 0
Are autistic children "behaviorists"? An examination of their mental-physical and appearance-reality distinctions. This paper continues our earlier investigation of autistic children's deficit in attributing beliefs to others--in their "theory of mind." Three experiments are reported. The first tests the prediction that autistic children will fail to distinguish mental and physical entities. The second tests the prediction that they will also be unaware of the mental function of the brain. The third tests the prediction that they will be unable to take into account their own mental states. This latter prediction was tested using Appearance-Reality (A-R) tasks. All three predictions were supported. Deficits in these areas were not found among mentally handicapped or normal children of the same or lower mental and chronological age, suggesting that they may be autism-specific and independent of general developmental delay. It is argued that autistic children's failure to make A-R distinctions is consistent with Leslie's (1987) metarepresentation theory of autism. Published in Journal of autism and developmental disorders (1989)
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More for · 4
cited by 0
The autistic child's theory of mind: a case of specific developmental delay. In previous tests of the lowest level of a "theory of mind" (i.e. first-order belief attribution), 80% of autistic children were found to be impaired relative to a non-autistic mentally-handicapped control group. The present study examines the 20% of autistic children who have a theory of mind at the lowest level, and tests their ability to use a theory of mind at higher levels (i.e. second-order belief attribution). This autistic subgroup, in comparison to Down's Syndrome and normal control groups, was found to be severely impaired at the higher level. Autism is discussed as a possible case of specific developmental delay. Published in Journal of child psychology and psychiatry, and allied disciplines (1989)
2025 · cited by 0
This systematic review focuses on the efficiency of using a Theory of Mind (ToM) curriculum in teaching children with Autism Spectrum Disorder (ASD) to apply social skills and decrease autistic characteristics. By analyzing eight well-designed studies using randomized controlled trials, quasi-experimental, and single subjects, the results indicate that ToM intervention may have an effect in social relationships, emotional comprehension, and thinking with reference to perspective. There is a gap in generalization and long-term retention of skills learned under the ToM in autistic children for short term courses. Individual interventions, as well as parental involvement, seem important in ensuring progress in the long-term. The review acknowledges the lack of longitudinal study to focus on durability, transferability, and the unique enabler approaches that can fix varying ToM dimensions and social deficits among children with autism. In general, the studies of ToM curricula have potential but require additional adjustment and investigation to be used widely and efficiently. 338 Research Journal of Psychology (RJP) Online ISSN: 3006-7219 Print ISSN: 3006-7200 Volume 3, Number 3, 2025, Pages 338 – 347 Journal Home Page https://ctrjournal.com/index.php/19/index The Effectiveness of Teaching Theory of Mind Curriculum to Influence the Social Skills, and Autistic Traits among Children with Autism: A Systematic Review Dr. It is unclear for whom and under what circu mstances these trainings should be used to enhance social and theory of mind skills among autistic children. Autism is considered a neuropsychiatric illness that may affect the verbal and nonverbal communication as well as the social abilities of those aff ected. Autism is defined by the APA as deficits in social skills and communication, as well as stereotypical repetitive behaviors. Autism's primary issues are aberrations in social skills, which lead to other issues and may be improved by standard psychiatric Research Journal of Psychology (RJP) Volume 3, Number 3, 2025 339 therapies. In addition, based on past experience, it has been determined that teaching theory of mind (TOM) curriculum is useful for improving social skills and TOM abilities among autistic children (Begeer et al., 2011). There are a variety of useful explanations This review determines the theory of mind abilities can be taught to autistic individuals and b) whether the data supported the theory of mind paradigm. Possessing a 'theory of mind' may rely on learning similar fundamental abilities, such as shared attention (having a focal point of interest with another person), identifying other people's emotions from faces or tales, and copying others. Methods The goal of this article is to look at how well a theory of mind curriculum can help children with autism to impro ve their social skills and lessen their autistic traits. Table 1: Research Strategy Databases Google Scholar, Science Direct, PubMed, ERIC, MDPI and ResearchGate Search Keywords The Effectiveness of Teaching Theory of Mind Curriculum to Influence the Social Skills, and Autistic Traits among Children with Autism Research Journal of Psychology (RJP) Volume 3, Number 3, 2025 340 Limits Articles with clear method, strategy and empirical in nature have been added in the review. Articles based on the English language are only part of this study. (2015) stated that randomized controlled trials are included for evaluating the efficacy of Theory of Mind (TOM) therapies, according to. Yet, prior study shown that a therapy is Research Journal of Psychology (RJP) Volume 3, Number 3, 2025 341 often effective. The maturation of a parent's position in their child's life is crucial, and parental influence may be dynamic for the benefit of autistic children. Acceptance of autism's typical difficulties is accurate. During the process, autistic youngsters ac quire new strategies. The difficulty is in applying these methods to fresh scenarios. control group (no intervention) Social skills rating scales, Autism Diagnostic Observation Schedule (ADOS) Significant improvement in social skills observed in the intervention group compared to the control group. Reduction in autistic traits based on ADOS scores. Begeer et al. (2011). 50 children with autism, aged 8-13 years Quasi- experimental study ToM curriculum intervention group vs. usual care group Social responsiveness scales, Theory of Mind Inventory Intervention group showed significant improvement in social responsiveness and ToM skills compared to the usual care group. Adibsereshki et al. (2015). control group (no intervention) Social Skills Improvement System, Autism Diagnostic Interview- Revised (ADI- R) Meta-analysis demonstrated a moderate effect size for improved social skills and reduced autistic traits in the ToM curriculum intervention group compared to the control group. Whalon & Cox, (2020). 60 children with autism, aged 5-7 years Randomized controlled trial ToM curriculum intervention group vs. active control group (social skills training) Social communication questionnaire, Theory of Mind Inventory Both intervention groups showed improvement in social communication, but the ToM curriculum group demonstrated additional gains in ToM skills. Bamicha & Drigas, (2022). The systematic review implies that teaching Theory of Mind (ToM) curriculum to autistic children might be efficient in behavioral skills training and minimizing autistic symptoms. The research studies compared in the review involve diverse outc ome measures and designs, including but not restricted to randomized controlled studies, quasi -experimental designs and single-subject designs. The findings always show positive outcomes of ToM curriculum intervention, such as positive social skills and de crease in autistic traits. Relevant limitations of the studies involved in the systematic review including sample size, study design, and existing biases should be taken into consideration.
cited by 0
"Theory of mind" in Asperger's syndrome. Two studies are reported in which the ability of people with Asperger's syndrome to understand problems of the type "Peter thinks that Jane thinks that ..." tested. The results showed that in contrast to younger or more handicapped autistic individuals, Asperger subjects were able to solve problems of the type just outlined, i.e. that they possessed a second-order theory of mind. When asked to explain their solutions however, they typically did not use mental state terms but did not differ in this respect either from non-handicapped or socially impaired, chronic schizophrenic controls. The implications of the results for current cognitive theories of autistic impairment are discussed. Published in Journal of child psychology and psychiatry, and allied disciplines (1992)
cited by 0
Historically, autistic children were said to be delayed in developing a theory of mind, and the empathizing–systemizing theory proposed that while autistic people Autism, also known as autism spectrum disorder (ASD), is a condition characterized by impairment in social communication and interaction, as well as a need or strong preference for predictability and routine, sensory processing differences, focused interests, or repetitive behaviors. Features of autism are present from early childhood and the condition typically persists throughout life. Autism is Common early signs of autism include little or no babbling in infancy. Difficulties may also be apparent in traditional forms of reciprocal social interaction, such as games like peek-a-boo or pat-a-cake, as well as in shared attention to objects of interest; this may distinguish autistic from non-autistic infants. Historically, autistic children were said to be delayed in developing a theory of mind, and the empathizing–systemizing theory proposed that while autistic people may have compassion (affective empathy) for others with similar autistic traits, they often have limited, though not necessarily absent, cognitive empathy. This may present as social naïvety, lower-than-average intuitive perception of the meaning or utility of body language, social reciprocity, or social expectations, including the habitus, social cues, and certain aspects of sarcasm, which to some degree may be influenced by co-occurring alexithymia. A 2019 meta-analysis found that alexithymia commonly co-occurs in autism (49.93%) and infrequently in neurotypicals (4.89%); the random effects risk ratio (6.50) was statistically significant (p<0.001). Recent research has increasingly questioned these earlier interpretations, as the double empathy problem theory (2012) proposes that misunderstandings arise mutually between autistic and non-autistic people, rather than solely from autistic deficits in empathy or social cognition. This perspective has contributed to a growing recognition that autistic behavior and communication may reflect different, rather than deficient, social behavior and communication styles. Autistic interests and conversational styles are often characterized by a strong focus on specific topics, a phenomenon known as monotropism.
More against · 1
1998 · cited by 0
Solving belief problems develops as a skill in normal children during the preschool years. To understand this process of development, it is necessary to provide an analysis of the tasks used to test preschool 'theory of mind' skills. This analysis should allow us to relate the structure of a given task to the underlying cognitive mechanisms that the task engages. In two experiments, we find that 3-year-old children show a pattern of success and failure on belief tasks that is not consistent with 'conceptual deficit' accounts. Young children possess the concept, BELIEF, but have certain characteristic difficulties with correctly calculating the contents of beliefs. In childhood autism, by contrast, the mechanisms that in normal development bestow conceptual competence in this domain are impaired. In the first experiment, parallel task structures are used to show that 3-year-olds are no better at predicting behavior from a partially true belief than they are at predicting behavior from an entirely false belief. We develop specific proposals about task structural factors that either facilitate or hinder success in belief-content calculation. These proposals are supported in a second experiment. We compare two false-belief tasks, one of which has helpful structural factors, the other of which has hampering factors, with a third task which exemplifies a hampering task structure but without any theory of mind content. We compare 3- and 4-year-olds' patterns of performance with that
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