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978-1572305441

autism

autism

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Sharon 67<br />

emotion is then projected onto her mother. Understanding other’s hopes,<br />

desires, and motivations might work in a similar way.<br />

Beginning in the 1980s, experiments were devised to test this<br />

theory of mind (TOM) ability in children with autism and ASD. In the<br />

classic experiment, a child with autism is presented with the following<br />

scenario either with two dolls or two people: Sally puts a marble into a<br />

basket she is carrying and puts it down to go out of the room. Ann takes<br />

the marble and places it into a box that she has. When Sally comes back<br />

into the room, the child is asked where she will look for the marble: in<br />

the basket or the box. A child with good TOM skills will say that Sally<br />

will look in the basket because she does not know that Ann has taken<br />

the marble and placed it in the box. The child with autism, on the other<br />

hand, will state that Sally will look in the box, because he or she will<br />

not understand that Sally still thinks the marble is in the basket where<br />

she left it. The child with autism cannot read Sally’s mind. It soon became<br />

apparent that most children with ASD did in fact have a severe<br />

deficit in this area, regardless of the tests used to measure TOM. What<br />

was so interesting was that the difficulties in understanding were specific<br />

to social situations; they did not apply to inferring simple visual<br />

perspectives that were not observable to the viewer. Children with autism<br />

could describe what lay behind a mountain or on the other side of<br />

a cube. They could describe what somebody else saw but not what the<br />

person felt or believed. This difficulty in perspective was also more than<br />

an understanding of emotions; it extended to motivations and desires<br />

and to all the internal mental states of other people. Both children and<br />

adults with ASD seemed unable to make a spontaneous, intuitive inference<br />

about the mind of another person and to have a limited ability to<br />

understand their own psychological makeup.<br />

But it also became apparent that children with other types of developmental<br />

problems, like Down syndrome, had difficulties with TOM<br />

too, though usually their problems were much milder. There was also<br />

some concern that the tests used to measure TOM in fact captured a<br />

more primary problem in understanding the words we use to describe<br />

these concepts, not the concepts themselves. It may be that the children<br />

had trouble understanding the story or the meaning of what happened,<br />

not necessarily the mind of the dolls. After all, we have known for a<br />

long time that children with autism have considerable difficulties in<br />

comprehension and expression of language. But more recent work by<br />

Baron-Cohen has shown that even if the test is based on photographs of

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