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Writer's picture GJ de Heus

Theorie van de Theory of Mind

What is ToM?

ToM stands for "Theory of Mind." It is the ability to understand that other people have their own thoughts, feelings, and intentions, and that these form the basis of their behavior. This ability is essential for social behavior and communication because it allows us to predict how others will act based on their inner world.


Where is ToM relevant?

ToM is relevant in many situations involving social interaction. It helps children (and adults) to understand the thoughts and feelings of others, enabling them to respond better to social cues. This understanding typically develops between the ages of three and six.


Who experiences ToM-related difficulties?

ToM difficulties are often seen in children with autism, but they also occur in children with other conditions such as ADHD, intellectual disabilities, or those who are socially anxious or aggressive. These children may struggle to understand the intentions and thoughts of others, which can lead to challenges in social interactions.


When does ToM develop?

The development of ToM usually begins around the age of three. During this time, children start to grasp that others have their own perspectives, which differ from their own. This development continues until around six years old, when children become capable of forming more complex thoughts about thoughts, such as understanding deception and trickery.


How is ToM measured?

ToM can be measured using various tests, such as the ToM test developed by Steerneman and colleagues. This test assesses the development of social understanding, insight, and sensitivity in children. The test is administered through an interview that lasts approximately 45 minutes and is suitable for children aged 5 to 15 years old.



Why is it important to address Theory of Mind in people with autism?


Understanding the thoughts and emotions of others is crucial for our social interactions and communication. If people with autism struggle with Theory of Mind, it can lead to difficulties in social interactions. In the following video, you can see an example of this.



The Strange Stories Test (Happé), the Faux-pas Test (Stone, Baron-Cohen & Knight), and the Empathy Quotient (Baron-Cohen & Wheelwright) are questionnaires used to assess Theory of Mind (ToM).


Theory of Mind is a fundamental skill for understanding and predicting the behavior of others. Difficulties with ToM can lead to social challenges, especially in children with autism and other disorders. Measuring and understanding ToM can aid in developing interventions to improve social skills.


Bronnen: Baron-Cohen, S., Wheelwright, S., Skinner, R., e.a. (2001). The Autism Spectrum Quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31, 5-17.



Stone, V.E., Baron-Cohen, S., & Knight, R.T. (1998). Frontal lobe contributions to Theory of Mind. Journal of Cognitive Neuroscience, 10, 640-656.


Baron-Cohen, S., & Wheelwright, S. (2004). The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34, 163-175.

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