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Autistic children and control children use similar strategies when answering false belief questions

  • Leena Mäkinen

    Leena Mäkinen, PhD is a speech-language pathologist and a postdoctoral researcher at the Research Unit of Logopedics, University of Oulu, Finland. Her research interests are in children’s language development and its difficulties. In particular, she has focused on the pragmatic communication of children with typical language development, children with developmental language disorders and individuals on the autism spectrum.

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    , Katja Dindar

    Katja Dindar, PhD is a psychologist and a postdoctoral researcher at the Research Unit of Logopedics, University of Oulu, Finland. Her research interests include social cognition, communication and interaction skills particularly in autistic children and adults.

    , Ilaria Gabbatore

    Ilaria Gabbatore, PhD is a psychologist and psychotherapist. She got her PhD in Neuroscience – Cognitive Science at the University of Turin. After a few years Later, she has worked at the Research Unit of Logopedics, University of Oulu, Finland, she moved back to the University of Turin, where she is currently working as a postdoctoral researcher at the Department of Psychology - GIPSI Research group. Her research interests lie in the field of pragmatic communication, from both a developmental and a neuropsychological perspective, with a particular interest on the cross-cultural aspects of pragmatic development.

    , Aija Kotila

    Aija Kotila, PhD speech language therapist, is a postdoctoral researcher at the Research Unit of Logopedics in the University of Oulu. Her research interests include pragmatic and social communication in autism spectrum and in typical development. She has been exploring this phenomenon especially from the brain level and fMRI study perspective.

    , Maria Frick

    Maria Frick is a university lecturer and adjunct professor at the University of Oulu (Finland). She conducts research in interactional linguistics, and multilingual and multimodal interaction. Frick leads the project Linguistic and bodily involvement in multicultural interactions (2019–2025) which focuses on how people use language and bodily resources to communicate in multicultural encounters and how their underlying ideologies and attitudes influence their involvement in these encounters and society at large.

    , Hanna Ebeling

    Hanna Ebeling, MD, PhD is a professor emer. at the Research Unit of Clinical Medicine, Child Psychiatry, University of Oulu, Finland, and Oulu University Hospital. Her study interests include autism spectrum disorders and communication.

    und Soile Loukusa

    Soile Loukusa, PhD speech language therapist, is adjunct professor and university lecturer at the Research Unit of Logopedics in the University of Oulu, Finland. Her research focuses on pragmatic communication abilities in autistic persons and children with typical development.

Veröffentlicht/Copyright: 23. Februar 2024
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Abstract

Difficulties in false belief reasoning are associated with autism spectrum. False belief tasks tend to be easy to administer and code, and thus are often used for testing purposes. However, the amount of information that can be gleaned from this type of assessment task goes beyond correct/wrong score attribution. Instead, fine-grained information may be derive from a detailed qualitative analysis of the content of the answers, as well as the strategies used to produce them. Moreover, the testing situation contains other interesting aspects, such as a child’s orientation to the task. Therefore, we examined both qualitatively and quantitatively the various ways children (15 autistic and 15 control children; mean age 7;5 years) responded to a false belief question. The false belief question was more difficult for the autistic than for the control children, but there was no statistically significant difference among the answering strategies between the groups. The answering strategies were mostly similar between the groups. Autistic children preferred to use nouns or locative pro-adverbs while answering, whereas control children used more versatile ways of answering, even though the length of the answers did not differ between the groups. When considering the orientation to the ongoing task, the autistic children had longer reaction times than the control children did. Some autistic children needed the researcher’s support to focus on the task, but in general, expressions of uncertainty or commenting during the task were not frequent among the children. The results of this study can be utilized in deepening our understanding of the abilities of autistic individuals and to develop sensitive ways to assess and support autistic children.


Corresponding author: Leena Mäkinen, Research Unit of Logopedics, University of Oulu, Oulu, Finland, E-mail:

About the authors

Leena Mäkinen

Leena Mäkinen, PhD is a speech-language pathologist and a postdoctoral researcher at the Research Unit of Logopedics, University of Oulu, Finland. Her research interests are in children’s language development and its difficulties. In particular, she has focused on the pragmatic communication of children with typical language development, children with developmental language disorders and individuals on the autism spectrum.

Katja Dindar

Katja Dindar, PhD is a psychologist and a postdoctoral researcher at the Research Unit of Logopedics, University of Oulu, Finland. Her research interests include social cognition, communication and interaction skills particularly in autistic children and adults.

Ilaria Gabbatore

Ilaria Gabbatore, PhD is a psychologist and psychotherapist. She got her PhD in Neuroscience – Cognitive Science at the University of Turin. After a few years Later, she has worked at the Research Unit of Logopedics, University of Oulu, Finland, she moved back to the University of Turin, where she is currently working as a postdoctoral researcher at the Department of Psychology - GIPSI Research group. Her research interests lie in the field of pragmatic communication, from both a developmental and a neuropsychological perspective, with a particular interest on the cross-cultural aspects of pragmatic development.

Aija Kotila

Aija Kotila, PhD speech language therapist, is a postdoctoral researcher at the Research Unit of Logopedics in the University of Oulu. Her research interests include pragmatic and social communication in autism spectrum and in typical development. She has been exploring this phenomenon especially from the brain level and fMRI study perspective.

Maria Frick

Maria Frick is a university lecturer and adjunct professor at the University of Oulu (Finland). She conducts research in interactional linguistics, and multilingual and multimodal interaction. Frick leads the project Linguistic and bodily involvement in multicultural interactions (2019–2025) which focuses on how people use language and bodily resources to communicate in multicultural encounters and how their underlying ideologies and attitudes influence their involvement in these encounters and society at large.

Hanna Ebeling

Hanna Ebeling, MD, PhD is a professor emer. at the Research Unit of Clinical Medicine, Child Psychiatry, University of Oulu, Finland, and Oulu University Hospital. Her study interests include autism spectrum disorders and communication.

Soile Loukusa

Soile Loukusa, PhD speech language therapist, is adjunct professor and university lecturer at the Research Unit of Logopedics in the University of Oulu, Finland. Her research focuses on pragmatic communication abilities in autistic persons and children with typical development.

Acknowledgments

We are grateful to all the children and their families who participated in the study. In addition, we wish to thank the schools and the day care centers, as well as the clinics of child neurology and child psychiatry at the University Hospital of Oulu for their valuable help with recruiting the children in this study. Finally, we thank the master students of logopedics for their help with the data collection.

  1. Research funding: This research was financially supported by the Academy of Finland and the Italian foundation Cassa di Risparmio di Torino (CRT). Project titled ‘Migliorare la comunicazione e la qualità della vita percepita: training dell’abilità comunicativa per adolescenti con disturbo dello spettro autistico’, (Grant No.2021.0552).

Appendix A: Transcription notation

Text in italics Original talk in Finnish
‘Text in single quotation marks’ English translation
((text in double parentheses)) Transcriber’s remarks concerning bodily embodied behaviours
(.) Micropause < 0.2 s
(1.0) Pause of 1.0 s
€smile€ A word uttered with a smiley voice
[text in brackets] Overlapping talk

Appendix B: A comprehensive list of children’s answers to the false belief question

Participant Answer and description of the accompanied gesture Answer accompanied with pointing or touching the relevant test objects Correct/incorrect answer Reaction time (seconds) for the answer Note
Control group

CC = control child

CCI no täältä ’well from here’ Touches the cow Incorrect 0.9
CC2 lampailta etsii ’looks by the sheep’ None Correct 1.2 Touches the test objects while listening to the passage.
CC3 lammasaidalta ’from the sheep pen’ None Correct 0.7
CC4 lampaista ’from the sheep’ Points at the empty pen Correct 1.7 Touches the test objects while listening to the passage.
CC5 no täältä aitaukselta ’well from the pen here’ Points at the empty pen Correct 1.1
CC6 lampaitten luota ’by the sheep’ None Correct 0.3
CC7 lammasaitauksen luota ’by the sheep pen’ None Correct 2.0
CC8 no sieltä nii sieltä pai- missä on niitä piti olla niitä nii niitä lampaita

’well from there well from that pla- where there are were supposed to be those well those sheep’
None Correct 1.3 Speech dysfluency
CC9 mmm mmm lampaiden luota ’uhm uhm by the sheep’ None Correct 1.9 Hesitations
CC10 lampaitten luota ’by the sheep’ Points at the empty pen Correct 1.5
CC11 siitä lampaitten- lammaspaikasta

’from the sheep’s sheep place’
None Correct 1.7 Speech dysfluency
CC12 no tuolta lampailta ’well by the sheep’ None Correct 1.3
CC13 lammasaitauksesta jos ne on sopinut että Veera ja Tuukka menee sinne ku se käy ostamassa vesipullon

’from the sheep pen if they have agreed that Veera and Tuukka will go there while he goes and buys the bottle of water’
Touches the empty pen Correct 1.2 Asks questions while listening to the passage.
CC14 no tietysti täältä lammasaitaukselta ja jos ei löyä niitä nii se huolestuu iha hirveesti

’well of course from the sheep pen here and if he doesn’t find them he gets terribly worried’
Places the little finger inside of the empty pen Correct 0.3 Asks questions while listening to the passage.
CC15 täältä ’from here’ Places a hand inside of the empty pen Correct 0.3
Autistic group

AC =Autistic child

AC1 Does not answer verbally Touches the empty pen Correct 0.8
AC2 tästä ’from here’ Points at the cow pen Incorrect 0.3
AC3 Does not answer verbally None Incorrect 1.4 Plays with test objects: walks the dad paper doll to the cow pen as the answer.
AC4 lammasaitaukselta ’from the sheep pen’ None Correct 1.1
AC5 tuolta ’from there’ None Incorrect 1.6 Touches the test objects while listening to the passage. The researcher supports concentrating on the task.
AC6 lam- tuolta (.) lehmien luota ’shee- from there (.) by the cows’ Points at the cow pen Incorrect 3.0 Self-correction.
AC7 lehmäsä aitauksesta

’from the cow pen’
None Incorrect 0.9 Touches the test objects while listening to the passage. The researcher supports concentrating on the task.
AC8 no: siitä lammasaitauksesta ’well from the sheep pen’ Touches the empty pen Correct 0.3
AC9 no ettii tääl- ettii joka paikasta

’looks from here- looks everywhere’
Points the empty pen Correct 0.7 Self-correction. Touches the test objects while listening to the passage.
AC10 no täältä lammasaitauksesta mutta ei siellä oo mitään

’well from the sheep pen but there is nothing there’
Touches the empty pen Correct 3.0 Touches the test objects and ask questions while listening to the passage. The researcher supports concentrating on the task.
AC11 lehmän aitaukselta ’from the cow’s pen’ None Incorrect 3.2 Comments the passage.
AC12 lammasaitauksesta ’from the sheep pen’ None Correct 0.4
AC13 lammaspaikasta ’from the sheep place’ None Correct 1.3 Asks questions while listening to the passage. The researcher supports concentrating on the task.
AC14 tuolta ’from there’ Points the cow pen Incorrect 1.6 Touches the test objects while listening to the passage.
AC15 tuolta ’from there’ Points the cow pen Incorrect 0.4

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Published Online: 2024-02-23
Published in Print: 2024-03-25

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