Abstract
The aim of the present study was to assess the ability of 21 children and adolescents with Asperger syndrome (AS) of normal intelligence to infer mental states in a story context using Happé’s [15] Strange Stories test. The participants in the AS group were compared with an age-matched control group (N=20) of normally developing children and adolescents on a test of social understanding. The test material comprised social communication such as Pretence, Joke, Lie, White Lie, Figure of Speech, Misunderstanding, Persuasion, Irony, Double Bluff and Contrary Emotions, Appearance/Reality and Forgetting. As compared to the controls, the participants in the AS group performed less well on these tasks, and answered fewer correct mental state inferences, but performed well on a physical state control task. This study supports the main finding of earlier studies, showing that even individuals with AS of normal intelligence have problems in using mental state terms context-appropriately when tested on the Strange Stories test.
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References
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders. 4th Edition. Author: Washington, DC
Asperger H (1944) Die ‘Autistischen Psychopathen’ im Kindesalter. Archiv für Psychiatrie und Nervenkrankheiten 117:76–136
Bowler DM (1992) ‘Theory of mind’ in Asperger’s syndrome. J Child Psychol Psychiatry 33:877–893
Bowler DM (1997) Reaction times to mental state and non-mental state questions in false belief tasks by high-functioning individuals with autism. Eur Child Adolesc Psychiatry 6:160–165
Bowler DM, Gardiner JM, Grice SJ (2000) Episodic memory and remembering in adults with Asperger syndrome. J Autism Devel Disord 30:295–304
Bruner J, Feldman C (1993) Theories of mind and the problem of autism. In: Baron-Cohen S, Tager-Flusberg H, Cohen DJ (eds) Understanding other Minds—Perspectives from Autism. Oxford University Press. Oxford, pp 267–291
Ehlers S, Gillberg C (1993) The epidemiology of Asperger Syndrome. A total population study. J Child Psychol Psychiatry 34:1327–1350
Eisenmajer R, Prior M, Leekam SR, Wing L, Gould J, Ben M, Ong B (1996) Comparison of clinical symptoms in autism and Asperger’s disorder. J Am Acad Child Adolesc Psychiatry 35:1523–1531
Frith U, Happé FGE (1994) Autism: Beyond ‘theory of mind’. Cognition 50:115–132
Ghaziuddin M, Butler E (1998) Clumsiness in autism and Asperger syndrome: a further report. J Intellect Disabil Res 42:43–48
Gillberg C (1997) Barn, ungdommar och vuxna med Asperger syndrom—normala, genier, nørder? Bokförlaget Cura. Stockholm
Gillberg C (1998) Asperger syndrome and high-functioning autism. Br J Psychiatry 172:200–209
Gillberg C, Billstedt E (2000) Autism and Asperger syndrome: coexistence with other clinical disorders. Acta Psychiatr Scand 102:321–330
Happé FGE (1991) The autobiographical writing of three Asperger syndrome adults: problems of interpretation and implications for theory. In: Frith U (ed) Autism and Asperger Syndrome. Cambridge University Press. Cambridge, pp 207–242
Happé FGE (1994) An advanced test of theory of mind: Understanding of story characters’ thoughts and feelings by able autistic,mentally handicapped and normal children and adults. J Autism Devel Disord 24:129–154
Happé FGE (1999) Autism: Cognitive deficit or cognitive style? Trends in Cogn Sci 3:216–222
Happé FGE, Winner E, Brownell H (1998) The getting of wisdom: Theory of mind in old age. Devel Psychol 34:358–362
Heavey L, Phillips W, Baron-Cohen S, Rutter M (2000) The awkward moment test: A naturalistic measure of social understanding in autism. J Autism Devel Disord 30:225–236
Hermelin B, O’Connor N (1985) Logico-affective states and non-verbal language. In: Schopler E, Mesibov GM (eds) Communication Problems in Autism. Plenum Press. New York, pp 283–310
Jolliffe T, Baron-Cohen S (1999) The Strange Stories Test: A replication with high-functioning adults with autism or Asperger syndrome. J Autism Devel Disord 29:395–406
Kaland N, Møller-Nielsen A, Callesen K, Mortensen EL, Gottlieb D, Smith L (2002) A new ‘advanced’ test of theory of mind: evidence from children and adolescents with Asperger syndrome. J Child Psychol Psychiatry 43:517–56
Kaland N, Smith L, Mortensen EL (2004) Response times of children and adolescents with Asperger syndrome on an ‘advanced’ test of theory of mind. J Autism Devel Dis
Kanner L (1943) Autistic disturbances of affective contact. Nerv Child 2:217–250
Klin A, Volkmar FR, Sparrow SS, Ciccietti DV, Rourke BP (1995) Validity and neuropsychological characterization of Asperger syndrome—convergance with nonverbal learning-disability syndrome. J Child Psychol Psychiatry 36:1127–1140
Landa RL (2000) Social language use in Asperger syndrome and high-functioning autism. In: Klin A, Volkmar FR, Sparrow SS (eds) Asperger syndrome. Guildford Press. New York, pp 124–155
Leekam SR, Libby S, Wing L, Gould J, Gillberg C (2000) Comparison of ICD-10 and Gillberg’s criteria for Asperger syndrome. Autism 4:11–28
Lord C, Rutter M, Goode S, Heemsbergen J, Jordan H, Manhood L, Schopler E (1989) Autism Diagnostic Observation Schedule: A standardized observation of communicative and social behavior. J Autism Devel Disord 19:185–212
Lord C, Rutter M, Le Couture A (1994) Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Devel Disord 24:659–685
Matron L, Morasses K, Belleville S (2001) A study of memory functioning in individuals with autism. J Child Psychol Psychiatry 42:253–260
Miller NJ, Ozonoff S (2000) The external validity of Asperger Disorder: Lack of evidence from the domain of neuropsychology. J Abn Psychol 109:227–238
Ozonoff S, Miller J (1996) An exploration of right hemisphere contribution to the pragmatic impairment of autism. Brain Lang 52:411–434
Perner J, Frith U, Leslie AM, Leekam SR (1989) Exploration of the autistic child’s theory of mind: Knowledge, belief, and communication. Child Dev 60:689–700
Prior M, Leekam S, Ong B, Eisenmajer R, Wing L, Gould J, Dove D (1998) Are there subgroups within the autistic spectrum? A cluster analysis of a group of children with autistic spectrum disorders. J Child Psychol Psychiatry 39:893–902
Ramberg C, Ehlers S, Nydén A, Johansson M, Gillberg C (1996) Language and pragmatic functions in school-age children on the autism spectrum. Eur J Disord Commun 31:387–414
Soderstrom H, Rastam M, Gillberg C (2002) Temperament and character in adults with Asperger syndrome. Autism 6:287–297
Sperber D, Wilson D (1995) Relevance: Communication and cognition. Basil Blackwell. Oxford
Szatmari P (2000) The classification of autism, Asperger syndrome, and pervasive developmental disorders. Can J Psychiatry 45:731–738
Tager-Flusberg H, Sullivan K (1994) A second look at second-order belief attribution in autism. J Autism Devel Disord 24:577–586
Tager-Flusberg H, Baron-Cohen S, Cohen DJ (1993) An introduction to the debate. In: Baron-Cohen S, Tager-Flusberg H, Cohen DJ (eds) Understanding other minds—perspectives from autism. Oxford University Press. Oxford, pp 3–9
Tantam D (2000) Adolescence and adulthood of individuals with Asperger syndrome. In: Klin A, Volkmar FR, Sparrow SS (eds) Asperger syndrome. Guildford Press. New York, pp 367–399
Volkmar FR, Klin A, Schultz RT, Rubin E, Bronen R (2000) Asperger’s syndrome. Am J Psychiatry 157:262–267
Wechsler D WISC-3 (1998) Wechsler Intelligence Scale for Children. Danish translation and adaptation. Danish Psychological Publishers. Copenhagen
Wing L (1981) Asperger’s syndrome. A clinical account. Psychol Med 11:115–129
Wing L (1991) The relationship between Asperger’s syndrome and Kanner’s autism. In: Frith U (ed) Autism and Asperger Syndrome. Cambridge University Press. Cambridge, pp 93–121
Wing L (1998) The history of Asperger syndrome. In: Schopler E, Mesibov GM, Kunce LJ (eds) Asperger syndrome or high-functioning autism. Plenum Press. New York, pp 11–28
World Health Organization (1993) The ICD-10 classification of mental and behavioral disorders. Diagnostic criteria for research. Author. Geneva
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Kaland, N., Møller-Nielsen, A., Smith, L. et al. The Strange Stories test. Europ.Child & Adolescent Psych 14, 73–82 (2005). https://doi.org/10.1007/s00787-005-0434-2
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DOI: https://doi.org/10.1007/s00787-005-0434-2