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Concepts & parent vocabulary

Theory of Mind

Written by Daniel Owusu, Independent Educational Psychologist (HCPC registered, BPS Chartered, DEdPsy)

Definition

Theory of mind is the cognitive ability to attribute mental states (beliefs, desires, intentions, knowledge) to oneself and others, and to understand that others may hold different mental states from one's own. Differences in theory of mind are widely discussed in autism research; the framing remains contested, with autistic-led research (the "double empathy problem", Milton 2012) re-shaping interpretation.

In context for parents

Key checkpoints

  • The cognitive ability to attribute mental states to oneself and others.
  • The classical framing emerged from Baron-Cohen, Leslie, and Frith's 1985 Sally-Anne false belief experiment.
  • Heavily contested by the autistic community; Damian Milton (2012) reframed as the "double empathy problem".
  • Crompton et al. (2020) showed autistic-autistic communication can be more effective than autistic-non-autistic communication on some measures.
  • For SEND practice, naming "theory of mind deficit" is now contested. Specifying social communication intervention by named programme is more useful.

The classical "theory of mind" framing emerged from Baron-Cohen, Leslie, and Frith's 1985 Sally-Anne false belief experiment, which showed autistic children typically passing the standard false belief task later than typically-developing peers. The cognitive deficit framing dominated autism research for two decades: autism as a "theory of mind deficit".

That framing has come under sustained challenge. The "double empathy problem" (Damian Milton, 2012) reframes the social-communication difficulty as a mutual mismatch between autistic and non-autistic communication styles, rather than a deficit in autistic people. Recent research (Crompton et al., 2020) has shown autistic-autistic communication can be more effective than autistic-non-autistic communication on some measures, undercutting the simple "autistic people lack theory of mind" formulation.

For SEND practice, the implications are mixed. Theory of mind tasks remain useful in some assessments (the Faux Pas Test, the Strange Stories Test) for describing specific aspects of social cognition. Comic Strip Conversations and Social Stories teach perspective-taking explicitly and can be helpful. But framing autism as "no theory of mind" misses the picture: autistic children often have a strong sense of others' mental states in some contexts and a different relationship with them in others.

What practical understanding helps:

  • Explicit social context (rather than expecting implicit pick-up of social rules).
  • Pre-teaching of social events (a social story before a new situation).
  • Comic strip conversations after a social misunderstanding.
  • Adult-mediated repair of communication breakdown.
  • Pairing autistic peers where possible. The double-empathy research suggests autistic-autistic friendships are often easier than autistic-allistic friendships.

In an EHCP, references to "theory of mind" should be used carefully and alongside the current research. Specifying social communication intervention by named programme (Social Stories, Comic Strip Conversations, Lego Therapy, peer-mediated work) is more useful than describing a "theory of mind deficit".

Related terms

The terms parents most often see alongside Theory of Mind.

Where parents ask about this

Parents usually find this page when a clinical or EP report has used the term, or when wanting to understand the current research framing. Searches include "theory of mind autism", "double empathy problem", and "theory of mind teaching strategies". A Beaakon clinician can interpret theory-of-mind language in a current research context and write Section F-grade provision focused on practical social communication support rather than deficit framing.

References

The primary legislation, statutory guidance, research, and clinical tools this page draws on.

Theory of Mind | Beaakon