Theory of mind (ToM) involves understanding others’ thoughts and feelings and is related to language abilities. Individuals with communication disorders are at risk of ToM difficulties; however, little is known about speech-language pathologists’ (SLPs’) knowledge, perceptions, and educational preparation related to ToM.U.S.SLPs (N = 95) completed an online survey in which they described their understanding of ToM and answered questions about their educational preparation related to ToM. A thematic analysis of SLPs’ definitions of ToM revealed nine themes represented in participants’ responses including perspective-taking and interpersonal and intrapersonal cognitive and affective ToM. Most SLPs’ definitions included more than one code indicating a multifaceted understanding of ToM; however, most SLPs reported little formal education related to ToM. Although language ability plays a critical role in the development of ToM and SLPs are language specialists, these results suggest that SLPs receive little formal education on these topics. Clinical implications are discussed.
American Speech-Language-Hearing Association. (2022). 2021 Member and affiliate profile. www.asha.org.
2.
AstingtonJ. W.JenkinsJ. M. (1999). A longitudinal study of the relation between language and theory-of-mind development. Developmental Psychology, 35(5), 1311–1320. https://doi.org/10.1037/0012-1649.35.5.1311
3.
AthertonG.LummisB.DayS. X.CrossL. (2019). What am I thinking? Perspective-taking from the perspective of adolescents with autism. Autism, 23(5), 1186–1200. https://doi.org/10.1177/1362361318793409
BrownlowC.O’DellL. (2009). Challenging understandings of “theory of mind”: A brief report. Intellectual and Developmental Disabilities, 47(6), 473–478. https://doi.org/10.1352/1934-9556-47.6.473
8.
ChiltonH.BeazleyS. M. (2018). Reading the mind or only the story? Sharing fiction to develop ToM with deaf children. Communication Disorders Quarterly, 39(4), 466–476. https://doi.org/10.1177/1525740117741170
9.
ConteE.OrnaghiV.GrazzaniI.PepeA.CavioniV. (2019). Emotion knowledge, theory of mind, and language in young children: Testing a comprehensive conceptual model. Frontiers in Psychology, 10, Article 2144. https://doi.org/10.3389/fpsyg.2019.02144
10.
CromptonC. J.SharpM.AxbeyH.Fletcher-WatsonS.FlynnE. G.RoparD. (2020). Neurotype-matching, but not being autistic, influences self and observer ratings of interpersonal rapport. Frontiers in Psychology, 11, Article 586171. https://doi.org/10.3389/fpsyg.2020.586171
11.
de VilliersJ. G.PyersJ. E. (2002). Complements to cognition: a longitudinal study of the relationship between complex syntax and false-belief-understanding. Cognitive Development, 17, 1037–1060. https://doi.org/10.1016/S0885-2014(02)00073-4
12.
DoreR. A.AmendumS. J.GolinkoffR. M.Hirsh-PasekK. (2018). Theory of mind: A hidden factor in reading comprehension?Educational Psychology Review, 30, 1067–1089. https://doi.org/10.1007/s10648-018-9443-9
13.
DunnJ.BrownJ.SlomkowskiC.TeslaC.YoungbladeL. (1991). Young children’s understanding of other people’s feelings and beliefs: Individual differences and their antecedents. Child Development, 62(6), 1352–1366. https://doi.org/10.2307/1130811
14.
DurrlemanS.DelageH. (2020). Training complements for belief reasoning in developmental language disorder. Journal of Speech, Language, and Hearing Research, 63(6), 1861–1877. https://doi.org/10.1044/2020_JSLHR-19-00075
15.
DurrlemanS.DumontA.DelageH. (2022). Syntactic strategy training for theory of mind in deaf children. The Journal of Deaf Studies and Deaf Education, 27(1), 89–100. https://doi.org/10.1093/deafed/enab034
16.
EcclestonP.WernekeU.ArmonK.StephensonT.MacFaulR. (2001). Accounting for overlap? An application of Mezzich’s κ statistic to test interrater reliability of interview data on parental accident and emergency attendance. Journal of Advanced Nursing, 33(6), 784–790. https://doi.org/10.1046/j.1365-2648.2001.01718.x
17.
EnsinkK.MayesL. C. (2010). The development of mentalisation in children from a theory of mind perspective. Psychoanalytic Inquiry, 30(4), 301–337. https://doi.org/10.1080/07351690903206504
18.
FallonK. A.KatzL. A. (2011). Providing written language services in the schools: the time is now. Language, Speech & Hearing Services in Schools, 42(1), 3–17. https://doi.org/10.1044/0161-1461(2013/12-0029)
19.
FarrarM. J.JohnsonB.TompkinsV.EastersM.Zilisi-MedusA.BenignoJ. P. (2009). Language and theory of mind in preschool children with specific language impairment. Journal of Communication Disorders, 42(6), 428–441.https://doi.org/10.1016/j.jcomdis.2009.07.001
20.
FarrugiaA. M. (2022). From higher education to hands-on: A qualitative examination of the preparation of early intervention speech-language pathologists. Perspectives of the ASHA Special Interest Groups, 7(3), 758–766. https://doi.org/10.1044/2022_PERSP-21-00241
21.
FreerJ. R. R. (2021). A picture is worth 1000 words: examining students’ understanding of disability in definitions and drawings. Disability and Society, 38, 385–400. https://doi.org/10.1080/09687599.2021.1942791
22.
GernsbacherM. A.YergeauM. (2019). Empirical failures of the claim that autistic people lack a theory of mind. Archives of Scientific Psychology, 7(1), 102–118. https://doi.org/10.1037/arc0000067
23.
GoughJ. (2023). Does the neurotypical human have a ‘theory of mind’?Journal of Autism and Developmental Disorders, 53, 853–857. https://doi.org/10.1007/s10803-021-05381-2
24.
GrazzaniI.OrnaghiV.BrockmeierJ. (2016). Conversation on mental states at nursery: Promoting social cognition in early childhood. European Journal of Developmental Psychology, 13(5), 563–581. https://doi.org/10.1080/17405629.2015.1127803
25.
HaleC. M.Tager-FlusbergH. (2003). The influence of language on theory of mind: A training study. Developmental Science, 6(3), 346–359. https://doi.org/10.1111/1467-7687.00289
26.
HappéF.FrithU. (1995). Theory of mind in autism. In SchoplerE.MesibovG. B. (Eds.), Learning and cognition in autism (pp. 177–197). Springer.
27.
HeilmannJ.BertoneA. (2021). Identification of gaps in training, research, and school-based practice: a survey of school-based speech-language pathologists. Language, Speech, and Hearing Services in Schools, 52(4), 1061–1079. https://doi.org/10.1044/2021_LSHSS-20-00151
28.
HilariK.KlippiA.ConstantinidouF.HortonS.PennC.RaymerA.WallaceS.ZemvaN.WorrallL. (2015). An international perspective on quality of life in aphasia: A survey of clinician views and practices from sixteen countries. Folia Phoniatrica Et Logopaedica, 67(3), 119–130. https://doi.org/10.1159/000434748
29.
HutchinsT. L.PrelockP. A. (2008). Supporting theory of mind development considerations and recommendations for professionals providing services to individuals with autism spectrum disorder. Topics in Language Disorders, 28(4), 340–364. https://doi.org/10.1097/01.TLD.0000341128.01158.f2
30.
IBM Corp. (2020). IBM SPSS statistics for Mac (Version 27.0).
31.
MatsumotoA.MattinglyR.PittsT.SmithA. (2021). Hearing loss: Investigating the comfort, confidence, knowledge, and preparedness of school-based speech-language pathologists. Diversity and Equality in Health and Care, 18(6), 356–369. https://doi.org/10.18297/etd/3464
32.
MezzichJ.KraemerH. C.WorthingtonD. R. L.CoffmanG. A. (1981). Assessment of agreement among several raters formulating multiple diagnoses. Journal of Psychiatric Research, 16(1), 29–39. https://doi.org/10.1016/0022-3956(81)90011-x
33.
MillerC. (2006). Developmental relationships between language and theory of mind. American. Journal of Speech-Language Pathology, 15, 142–154. https://doi.org/10.1044/1058-0360(2006/014)
34.
MilliganK.Wilde AstingtonJ.Ain DackL. (2007). Language and theory of mind: Meta-analysis of the relation between language ability and false-belief understanding. Child Development, 78(2), 622–646. https://doi.org/10.1111/j.1467-8624.2007.01018.x
35.
NeitzelI.PenkeM. (2021). Theory of mind in children and adolescents with Down syndrome. Research in Developmental Disabilities, 113, Article 103945. https://doi.org/10.1016/j.ridd.2021.103945
36.
NilssonK. K.de LópezK. J. (2016). Theory of mind in children with specific language impairment: A systematic review and meta-analysis. Child Development, 87(1), 143–153. https://doi.org/10.1111/cdev.12462
37.
PetersonC.WellmanH. M.SlaughterV. (2012). The mind behind the message: Advancing theory-of-mind scales for typically developing children, and those with deafness, autism, or Asperger syndrome. Child Development, 83(2), 469–485. https://doi.org/10.1111/j.1467-8624.2011.01728.x
38.
PfeifferD. L.PavelkoS. L.Hahs-VaughnD. L.DuddingC. C. (2019). A national survey of speech-language pathologists’ engagement in interprofessional collaborative practice in schools: Identifying predictive factors and barriers to implementation. Language, Speech, and Hearing Services in Schools, 50(4), 639–655. https://doi.org/10.1044/2019_LSHSS-18-0100
RoselloB.BerenguerC.BaixauliI.GarcíaR.MirandaA. (2020). Theory of mind profiles in children with autism spectrum disorder: Adaptive/social skills and pragmatic competence. Frontiers in Psychology, 11, Article 567401. https://doi.org/10.3389/fpsyg.2020.567401
41.
RuffmanT.SladeL.CroweE. (2002). The relation between children’s and mothers’ mental state language and theory-of-mind understanding. Child Development, 73(3), 734–751. https://doi.org/10.1111/1467-8624.00435
42.
SchaafsmaS. M.PfaffD. W.SpuntR. P.AdolphsR. (2015). Deconstructing and reconstructing theory of mind. Trends in Cognitive Sciences, 19(2), 65–72. https://doi.org/10.1016/j.tics.2014.11.007
SharmaA.Minh DucN. T.Luu Lam ThangT.NamN. H.NgS. J.AbbasK. S.HuyN. T.MarušićA.PaulC. L.KwokJ.KarbwangJ.de WaureC.DrummondF. J.KizawaY.TaalE.VermeulenJ.LeeG. H. M.GyeduA.ToK. G.. . .KaramouzianM. (2021). A Consensus-Based Checklist for Reporting of Survey Studies (CROSS). Journal of General Internal Medicine, 36(10), 3179–3187. https://doi.org/10.1007/s11606-021-06737-1
45.
SheppardE.PillaiD.WongG. T. L.RoparD.MitchellP. (2016). How easy is it to read the minds of people with autism spectrum disorder?Journal of Autism and Developmental Disorders, 46(4), 1247–1254. https://doi.org/10.1007/s10803-015-2662-8
46.
SteeleS.GibbonsL. G. (2023). Vocabulary assessment techniques: Perspectives of school-based speech-language pathologists. Communication Disorders Quarterly, 44(2), 79–88. https://doi.org/10.1177/15257401221088241
47.
SundqvistA.RönnbergJ. (2010). Advanced theory of mind in children using augmentative and alternative communication. Communication Disorders Quarterly, 31(2), 86–97. https://doi.org/10.1177/1525740109333967
48.
TaumoepeauM.RuffmanT. (2016). Self-awareness moderates the relation between maternal mental state language about desires and children’s mental state vocabulary. Journal of Experimental Child Psychology, 144, 114–129. https://doi.org/10.1016/j.jecp.2015.11.012
49.
TomaselloM. (2018). How children come to understand false beliefs: A shared intentionality account. Proceedings of the National Academy of Sciences of the United States of America, 115(34), 8491–8498. https://doi.org/10.1073/pnas.1804761115
50.
WashburnE. K.MulcahyC. A.MusanteG.JoshiR. M. (2017). Novice teachers’ knowledge of reading-related disabilities and dyslexia. Learning Disabilities: A Contemporary Journal, 15(2), 169–191.
WilsonJ. J.SimmonsA. K.McCarthyJ. H. (2020). Pediatric dysphagia: Survey results describing speech-language pathologists’ education and experience. Perspectives of the ASHA Special Interest Groups, 5(1), 236–245. https://doi.org/10.1044/2019_PERSP-19-00016
54.
WoolfeT.WantS. C.SiegalM. (2002). Signposts to development: Theory of mind in deaf children. Child Development, 73(3), 768–778. https://doi.org/10.1111/1467-8624.00437
55.
ZimmermanE. (2016). Pediatric dysphagia: A rise in preterm infants and a need for more formal training for speech-language pathologists. International Journal of Gynecology, Obstetrics and Neonatal Care, 3, 15–20. https://doi.org/10.15379/2408-9761.2016.03.01.03
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