Thursday, January 12, 2012

The presents or presence of a Theory of Mind

During my years as a Ph.D. student I have been reading (and writing) about Theory of Mind, aka the ability to attribute mental states (desires, beliefs and feelings) to oneself and others, an ability which seems to be lacking in many children with autism spectrum disorders. I'm not a huge fan of the Theory of Mind concept, as it is ill defined and ever expanding. In addition, many of the so called Theory of Mind tasks seem to hinge on language abilities as much as a Theory of Mind. And although there have been some successes to test Theory of Mind abilities in apes, Theory of Mind and language seem connected on many levels.

But this week I saw the rudimentary workings of the infamous Theory of Mind in my eldest son Lucas (3 yrs). He knows his birthday is coming up in about two months, and his little brother will have his a mere three days later. But way before that, my husband will turn.... well, that isn't really important for this story. So, I asked Lucas what he thought his dad would like to get as a present. He came up with.... a frog. Yes, a frog. No, no clue. My husband is not particularly interested in frogs, we don't keep any frogs or plan to do so in the near future, and Lucas has never displayed an avid interest in them either. So, to understand his trail of thought, I asked whether he could come up with another present. Some serious thinking happened, after which he was absolutely sure of the complete and utter bliss of his dad  if he got some bones. But not just any bones, T-rex bones. No question marks about the nature of that idea, since Lucas is very interested into that himself. But he didn't take another round of questioning as his final resolve was a bunch of flowers. Typical male instinct kicking in there, probably.

So how does this prove his developing Theory of Mind? It doesn't. But you know what, even I am unable to come up with a decent idea for my husband. So, instead we contemplated presents for his baby brother Kwint. And it didn't take Lucas long to come up with two ideas: penguins and cars. Spot on, and to his credit, Lucas does like penguins, but it's Kwint who's seriously obsessed with them. So, there you have it, Lucas has a Theory of Mind, and a diagnosis of autism is getting more unlikely every day. 

Kwint, on the other hand, is a different story. At a regular visit to the pediatrician (the American consultatiebureau), some eyebrows were raised on the subject of him not using the pronouns 'I' or 'me'. Never mind the pediatrician used a schedule for children aged 2, or the fact that Kwint is having to cope with the challenge of being raised bilingual, or even the fact that he does say words as 'mine' and doesn't meet any other criteria that would merit concerns for a possible developmental disorder. She offered us the opportunity to fill out a huge questionnaire which would be checked by specialists to see if there would be any reason for further checkups. We respectfully declined and went home only to find that the Dutch Van Wiechenschema (used at the Dutch consultatiebureau) considers it a skill for 2,5 year-olds. There still is time...