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Cognitive Underpinnings of Pretend Play in Autism

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Abstract

This article examines the cognitive underpinnings of spontaneous and prompted pretend play in 28 young children with autism, 24 children with other developmental disorders, and 26 typical children. The article compares theories that consider either theory of mind (ToM) or executive function (EF) to be causally important deficits in the development of pretend play in autism and important factors in pretend play. Each of these two theories posits a cognitive precursor to pretense, which would need to be present in typical development, and the absence of which could explain pretend play deficits in children with developmental disabilities such as autism. We tested which of these theories better predicts a child's production of pretend play. Children with autism were significantly delayed on pretend play scores. They also had significant deficits in our ToM measure, but not our EF measures. Regression analyses suggested a role for our measure of generativity, one of the EF measures.

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References

  • American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

  • Astington, J. W., Harris, P. L., & Olson, D. R. (1988). Developing theories of mind. New York: Cambridge University Press.

    Google Scholar 

  • Astington, J.W., & Jenkins, J. M. (1995). Theory of mind development and social understanding. Cognition and Emotion, 9, 151-165.

    Google Scholar 

  • Baron-Cohen, S. (1987). Autism and symbolic play. British Journal of Developmental Psychology, 5, 139-148.

    Google Scholar 

  • Baron-Cohen, S. (1989). Joint-attention deficits in autism: Towards a cognitive Analysis. Development and Psychopathology, 1, 185-189.

    Google Scholar 

  • Baron-Cohen, S., & Goodhart, F. (1994). The “seeing leads to knowing” deficit in autism: The Pratt and Bryant probe. British Journal of Developmental Psychology, 12, 397-402.

    Google Scholar 

  • Baron-Cohen, S., Leslie, A. M., & Frith, U. (1985). Does the autistic child have a “theory of mind”? Cognition, 21, 37-46.

    PubMed  Google Scholar 

  • Beeghly, M., & Cicchetti, D. (1987). An organizational approach to symbolic development in children with Down Syndrome. In D. Cicchetti & M. Beeghly (Eds.), Symbolic development in atypical children (pp. 5-31). San Francisco: Jossey-Bass.

    Google Scholar 

  • Bernabei, P., Camaioni, L., & Levi, G. (1999). An evaluation of early development in children with autism and pervasive developmental disorders from home movies: Preliminary findings. Autism, 2, 243-258.

    Google Scholar 

  • Bornstein, M. H., Selmi, A. M., Haynes, O. M., Painter, K. M., & Marx, E. S. (1999). Representational abilities and the hearing status of child/mother dyads. Child Development, 70, 833-852.

    PubMed  Google Scholar 

  • Bruner, J. (1972). The nature and uses of immaturity. American Psychologist, 27, 687-708.

    Google Scholar 

  • Charman, T., & Baron-Cohen, S. (1997). Brief report: Prompted pretend play in autism. Journal of Autism and Developmental Disorders, 27, 325-332.

    PubMed  Google Scholar 

  • Charman, T., Baron-Cohen, S., Swettenham, J., Baird, G., Cox, A., & Drew, A. (2001). Testing joint attention, imitation and play as infancy precursors to language and theory of mind. Cognitive Development, 15, 481-498.

    Google Scholar 

  • Dawson, G., Munson, J., Estes, A., Osterling, J., McPartland, J., Toth, K., Carver, L., & Abbott, R. (2002). Neurocognitive function and joint attention in young children with autism. Child Development, 73, 345-358.

    PubMed  Google Scholar 

  • Dias, M. G., & Harris, P. L. (1990). The influence of the imagination on reasoning by young children. British Journal of Developmental Psychology, 8, 305-318.

    Google Scholar 

  • DiLavore, P. C., Lord, C., Rutter, M. (1995). The Pre-linguistic Autism Diagnostic Observation Schedule (PLADOS). Journal of Autism and Developmental Disorders, 25, 355-379.

    PubMed  Google Scholar 

  • Doherty, M. B., & Rosenfeld, A. A. (1984). Play assessment in the differential diagnosis of autism and other causes of severe language disorder. Journal of Developmental and Behavioral Pediatrics, 5, 26-29.

    PubMed  Google Scholar 

  • Dunn, J. (1996). The Emmanuel Miller Memorial Lecture 1995. Children's relationships: Bridging the divide between cognitive and social development. Journal of Child Psychology and Psychiatry, 37, 507-518.

    PubMed  Google Scholar 

  • Erikson, E. (1951). Sex differences in play configurations of preadolescents. American Journal of Ortho Psychiatry, 21, 667-692.

    Google Scholar 

  • Fein, G. G. (1981). Pretend play in childhood: An integrative review. Child Development, 52, 1095-1118.

    Google Scholar 

  • Fraiberg, S. (1977). Insights from the blind: Comparative studies of blind and sighted infants. New York: New American Library.

    Google Scholar 

  • Gould, J. (1986). The Lowe and Costello Symbolic Play Test in socially impaired children. Journal of Autism and Developmental Disorders, 16, 199-213.

    PubMed  Google Scholar 

  • Griffith, E. M., Pennington, B. F., Wehner, E. A., & Rogers, S. (1999). Executive functions in young children with autism. Child Development, 70, 817-832.

    PubMed  Google Scholar 

  • Harris, P. (1991). The work of the imagination. In A. Whiten (Ed.), Natural theories of mind. (pp. 283-304). Cambridge, MA: Blackwell.

    Google Scholar 

  • Harris, P. (1993). Pretending and planning. In S. Baron-Cohen, H. Tager-Flusberg, & D. J. Cohen (Eds.), Understanding other minds: Perspectives from autism. London: Oxford University Press.

    Google Scholar 

  • Hughes, C., & Russell, J. (1993). Autistic children's difficulty with mental disengagement from an object: Its implications for theories of autism. Developmental Psychology, 29, 498-510.

    Google Scholar 

  • Hughes, C., Russell, J., & Robbins, T. W. (1994). Evidence for executive dysfunction in autism. Neuropsychologia, 32, 477-492.

    PubMed  Google Scholar 

  • Jarrold, C. (1993). An investigation into the pretend play shown by children with autism. Unpublished PhD thesis, University of Sheffield, UK.

    Google Scholar 

  • Jarrold, C., Boucher, J., & Smith, P. K. (1993). Symbolic play in autism: A review. Journal of Autism and Developmental Disorders, 23, 281-307.

    PubMed  Google Scholar 

  • Jarrold, C., Boucher, J., & Smith, P. K. (1994). Executive function deficits and the pretend play of children with autism: A research note. Journal of Child Psychology and Psychiatry and Allied Disciplines, 35, 1473-1482.

    Google Scholar 

  • Jarrold, C., Butler, D. W., Cottington, E. M., & Jimenez, F. (1999). Linking theory of mind and central coherence bias in autism and in the general population. Developmental Psychology, 36, 126-138.

    Google Scholar 

  • Jarrold, C., Carruthers, P., Smith, P. K., and Boucher, J. (1994a). Pretend play: Is it metarepresentational? Mind and Language, 9, 445-468.

    Google Scholar 

  • Jarrold, C., Smith, P., Boucher, J., & Harris, P. (1994b). Comprehension of pretense in children with autism. Journal of Autism and Developmental Disorders, 24, 433-455.

    PubMed  Google Scholar 

  • Kaufman, P., Leckman, J., & Ort, S. (1989). Delayed response performance in males with Fragile X. Journal of Clinical and Experimental Neuropsychology, 12, 69.

    Google Scholar 

  • Kavanaugh, R., & Harris, P. (1994). Imagining the outcome of pretend transformations: Assessing the competence of normal and autistic children. Developmental Psychology, 30, 847-854.

    Google Scholar 

  • Leslie, A. M. (1987). Pretense and representation: The origin of “theory of mind.” Psychological Review, 94, 412-426.

    Google Scholar 

  • Leslie, A. M. (1994). ToMM, ToBy, and Agency: Core architecture and domain specificity. In L. Hirschfeld & S. Gelman (Eds.), Mapping the mind: Domain specificity in congnition and culture. New York: Cambridge University Press.

    Google Scholar 

  • Leslie, A. M., and Frith, U. (1988). Autistic children's understanding of seeing, knowing and believing. British Journal of Developmental Psychology, 6, 315-324.

    Google Scholar 

  • Lewis, V., & Boucher, J. (1988). Spontaneous, instructed and elicited play in relatively able autistic children. British Journal of Developmental Psychology, 6, 325-339.

    Google Scholar 

  • Lillard, A. S. (1993). Pretend play skills and the child's theory of mind. Child Development, 64, 348-371.

    PubMed  Google Scholar 

  • Lillard, A. (1994). Making sense of pretense. In C. Lewis & P. Mitchell (Eds.); Children's early understanding of mind: Origins and development. Hillsdale, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disabilities, 24, 659-685.

    Google Scholar 

  • Lord, C., Rutter, M., & Dilavore, P. (1998). Autism Diagnostic Observations Schedule-Generic. Chicago: University of Chicago Press.

    Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C. et al. (2000). The Autism Diagnostic Observation Schedule–Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205-223.

    PubMed  Google Scholar 

  • McEvoy, R. E., Rogers, S. J., & Pennington, B. F. (1993). Executive function and social communication deficits in young, autistic children. Journal of Child Psychology and Psychiatry, 34, 563-578.

    PubMed  Google Scholar 

  • Mullen, E. (1989). Mullen Scales of Early Learning. Cranstong RI: T.O.T.A.L. Child.

    Google Scholar 

  • Mundy, P., Hogan, A., & Doehring, P. (1996). A Preliminary Manual for the Abridged Early Social Communication Scales. Miami, FL: University of Florida.

    Google Scholar 

  • Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders, 20, 115-128.

    PubMed  Google Scholar 

  • Nicolich, L. M. (1977). Beyond sensorimotor intelligence: Assessment of symbolic maturity through analysis of pretend play. Merrill-Palmer Quarterly, 23, 89-99.

    Google Scholar 

  • Ozonoff, S., Pennington, B. F., & Rogers, S. J. (1991). Executive function deficits in high-functioning autistic individuals: Relationship to theory of mind. Journal of Child Psychology and Psychiatry, 32, 1081-1105.

    PubMed  Google Scholar 

  • Ozonoff, S., Strayer, D. L., McMahon, W. M., & Filloux, F. (1994). Executive function abilities in autism: An information processing approach. Journal of Child Psychology and Psychiatry, 35, 1015-1031.

    PubMed  Google Scholar 

  • Pennington, B. F., Rogers, S. J., Bennetto, L., Griffith, E. M., Reed, D. T., & Shyu, V. (1997). Validity tests of the executive dysfunction hypothesis of autism. In Russell, (Ed.), Autism as an executive disorder. Oxford: Oxford University Press.

    Google Scholar 

  • Perner, J. (1991). Understanding the representational mind. Cambridge, MA: MIT Press.

    Google Scholar 

  • Perner, J., Frith, U., Leslie, A. M., & Leekam, S. R. (1989). Exploration of the autistic child's theory of mind: Knowledge, belief and communication. Child Development, 60, 689-700.

    Google Scholar 

  • Piaget, J. (1962). Play, dreams, and imitation in childhood. New York: Norton.

    Google Scholar 

  • Reed, T., & Peterson, C. (1990). A comparative study of autistic subjects' performance at two levels of visual and cognitive perspective taking, Journal of Autism and Developmental Disorders, 20, 555-568.

    PubMed  Google Scholar 

  • Rochat, P. (1999). Early social cognition: Understanding others in the first months of life. Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Rogers, S. J., & Puchalski, C. (1984). Development of symbolic play in visually impaired infants. Topics in Early Childhood Special Education, 3, 57-64.

    Google Scholar 

  • Russell, J., Mathner, N., Sharpe, S., & Tidswell, T. (1991). The “Windows task” as a measure of strategic deception in pre-schoolers and autistic subjects. British Journal of Developmental Psychology, 9, 331-49.

    Google Scholar 

  • Russell, J., Jarrold, C., & Potel, D. (1994). What makes strategic deception difficult for children—The deception or the strategy? British Journal of Developmental Psychology, 12, 301-314.

    Google Scholar 

  • Scholl, B., & Leslie, A. M. (1999). Modularity, development, and “theory of mind.” Mind and Language, 14, 131-153.

    Google Scholar 

  • Sigman, M. (1998). Change and continuity in the development of children with autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 817-827.

    Google Scholar 

  • Sigman, M., & Ruskin, E. (1999). Continuity and change in the social competence of children with autism, Down Syndrome, and developmental delays. Monographs of the Society for Research in Child Development, 64, 1-113.

    Google Scholar 

  • Smilansky, S. (1968). The effects of sociodramatic play on disadvantaged preschool children. New York: Wiley.

    Google Scholar 

  • Snyder, L. S. (1987). Symbolization in language impaired children. In D. Cicchetti & M. Beeghly (Eds.), Symbolic development in atypical children (pp. 87-108). San Francisco: Jossey-Bass.

    Google Scholar 

  • Taylor, M., & Carlson, S. M. (1997). The relation between individual differences in fantasy and theory of mind. Child Development, 68, 436-455.

    PubMed  Google Scholar 

  • Ungerer, J., & Sigman, M. (1981). Symbolic play and language comprehension in autistic children. Journal of the American Academy of Child Psychiatry, 20, 318-337

    PubMed  Google Scholar 

  • Vygotsky, L. S. (2000). Play and its role in the mental development of the child. In J. Bruner, A. Jolly, & S. Sylva (Eds.), Play: Its role in development and evolution. New York: Basic Books.

    Google Scholar 

  • Whittaker, C. A. (1979). A note on developmental trends in the symbolic play of hospitalized profoundly retarded children. Journal of Child Psychology and Psychiatry, 21, 253-261.

    Google Scholar 

  • Wimmer, H., & Perner, J. (1983). Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition, 13, 103-128.

    Article  PubMed  Google Scholar 

  • Wing, L., Gould, J., Yates, S. R., & Brierley, L. M. (1977). Symbolic lay in severely mentally retarded and in autistic children. Journal of Child Psychology and Psychiatry, 18, 167-178.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, University of Denver, Denver, Colorado

    M. D. Rutherford

  2. JFK Partners, University of Colorado Health Sciences Center, Denver, Colorado

    Sally J. Rogers

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  1. M. D. Rutherford
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Rutherford, M.D., Rogers, S.J. Cognitive Underpinnings of Pretend Play in Autism. J Autism Dev Disord 33, 289–302 (2003). https://doi.org/10.1023/A:1024406601334

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