The "Language-Social Communication-Cognition" three-dimensional language assessment and intervention model: Clinical application of Theory of Mind in language assessment and intervention

Xueman Liu, Jill de Villiers

Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (11) : 1170-1178.

PDF(3821 KB)
PDF(3821 KB)
Chinese Journal of Child Health Care ›› 2025, Vol. 33 ›› Issue (11) : 1170-1178. DOI: 10.11852/zgetbjzz2025-1227
Professional Forum

The "Language-Social Communication-Cognition" three-dimensional language assessment and intervention model: Clinical application of Theory of Mind in language assessment and intervention

  • Xueman Liu, Jill de Villiers
Author information +
History +

Abstract

This paper explores the establishment of a "Language-Social Communication-Cognition" three-dimensional model for children′s language assessment and intervention, grounded in the clinical reasoning framework for broadly defined language disorders.First, it lists the common language and communication issues in children with neurodevelopmental disorders and outlines evidence-based early language intervention approaches that align with this three-dimensional model.As children enter the preschool and school-age years, this model aids in the differential diagnosis process by analyzing the distinct root causes of language disorders, autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and intellectual disability.Neither early language intervention approaches nor linear language intervention processes are effective in advancing the critical skills these children need for academic learning and social participation.This paper emphasizes the crucial role of "Theory of Mind" ability within the three-dimensional model during this stage and dedicates a section to its detailed elaboration.Finally, the paper proposes a narrative-based language intervention system that implements the "Language-Social Communication-Cognition" model in practice, with three dimensions advancing together and synergistically, and explains its evidence-based foundation and clinical procedures.

Key words

broadly defined language disorders / neurodevelopmental disorders / clinical reasoning framework / language intervention model / differential diagnosis / Theory of Mind / narrative / language therapy

Cite this article

Download Citations
Xueman Liu, Jill de Villiers. The "Language-Social Communication-Cognition" three-dimensional language assessment and intervention model: Clinical application of Theory of Mind in language assessment and intervention[J]. Chinese Journal of Child Health Care. 2025, 33(11): 1170-1178 https://doi.org/10.11852/zgetbjzz2025-1227

References

[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].5th ed.Arlington (VA): American Psychiatric Publishing, 2013.
[2] World Health Organization.International classification of diseases for mortality and morbidity statistics[R/OL].11th rev.Geneva: World Health Organization, 2019.Available from: https://icd.who.int/
[3] Bishop DVM, Snowling MJ, Thompson PA, et al.CATALISE: A multinational and multidisciplinary Delphi consensus study.Identifying language impairments in children[J].PLoS One.2016,11(7):e0158753.
[4] Bishop DVM, Snowling MJ, Thompson PA, et al.Phase 2 of CATALISE: A multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology[J].J Child Psychol Psychiatry[J].2017,58(10):1068-1080.
[5] Camarata S, Liu XL, Lee W, et al.Adapting the UNICEF/WHO Nurturing Care Framework for speech-language pathologists to support Sustainable Development Goal 4[J].Int J Speech Lang Pathol, 2022,24(5):1-5.
[6] Schreibman L, Dawson G, Stahmer AC, et al.Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder[J].J Autism Dev Disord, 2015,45(8):2411-2428.
[7] 刘雪曼.语言发育迟缓与语言障碍的临床干预[J].中国儿童保健杂志, 2022,30(8):813-817, 821.
Liu XM.Clinical intervention for language delay and language disorders[J].Chin J Child Health Care,2022,30(8):813-817, 821.[in Chinese].
[8] Tang L, Zhao J, He T, et al.Effect of online parent training in promoting language development of children with language delay in Hubei province, China[J].Int J Lang Commun Disord,2024.
[9] Fletcher-Watson S, Happé F.Autism: A new introduction to psychological theory and current debate[M].London: Routledge, 2019.
[10] Leadbitter K, Buckle KL, Ellis C, et al.Autistic self-advocacy and the neurodiversity movement: Implications for autism early intervention research and practice[J].Front Psychol,2021,12:635690.
[11] Mueller KL, Tomblin JB.Examining the comorbidity of language disorders and ADHD[J].Top Lang Disord, 2012,32(3):228-246.
[12] Wimmer H, Perner J.Beliefs about beliefs: Representation and constraining function of wrong beliefs in young children′s understanding of deception[J].Cognition, 1983,13:103-128.
[13] Wellman HM, Cross D, Watson J.Meta-analysis of theory-of-mind development: The truth about false belief[J].Child Dev,2001,72:655-684.
[14] Yu C, Wellman HM.A meta-analysis of sequences in theory-of-mind understandings: Theory of mind scale findings across different cultural contexts[J].Dev Rev, 2024;74:101162.
[15] Wellman HM, Liu D.Scaling of theory-of-mind tasks[J].Child Dev, 2004,75(2):523-541.
[16] Woodward AL.Infants′ ability to distinguish between purposeful and non-purposeful behaviors[J].Infant Behav Dev,1999,22(2):145-160.
[17] Gergely G, Nádasdy Z, Csibra G, et al.Taking the intentional stance at 12 months of age[J].Cognition,1995,56(2):165-193.
[18] Tomasello M.Joint attention as social cognition[M]//: Moore C, Dunham PJ.Joint attention: Its originsand role in development[M].Hillsdale (NJ): Lawrence Erlbaum Associates,1995: 103-130.
[19] Tomasello M, Farrar MJ.Joint attention and early language[J].Child Dev, 1986,57(6):1454-1463.
[20] Quine WVO.Word and object[M].Cambridge (MA): MIT Press; 1960.
[21] Wellman HM, Woolley JD.From simple desires to ordinary beliefs: The early development of everyday psychology[J].Cognition, 1990,35(3):245-275.
[22] Repacholi BM, Gopnik A.Early reasoning about desires: Evidence from 14- and 18-month-olds[J].Dev Psychol, 1997,33(1):12-21.
[23] Shatz M, Wellman HM, Silber S.The acquisition of mental verbs: A systematic investigation of first references to mental state[J].Cognition, 1983,14:301-321.
[24] Rakoczy H, Tomasello M, Striano T.Young children know that pretending is not reality: Implications for the development of representations and self-control[J].Child Dev, 2005,76(4):1071-1081.
[25] Harris PL.The work of the imagination[M].Oxford: Blackwell Publishers, 2000.
[26] O′Neill DK.Young children′s reasoning about visual perception: Issues in the understanding of knowledge acquisition[J].Child Dev, 1992,63(2):386-398.doi:10.1111/j.1467-8624.1992.tb01600.
[27] Yu J.Theory of mind development: Constructing a mental model of others[M].Springer, 2019.
[28] Dunn J, Meins E.Communication and understanding of mind: How language affects the development of theory of mind[M].//: Carruthers P, Smith PK.Theories of theories of mind.Cambridge: Cambridge University Press, 1997:169-184.
[29] Wimmer H.Thedevelopment of children′s understanding of the mental world[M].//: Wimmer H, Gruber HJ, Perner M.Beliefs about beliefs.Cambridge: Cambridge University Press, 1985: 1-15.
[30] Perner J, Leekam S, Wimmer H.Three-year-olds′ difficulty with falsebelief: The case for a conceptual deficit[J].Br J Dev Psychol, 1987,5(2):125-137.
[31] Baldwin DA.Infants′ ability to consult the speaker for clues to word reference[J].J Child Lang,1993,20(2):395-418.
[32] Baron-Cohen S.Mindblindness: An essay on autism and theory of mind[M].Cambridge (MA): MIT Press, 1995.
[33] Jarrold C, Boucher J, Smith PK.Pretend play in autism: Theory, assessment, and intervention[M].//: Smith PK, Jarrold C.Autism and developmental psychology.Chichester: Wiley, 2003: 73-95.
[34] Smith PK.Bullying: Definition, types, causes, consequences and intervention[J].Soc Personal Psychol Compass, 2017,11(1):e12389.
[35] Vissers CTWM, Koolen S, Hermans D, et al.Theory of mind development in children with language impairment: A training study[J].J Speech Lang Hear Res, 2016,59(2):253-264.
[36] Bruner JS.Actual minds, possible worlds[M].Cambridge (MA): Harvard University Press, 1986.
[37] Bruner JS.Acts of meaning[M].Cambridge (MA): Harvard University Press, 1990.
[38] Baldwin DA.Infants′ ability to consult the speaker for clues to word reference[J].J Child Lang, 1993,20(2):395-418.
[39] Farrar MJ, Benigno JP, Tompkins V, et al.Are there different pathways to explicit false belief understanding? General language and complementation in typical and atypical children[J].Cogn Dev,2017,43:49-66.
[40] Schick B, Peterson CC.Theory of mind in deaf children: The role of language.In: Burack JA, Charman T, Yirmiya N, Zelazo P.The development of autism: Perspectives from theory and research[M].Mahwah (NJ): Lawrence Erlbaum Associates, 2004: 269-292.
[41] Moses LJ, Devine RT.Executive function, theory of mind, and social behavior in children with ADHD[J].J Abnorm Child Psychol,2001,29(6):571-585.
[42] Ozbaran B, Pineda DA.Theory of mind deficits in children with ADHD: Relationship with sustained attention[J].Child Neuropsychol.2007,13(5):411-425.
[43] Willcutt EG, Doyle AE, Nigg JT, et al.Validity of the executive function theory of attention-deficit/hyperactivity disorder: A Meta-analytic review[J].Biol Psychiatry, 2005,57(11):1336-1346.
[44] Alderson RM, Kasper LJ, Hudec KL, et al.Attention-deficit/hyperactivity disorder (ADHD) and working memory in children: A meta-analytic review[J].Neuropsychology,2013,27(3):287-302.
[45] Carlson SM, Moses LJ.Individual differences in inhibitory control and children′s theory of mind[J].Child Dev, 2001,72(4):1032-1053.
[46] Liu XL, de Villiers J, Ning C, et al.Research to establish the validity, reliability, and clinical utility of a comprehensive language assessment of Mandarin[J].J Speech Lang Hear Res,2017,60(3):592-606.
[47] Hao Y, Li S, Zhang YW, et al.A narrative evaluation of Mandarin-speaking children with language impairment[J].J Speech Lang Hear Res, 2018,61:345-359.
[48] Dunn J, Meins E.Children′s understanding of mental states[M].//: Tomasello M, Slobin DI.Beyond nature-nurture: Essays in honor of Elizabeth Bates.Mahwah (NJ): Erlbaum, 2005:289-308.
[49] de Villiers JG, de Villiers PA.Linguistic determinism and the understanding of false beliefs[M].//: Mitchell P, Riggs KJ.Children′s reasoning and the mind.Hove (UK): Psychology Press, 2000:191-228.
[50] Schick B, de Villiers JG, de Villiers P, et al.Language and theory of mind: A study of deaf children[J].Child Dev,2007,78(2):376-396.
[51] Tager-Flusberg H, Sullivan K.A componential view of theory of mind: Evidence from Williams syndrome[J].Cognition,1994,50(1-3):177-190.
[52] Farrar MJ, Maag L.Early language development and the emergence of false belief understanding: Evidence from children with language impairment[J].Dev Psychol,2002,38(5):770-783.
[53] Durrleman S, Burnel M, Thommen E, et al.Fostering mental-state reasoning through syntax in children with autism: A training study[J].Autism Res,2020,13(9):1566-1580.
[54] Astington JW, Pelletier J.Theory of mind, language, and narrative competence in child development[M].//: Astington JW, Baird JA.Why language matters for theory of mind.Oxford: Oxford University Press, 2005:209-225.
[55] Losh M, Capps L.Narrative ability in high-functioning children with autism or Asperger′s syndrome[J].J Autism Dev Disord,2003,33(3):239-251.
[56] Durrleman S, Delage H.Autism spectrum disorder and specific language impairment: Overlaps in syntactic profiles[J].Lang Acquis, 2016,23(4):361-386.
[57] Janssen N.Narrative coherence and executive functioning in children: A developmental approach[J].J Child Lang, 2024,51(2):345-367.
[58] Scionti N, Frolli A, Esposito G.Executive functions and narrative skills in school-age children: The role of working memory and cognitive flexibility[J].Front Psychol, 2023,14:1114853.
PDF(3821 KB)

Accesses

Citation

Detail

Sections
Recommended

/