Sarcasm and Advanced Theory of Mind Understanding in Children and
Adults With Prelingual Deafness
Karin O’Reilly and Candida C. Peterson
University of Queensland
Henry M. Wellman
University of Michigan
Two studies addressed key theoretical debates in theory of mind (ToM) development by comparing (a)
deaf native signers (n = 18), (b) deaf late signers (n = 59), and (c) age-matched hearing persons (n =
74) in childhood (Study 1: n = 81) and adulthood (Study 2: n = 70) on tests of first- and second-order
false belief and conversational sarcasm. Results showed ToM development to be a life span phenomenon
for deaf and hearing people alike. Native and late signers were outperformed by hearing peers on
advanced ToM in childhood (M = 9 years), but in adulthood (M = 40 years), native signers had caught
up, whereas late signers had not. Findings highlight the extended importance of conversational interac-
tion for ToM growth.
Keywords: deafness, theory of mind, sarcasm understanding, second-order false belief, life span social
cognition
Theory of mind (ToM)—the explicit understanding of how
human behavior is governed by mental states (beliefs, memories,
intentions, and so on)—is assessed prototypically with first-order
false belief tests requiring predictions about the thoughts or be-
havior of protagonists whose beliefs are at odds with reality. Most
3-year-olds fail these tests, but success is so routine by typically
developing, hearing children ages 5 years and over as to suggest
that the understanding of others’ minds undergoes a “genuine
conceptual change during the preschool period” (Wellman, Cross,
& Watson, 2001, p. 655).
However, the picture is complicated and less understood for
children with certain disabilities—for example, for severely or
profoundly deaf children of normal intelligence who are often
delayed in mastering ToM when they grow up in hearing homes
where no one uses sign language with native-language proficiency.
Indeed, studies of more than 700 severely or profoundly deaf
children worldwide (encompassing a variety of languages and
approaches to deaf education) show consistently high rates of ToM
failure throughout primary school and into adolescence by those
with hearing parents (see Peterson, 2004, 2009; Siegal & Peterson,
2008, for reviews).
Yet an intriguing minority of severely and profoundly deaf
children escape ToM delays. These are the natively signing deaf
children who have signing deaf parent(s). When a deaf parent signs
fluently, the child grows up having ordinary conversational expe-
riences from birth—albeit in sign language rather than speech.
Extensive research reveals markedly superior performance by
young deaf native signers compared with matched groups of deaf
children from hearing families (late signers) on false belief tests
(e.g., Courtin & Melot, 1998; Meristo et al., 2007; Peterson &
Siegal, 1999; Schick, deVilliers, deVilliers, & Hoffmeister, 2007)
and on other standard measures of preschool ToM understanding
(e.g., Peterson, Wellman, & Liu, 2005). Native signers’ perfor-
mance is similar to that of hearing children the same age, whereas
late signers are often as delayed as age-and IQ-matched children
with autism (e.g., Peterson, 2002; Peterson & Siegal, 2000).
Thus, it is not deafness per se but rather the conjunction of
hearing loss with upbringing in a hearing family that underpins
poor performance on standard false belief tests of ToM. Despite
extensive and conscientious efforts to learn to sign, hearing parents
very rarely become fully proficient, so few can communicate
effectively with their deaf offspring about topics like thoughts and
other mental states that cannot readily be mimed, seen, or pointed
at (e.g., Moeller & Schick, 2006; Vaccari & Marschark, 1997).
Notably, false belief performance by deaf children of hearing
parents correlates with the number of signs for cognitive verbs that
their parents know and use (Moeller & Schick, 2006). Further, for
native signers, richness of the early family conversational envi-
ronment directly explains superiority over late signers on false
belief tests, even after controlling statistically for other potential
contributors like vocabulary size, executive functioning, and syn-
tactic language skill (e.g., Schick et al., 2007; Woolfe, Want, &
Siegal, 2002).
Commensurate with their delayed and limited abilities to par-
ticipate freely in family conversations as preschoolers, many orally
educated deaf children, including those with cochlear implants, lag
This article was published Online First May 5, 2014.
Karin O’Reilly and Candida C. Peterson, School of Psychology, Uni-
versity of Queensland; Henry M. Wellman, Department of Psychology,
University of Michigan.
With sincere gratitude, we acknowledge the fine cooperation of all the
adults who took part and that of the children, their parents, and their
teachers. This research, partially supported by National Institutes of Health
MERIT Award HD022149 (to the third author), was conducted during the
first author’s enrollment as a doctoral student in psychology at the Uni-
versity of Queensland under the second author’s supervision.
Correspondence concerning this article should be addressed to Candida
C. Peterson, School of Psychology, University of Queensland, Brisbane,
Queensland 4072, Australia. E-mail: candi@psy.uq.edu.au
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