Phase IV- Second Order Belief (motivation/deception)
Overview: During Phase IV, the patient is told that they will be asked to help tell a number of stories. Each story involves two characters: Alice and Greg. The patient is told that both Alice and Greg have thoughts about what is happening in each story. Sometimes each character’s thoughts will stay the same over several turns of events, and sometimes their thoughts will change. In addition, in some stories one character will know something that the other character does not know, and in some stories one of the characters will play a joke on the other character. This knowledge or lack of knowledge will alter one character’s thoughts but not the others. The patient is instructed to observe each situation to help decide when the characters’ thoughts change and when their thoughts do not.
- Task I – Alice and Greg view an object as Greg is altering the object; generate 5 probable thoughts about the object for the 2 characters.
- Task II – Alice goes upstairs and thinks about object; generate 5 probable thoughts about the object for each character.
- Task III – Alice is upstairs thinking about the object and Greg remains downstairs. Have their thoughts changed? (Y/N)
- Task IV – Greg is downstairs with the ________. Alice is upstairs on the phone to Greg. He remembers that Alice said, “Please do not alter the______ again while I am upstairs”. Greg alters the________just as the phone rings. It is Alice and she is checking on the _________________. Greg does not want Alice to know that he touched the ________________Greg tells Alice___________ ; Choose the best multiple choice response.
- Task IV – Greg is downstairs with the ________. Alice is upstairs on the phone to Greg. Greg follows Alice’s instructions and does not alter the ______. Greg wants to play a joke on Alice to make her think he changed the ______. Greg tells Alice________________ ; Choose the best multiple choice response.
Scoring: Responses to each task are scored as correct (1 point), delayed correct (.5), or incorrect (0). A patient can progress to the next task after receiving 90% accuracy on 5 trials of 10 items or 100% accuracy on 3 trials of 10 items.
Scores (i.e., percent of possible points obtained and time to completion) should be recorded for individual task. Performance on tasks, and progression from one task to the next, should be matched with performance on the cartoon assessments administered each session.