Multimodal language models (MLMs) increasingly demonstrate human-like communication, yet their use of everyday perspectival words remains poorly understood. To address this gap, we compare humans and MLMs in their use of three word types that impose increasing cognitive demands: vocabulary (for example, "boat" or "cup"), possessives (for example, "mine" versus "yours"), and demonstratives (for example, "this one" versus "that one"). Testing seven MLMs against human participants, we find that perspectival words are harder than vocabulary words for both groups. The gap is larger for MLMs: while models approach human-level performance on vocabulary, they show clear deficits with possessives and even greater difficulty with demonstratives. Ablation analyses indicate that limitations in perspective-taking and spatial reasoning are key sources of these gaps. Instruction-based prompting reduces the gap for possessives but leaves demonstratives far below human performance. These results show that, unlike vocabulary, perspectival words pose a greater challenge in human communication, and this difficulty is amplified in MLMs, revealing a shortfall in their pragmatic and social-cognitive abilities.