Assessment & Research

Brief Report: Biological Sound Processing in Children with Autistic Spectrum Disorder.

Lortie et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Kids with ASD detect human sounds normally, but their brains don’t automatically tune in—give them an explicit cue to listen.

✓ Read this if BCBAs running social-skills or listener-responding programs with verbal children.
✗ Skip if Clinicians focused only on visual discrimination or non-verbal learners.

01Research in Context

01

What this study did

The team wired up the kids with ASD and 20 typical kids to EEG caps.

They played human sounds—laughs, coughs, yawns—while the kids watched a silent movie.

The scientists measured two brain waves: MMN (early detection) and P3 (automatic attention).

02

What they found

Both groups’ brains detected the sounds at the same speed—MMN was normal.

Only the ASD group showed a tiny P3 wave; their brains did not automatically turn toward the sounds.

Kids with ASD hear human noises fine, but their attention stays flat.

03

How this fits with other research

Annaz et al. (2012) saw the same flat attention in the eyes: preschoolers with ASD did not look longer at moving people.

Together the two studies show the gap is not ears or eyes—it is the brain’s spotlight.

Dube et al. (1991) once reported slower brainstem sound travel in autism; Melissa et al. now show the late-stage attention link, not the early wire, is the issue.

McQuaid et al. (2024) extended the idea to movies with talking faces and still found no classic multisensory deficit—just odd frontal activity—lining up with the P3 attention gap.

04

Why it matters

If automatic attention is weak, don’t wait for it. Start sessions with a clear cue—“Listen to my voice”—and reinforce the first head-turn. Pair social sounds with strong reinforcers so the brain learns that human noises are worth noticing.

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Before giving a verbal instruction, say the child’s name plus “Listen” and immediately deliver praise for the first eye-contact or head-turn toward you.

02At a glance

Intervention
not applicable
Design
case control
Population
autism spectrum disorder
Finding
mixed

03Original abstract

There is debate whether social impairments in autism spectrum disorder (ASD) are truly domain-specific, or if they reflect generalized deficits in lower-level cognitive processes. To solve this issue, we used auditory-evoked EEG responses to assess novelty detection (MMN component) and involuntary attentional orientation (P3 component) induced by socially-relevant, human-produced, biological sounds and acoustically-matched control stimuli in children with ASD and controls. Results show that early sensory and novelty processing of biological stimuli are preserved in ASD, but that automatic attentional orientation for biological sounds is markedly altered. These results support the notion that at least some cognitive processes of ASD are specifically altered when it comes to processing social stimuli.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3093-5