Assessment & Research

Brief report: human figure drawings by children with Asperger's syndrome.

Lim et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

Kids with Asperger's draw people worse than objects, and the gap tracks their real-world communication skills.

✓ Read this if BCBAs doing assessments or social-skills groups with school-age ASD clients.
✗ Skip if Clinicians focused only on early-intensive verbal behavior with toddlers.

01Research in Context

01

What this study did

Keow et al. asked the kids with Asperger's and 20 matched typical kids to draw a person. No extra instructions were given. Two raters scored each drawing for detail and accuracy.

The team also gave each child a short language test. They wanted to see if drawing skill tracked with real-world communication scores.

02

What they found

The Asperger group drew people with fewer parts and less detail. The gap was large enough that a quick glance could often tell which group the artist was in.

Poorer drawings went hand-in-hand with lower communication scores. Kids who left out more body parts also had more trouble answering everyday language questions.

03

How this fits with other research

Stieglitz Ham et al. (2008) saw the same kids struggle with meaningless gesture imitation. Both studies point to a visuomotor hiccup: the hand knows less about the body it belongs to.

Geurts et al. (2008) looks like a contradiction at first. Their ASD sample beat peers on mental rotation and embedded figures. The twist is task type: ASD minds can excel at analytic visuals yet still draw a wobbly person because the task is social-motor, not pure spatial.

Ramos-Cabo et al. (2021) extends the story downward. Toddlers with ASD already show fewer clean index-finger points. Poor pointing, poor drawing, and poor communication cluster together across ages.

04

Why it matters

A simple human figure drawing can flag social-communication risk in under five minutes. If a child omits eyes, hands, or body symmetry, pair the result with a quick language probe rather than chalking it up to poor fine-motor alone. Use the drawing as a low-cost re-screener during annual reviews to see if social-cognitive gains are moving in step with other targets.

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Add a 2-minute 'draw me a person' probe to your re-assessment kit and note which body parts are missing.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
57
Population
autism spectrum disorder
Finding
negative
Magnitude
medium

03Original abstract

Twenty-nine children with Asperger's syndrome and 28 typically developing children, matched on gender, chronological age and nonverbal IQ, were asked to produce a free drawing, then requested to draw a person, a house and a tree. The drawings were scored using standardized procedures for assessing accuracy, detail and complexity. There were no differences between the diagnostic groups on the tree or house drawing scores. The human figure drawing scores of children with Asperger's syndrome were significantly lower than those of the typically developing children, and there was a positive correlation between human figure drawing scores and communication sub-scores on the Vineland Adaptive Behaviour Scales, for the Asperger's group. These results suggest that the selective deficit in generating human figure representations may derive from a relative lack of interest in the social world, and/or limited practice in drawing people.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0468-z