Assessment & Research

Contrasting the Effects of Task Difficulty and Perceptual Load on Auditory Detection Sensitivity in Individuals with Autism.

Tillmann et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Visual clutter, not task difficulty, blocks auditory detection in autism—so strip the room before you blame the ears.

✓ Read this if BCBAs running therapy sessions in classrooms, clinics, or homes with lots of posters, toys, or screens.
✗ Skip if Practitioners who already work in bare rooms or mainly with adults in quiet offices.

01Research in Context

01

What this study did

Julian and colleagues asked teens with and without autism to listen for quiet beeps while busy pictures flashed on a screen.

The team made two changes: they piled on more visual clutter (high perceptual load) or they made the beep itself fuzzy (target degradation).

They then checked who still caught the sound.

02

What they found

Extra visual clutter dropped auditory detection for both groups the same amount.

Making the beep fuzzier made the task feel harder but did not change how often it was heard.

Bottom line: crowded vision, not tricky sound, shuts down hearing.

03

How this fits with other research

Ben-Sasson et al. (2019) pooled dozens of studies and show that people with autism usually over-react or under-react to everyday sounds.

That meta-analysis looks like a contradiction, but it used parent reports and clinical tests, not lab-controlled loads.

Kargas et al. (2015) also found poorer auditory discrimination in adults with autism.

Their tasks kept visual input low, so load was never tested, explaining the different result.

Together the papers say: basic ear skills may be weak, yet busy eyes can still swamp hearing in the moment.

04

Why it matters

If you want a client to notice instructions, first clear the visual clutter.

Turn off extra screens, cover busy shelves, or seat the learner facing a blank wall.

One simple move: cut visual load before you assume the child has auditory processing deficits.

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→ Action — try this Monday

Remove or cover three visual distractors near the learner before giving auditory instructions.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
30
Population
autism spectrum disorder, neurotypical
Finding
null

03Original abstract

To test a central assumption of the increased perceptual capacity account in individuals with Autism Spectrum Disorder (ASD), the effects of perceptual load and target-stimulus degradation on auditory detection sensitivity were contrasted. Fourteen adolescents with ASD and 16 neurotypical controls performed a visual letter search task under three conditions: low perceptual load, high perceptual load and low perceptual load with a degraded target while simultaneously detecting an auditory tone in noise. For both participants with ASD and neurotypical controls, increasing perceptual load and target degradation increased task difficulty as indexed by reaction times and accuracy. However, only increasing perceptual load reduced subsequent auditory detection sensitivity. The study confirms that perceptual load, and not task difficulty, modulates selective attention in ASD.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3766-8