Assessment & Research

Delayed self-recognition in children with autism spectrum disorder.

Lind et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Kids with autism can recognize their past self on video even when they fail theory-of-mind tasks, so self-identity and mind-reading are separate skills.

✓ Read this if BCBAs running social-skills or self-monitoring programs for school-age clients with ASD.
✗ Skip if Clinicians who only work with infants or severe cognitive delay where video tasks are not yet usable.

01Research in Context

01

What this study did

Researchers gave the kids with autism a delayed self-recognition task. Each child played a game while a sticker was secretly placed on their head; five minutes later they watched the video and had to notice the sticker and touch their own head.

All kids also took standard theory-of-mind tests like false-belief stories. The team wanted to know if poor mind-reading skills would block the ability to recognize yourself on tape.

02

What they found

Children with ASD passed the sticker test just as often as matched typical kids. Yet the same ASD group failed most of the theory-of-mind questions.

The result shows you can lack mind-reading skills and still keep a working sense of 'me' over time.

03

How this fits with other research

Last et al. (1984) first showed that autistic preschoolers can spot themselves in a mirror, so basic self-recognition is old news. Lancioni et al. (2009) now adds that the skill still holds when you must remember the past self on video.

Carr (1994) found that able autistic kids pass classic false-belief tasks yet fail real-life mental-state stories. The new data match that pattern: self-identity and mind-reading can split apart.

Bao et al. (2017) extend the idea by linking weaker self-memory to more anxiety and depression in youth with ASD. Together the papers sketch a self-system that is partly intact, partly fragile, and clinically important.

04

Why it matters

When a client fails a false-belief test, do not assume their whole self-concept is broken. You can still use video self-review to teach social skills or to boost self-monitoring. Target mind-reading lessons separately; the data say the two systems do not rise and fall together.

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→ Action — try this Monday

Try a five-minute delayed video replay: record the client with a sticker on their head, then ask them to watch and touch the spot—use success to show intact self-monitoring before you teach perspective-taking.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder
Finding
null

03Original abstract

This study aimed to investigate temporally extended self-awareness (awareness of one's place in and continued existence through time) in autism spectrum disorder (ASD), using the delayed self-recognition (DSR) paradigm (Povinelli et al., Child Development 67:1540-1554, 1996). Relative to age and verbal ability matched comparison children, children with ASD showed unattenuated performance on the DSR task, despite showing significant impairments in theory-of-mind task performance, and a reduced propensity to use personal pronouns to refer to themselves. The results may indicate intact temporally extended self-awareness in ASD. However, it may be that the DSR task is not an unambiguous measure of temporally extended self-awareness and it can be passed through strategies which do not require the possession of a temporally extended self-concept.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-008-0670-7