Assessment & Research

Empathising and systemising in adults with and without Asperger Syndrome.

Lawson et al. (2004) · Journal of autism and developmental disorders 2004
★ The Verdict

Adults with Asperger Syndrome show low cognitive empathy but intact emotional empathy, and sex shapes both brain and survey results.

✓ Read this if BCBAs conducting social-skills assessments with autistic adults
✗ Skip if BCBAs working solely with non-autistic populations or young children

01Research in Context

01

What this study did

Lawson et al. (2004) compared empathizing and systemizing in adults with Asperger Syndrome to typical adults. They used paper surveys to measure how people read emotions and how they analyze systems.

The team tested the Extreme Male Brain theory. This theory says autistic people have low empathy and high systemizing, like an 'extreme male' profile.

02

What they found

Men with Asperger Syndrome scored lower on empathy than typical men. Their systemizing scores matched typical men, not higher.

Women with Asperger Syndrome scored highest on empathy and lowest on systemizing. The results fit the E-S theory predictions.

03

How this fits with other research

Dziobek et al. (2008) conceptually replicated the empathy gap. They split empathy into 'cognitive' and 'emotional.' Adults with Asperger Syndrome only struggled with cognitive empathy; emotional empathy stayed intact.

Pan et al. (2022) extended the work to autistic children with and without intellectual disability. Both groups scored lower on empathy and systemizing. Only empathy, not systemizing, linked to autism traits.

Schneider et al. (2013) used brain scans to show sex-specific empathy patterns. Autistic men and women showed different neural activity during empathy tasks, supporting the need for sex-tailored assessments.

04

Why it matters

When you assess social skills, separate empathy into cognitive and emotional parts. Use video-based tasks, not just static photos, to catch subtle deficits. Always note the client's sex; brain and behavioral patterns differ between autistic men and women. For kids, focus on empathy gaps rather than systemizing strengths when planning interventions.

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Add a quick cognitive-emotional empathy split to your intake forms and note the client's sex before picking your assessment tool.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
107
Population
autism spectrum disorder
Finding
positive

03Original abstract

An experiment was devised to test the empathising-systemising (E-S) theory of autism. Three groups of participants took part in the study: males with Asperger Syndrome (AS) (n = 18), males without AS, (n = 44) and females from the general population (n = 45). Each participant completed two tasks: one that involved empathising and another that involved systemising. On the empathising task, females scored significantly higher than control males who in turn scored higher than males with AS. Conversely, females scored significantly lower than both male groups on the systemising task, who did not differ significantly from each other. These results are in line with both the E-S theory of autism and the 'extreme male brain' theory of autism. Alternative explanations of the results are also explored, including an interpretation through the idea of open and closed systems.

Journal of autism and developmental disorders, 2004 · doi:10.1023/b:jadd.0000029552.42724.1b