Executive function deficits in non-retarded autistic children.
Even autistic children with normal IQ stumble on rule-switching tasks, and the weakness stays with them into adulthood.
01Research in Context
What this study did
Chen et al. (2001) gave the Wisconsin Card Sorting Test to autistic children with normal IQ. They compared scores to matched kids without autism.
The test asks children to sort cards by color, shape, or number. After each sort, the rule changes without warning. Kids must notice the new rule and switch strategies.
What they found
Autistic children scored worse on almost every WCST measure. They made more errors and struggled to shift rules even though their IQ was in the normal range.
The gap shows that executive-function trouble in autism is not just due to low intelligence.
How this fits with other research
Kaland et al. (2008) ran the same test on a computer and saw the same poor scores. Ozonoff et al. (2004) later found similar deficits on a different test of planning and shifting. These studies form a clear line: autistic people often struggle with flexible thinking.
Wilkinson et al. (1998) seems to disagree. They said autistic kids can shift attention fine and blamed WCST errors on trouble disengaging focus. The difference is tiny: both groups see a shifting problem, but M et al. point to attention disengagement as the cause rather than a global shifting deficit.
Braden et al. (2017) and Kenny et al. (2022) push the finding forward. The deficit lasts into middle age and shows up most on open-ended tasks that give little structure.
Why it matters
You now have twenty-plus years of evidence that rule shifting is hard for many autistic learners, even bright ones. When you teach a new routine or ask a client to change strategies, build in extra cues, visual prompts, and practice trials. Do not assume normal IQ means flexible thinking is in place.
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02At a glance
03Original abstract
The purpose of this study was to examine differences between Taiwanese children with autism and their typically developing peers on the Wisconsin Card Sorting Test (WCST). Twenty-six children with autism of normal IQ were included, and matched for chronological age with 52 controls. The WCST scores of the typically developing children were significantly higher for categories completed and percent conceptual level than in the autism group. Scores on perseverative responses, perseverative errors, the number of trials to complete the first category and non-perseverative errors were significantly higher in the autism group. The implications of these findings are discussed.
Autism : the international journal of research and practice, 2001 · doi:10.1177/1362361301005002006