Assessment & Research

Executive function deficits in non-retarded autistic children.

Shu et al. (2001) · Autism : the international journal of research and practice 2001
★ The Verdict

Even autistic children with normal IQ stumble on rule-switching tasks, and the weakness stays with them into adulthood.

✓ Read this if BCBAs writing skill-acquisition or transition plans for autistic clients of any age.
✗ Skip if Practitioners who work only with non-autistic populations or severe-profound ID.

01Research in Context

01

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.

02

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.

03

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.

04

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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Add a brief visual cue that signals when the sorting or learning rule has changed in your next task.

02At a glance

Intervention
not applicable
Design
other
Sample size
78
Population
autism spectrum disorder, neurotypical
Finding
negative

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