Assessment & Research

Hand leading and hand taking gestures in autism and typically developing children.

Gómez (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Hand-leading is typical kid behavior too, not a solo sign of autism.

✓ Read this if BCBAs who assess toddlers and preschoolers in clinic or early-intervention rooms.
✗ Skip if Practitioners working only with verbal adults.

01Research in Context

01

What this study did

Gómez (2015) watched kids with autism and typical kids during play. He wrote down every time a child grabbed an adult’s hand and pulled it toward a toy. This move is called hand-leading.

The study was small. It simply asked: Do only autistic children lead hands, or do typical kids also do it?

02

What they found

Both groups used hand-leading. The gesture showed up in typical kids almost as often as in autistic kids.

Because it appears in both groups, the move alone can’t flag autism.

03

How this fits with other research

Fetterman et al. (1989) once labeled hand-leading as ‘autistic leading’ and taught children to point instead. Gómez (2015) now shows the same gesture is not autism-specific, so the old label was too narrow.

Mount et al. (2011) also found no autism-only gap when kids hunted for social changes in pictures. Together these studies weaken the story that social oddities belong only to autism.

Swettenham et al. (2013) showed that autistic kids miss the meaning of pointing from simple motion. Pair that with the new data: the gesture itself isn’t rare, but reading it can still be hard.

04

Why it matters

Stop treating every hand-pull as a red flag for autism. Note the gesture, then look at what the child wants and how well they shift to other cues, like eye contact or words. If you run FCT, you can still teach pointing, but don’t sell it as ‘fixing autism’—sell it as giving the child a quicker way to get help. Share this view with parents and teachers so they don’t panic when a toddler tugs their hand.

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→ Action — try this Monday

During play assessment, count hand-leads but also check if the child points or looks at you—note both forms, don’t score the lead as atypical.

02At a glance

Intervention
not applicable
Design
case study
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

Children with autism use hand taking and hand leading gestures to interact with others. This is traditionally considered to be an example of atypical behaviour illustrating the lack of intersubjective understanding in autism. However the assumption that these gestures are atypical is based upon scarce empirical evidence. In this paper I present detailed observations in children with autism and typically developing children, suggesting that hand-leading gestures may be an adaptive form of interaction in typically developing children neglected by mainstream developmental psychology. I conclude that, although there may be features differentiating how these gestures are used in autism and typical children, systematic research on them is needed to clarify their nature and significance for both typical and atypical development.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2305-5