Assessment & Research

Memory for Rules and Output Monitoring in Adults with Autism Spectrum Disorder.

Yamamoto et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Adults with autism may repeat errors because they struggle to monitor their own prior responses, not because they forget the rules.

✓ Read this if BCBAs working with adults or teens with autism in vocational, academic, or life-skills settings.
✗ Skip if Clinicians serving only preschoolers or clients with severe intellectual disability where rule memory itself is the barrier.

01Research in Context

01

What this study did

Yamamoto et al. (2019) asked adults with autism and typical adults to sort objects by secret rules.

After each item the computer told them if they were right or wrong. Later they had to remember the rules and also remember which items they had already placed.

The team wanted to know if rule memory or output monitoring—tracking your own past choices—separates the groups.

02

What they found

Adults with autism remembered the rules just as well as typical adults.

They were much worse at remembering which objects they had already sorted.

The gap shows the trouble is not forgetting rules; it is keeping track of their own past responses.

03

How this fits with other research

Grainger et al. (2014) saw no monitoring gap in autism using an online action task. The jobs were different: their task watched hand moves in real time; Kenta’s task asked for memory of past picks. Same adults, different lens—tasks explain the clash.

Bromley et al. (1998) already showed autistic kids repeat visible errors. Kenta repeats the point in adults and pins the blame on output monitoring, not rule memory.

Godfrey et al. (2023) later found autistic adults also forget story details over weeks. Together the papers trace a line: monitoring your own moves and organizing longer memories both need extra support in autism.

04

For clinicians the picture is clear: clients may know the rule yet still repeat errors because they lose track of what they already did. Build external logs, visual counters, or verbal self-review into sessions so the learner does not have to rely on shaky output memory.

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Give the learner a dry-erase tally board to mark each completed step so they can see what they have already done.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

This study examined factors related to repetitive errors in people with autism spectrum disorder (ASD) from the perspective of output monitoring and memory for rules. Previous studies have suggested that output monitoring errors are associated with repetition errors. Moreover, people with ASD have a reduced memory for rules, which could result in repetitive errors. Typically developing (TD) and ASD participants memorized rules and conducted an object arrangement task consisting of sorting objects according to their price under two conditions. Memory tests and output monitoring tests were conducted immediately, and 1 week later. Results indicated that output monitoring in ASD was significantly lower than in TD, although the memory for rules showed no differences between ASD and TD.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04186-8