Assessment & Research

Self-reported memory of autistic young adults and associated real-world outcomes.

Godfrey et al. (2023) · Research in autism spectrum disorders 2023
★ The Verdict

Autistic adults forget story details quickly because they don’t use theme-based memory tricks, but you can teach the trick.

✓ Read this if BCBAs writing social-skills or safety-plan goals for adults and teens.
✗ Skip if Clinicians focused only on non-verbal or preschool populations.

01Research in Context

01

What this study did

Godfrey et al. (2023) asked 40 autistic and 40 typical adults to listen to a short story.

After 30 minutes, one day, and one week, each person retold the story aloud.

The team counted how many details each person kept and whether they used the story’s main theme to glue facts together.

02

What they found

Autistic adults forgot story details faster than typical adults at every delay.

They also almost never used the story’s theme to help them remember.

Typical adults said things like “it was about betrayal” to cue details; autistic adults rarely did.

03

How this fits with other research

Wojcik et al. (2014) showed that autistic teens can judge how well they know something and study longer when needed.

Mary’s study shows that even with good monitoring, autistic adults still lack the organizing trick of “thematic gist.”

Chapple et al. (2021) found autistic adults gain social insight from reading fiction, seeming to clash with Mary’s poor narrative recall.

The difference is demand: Melissa asked, “What did you learn about people?” while Mary asked, “What did the story say?” Memory without social context was the weak spot.

Chen et al. (2016) already saw unusual brain activation when autistic youth judged word meaning; Mary extends this pattern into adulthood and shows the real-life cost—lost story details.

04

Why it matters

When you ask an autistic adult to recall a social story, training video, or incident report, do not assume they will extract the main point on their own. Explicitly teach them to name the theme first (“This is about honesty”) and then link facts to that theme. One simple Monday move: after any narrative, ask, “What’s one word that sums this up?” and write that word on a sticky note as their retrieval cue.

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→ Action — try this Monday

After any social story, ask the learner to pick one theme word and then retell the story using that word as a cue.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
162
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

This study extends prior memory reports in autism spectrum disorders (ASD) by investigating memory for narratives after longer recall periods and by examining developmental aspects of narrative memory using a cross-sectional design. Forty-seven older children/adolescents with ASD and 31 youth with typical development (TD) and 39 adults with ASD and 45 TD adults were compared on memory for stories from standardized measures appropriate for each age group at three intervals (immediate, 30 min, and 2 day). Both the youth with and without ASD had difficulty with memory for story details with increasing time intervals. More of the youths with ASD performed in the range of impairment when recalling the stories 2 days later as compared to the TD group. The adults with ASD had more difficulty on memory for story details with increasing delay and were poorer at recall of thematic information (needed to create a gist) across the three delay conditions as compared to the TD group. Analyses of the individual results suggested that memory for details of most of the adults with ASD was not impaired when applying a clinical standard; however, a significant percentage of the adults with ASD did not make use of thematic information to organize the narrative information, which would have helped them to remember the stories. The youth with and without ASD performed similarly when both were at a stage of development when memory for details is the primary strategy. The adults with ASD had difficulty with use organizational strategies to support episodic memory. Autism Res 2017, 10: 1523-1532. © 2017 International Society for Autism Research, Wiley Periodicals, Inc.

Research in autism spectrum disorders, 2023 · doi:10.1002/aur.1801