Assessment & Research

Sensory-perceptual abnormalities in autism: a case for more research?

O'Neill et al. (1997) · Journal of autism and developmental disorders 1997
★ The Verdict

The 1997 warning sparked two decades of tighter studies that now give you brain, baby, and behavior data you can trust.

✓ Read this if BCBAs doing intake assessments or writing sensory goals for autistic clients.
✗ Skip if Clinicians only targeting purely social or verbal skills with no sensory part.

01Research in Context

01

What this study did

The authors read every paper they could find on unusual sight, sound, touch, and body senses in autism. They wrote a story-style review, not a new experiment. Their goal was to see if the evidence was strong enough to guide teachers and therapists.

They found most studies were small, used different tools, and skipped clear definitions. The team said, 'We need better research before we build treatments.'

02

What they found

Sensory quirks are common in autism, but the proof is weak. Bright lights, humming rooms, or scratchy tags really bother some kids. Yet past work mixed up autism with other issues and used shaky tests.

The review warns against acting on shaky data. It asks future scientists to use tight methods and clear measures.

03

How this fits with other research

Later work answered the call. Germani et al. (2014) tracked babies and showed that kids later diagnosed with autism already had sound and registration problems at age two. Rojahn et al. (2012) used brain scans and found dampened touch responses in autistic boys, tying parent reports to real neural data.

Tarantino et al. (2026) goes further and replaces the old view. Their signal-detection model says the issue is poor noise filtering, not simple over-reaction. This 2026 paper supersedes the 1997 plea by giving researchers a concrete blueprint.

MacFarland et al. (2025) keeps the rigor going. They removed ADHD influence and still found sensory sensitivity predicts autism traits, proving the feature is core, not a side note.

04

Why it matters

You now have solid proof that sensory signs show up early and link to brain data. Use standard tools like the Infant/Toddler Sensory Profile during intake. Seat kids away from vents or bright windows to cut nasal-field loss shown by Bolte et al. (2013). Most of all, demand clear sensory goals in behavior plans instead of vague 'sensory breaks.' The field has moved past guesswork—your assessments should too.

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Add a quick sensory survey to your intake packet and note low-registration or auditory items for extra environmental checks.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Sensory-perceptual abnormalities in people with autism are discussed from two perspectives: published firsthand accounts and existing psychological research evidence. A range of abnormalities, including hyper- and hyposensitivity, sensory distortion and overload, and multichannel receptivity and processing difficulties, are described in firsthand accounts and frequently portrayed as central to the autistic experience. A number of dangers are inherent in uncritically accepting these accounts at face value and in any wider generalization to the autistic population as a whole. Evidence from clinical studies suggests that unusual sensory responses are present in a majority of autistic children, that they are manifested very early in development, and that they may be linked with other aspects of autistic behavior. In addition, experimental studies using a range of indices have found evidence of unusual responses to sensory stimuli in autistic subjects. However the clinical and experimental research to date suffers from serious methodological limitations and more systematic investigation is warranted. Key issues for future psychological research in the area are identified.

Journal of autism and developmental disorders, 1997 · doi:10.1023/a:1025850431170