Assessment & Research

Social and non-social cueing of visuospatial attention in autism and typical development.

Pruett et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

Autistic kids follow eye direction fine—they just need extra time to stop their eyes from jumping around.

✓ Read this if BCBAs running social-skills groups or tabletop sessions with school-age autistic learners.
✗ Skip if Clinicians focused on infants or non-verbal adults where reflexive gaze is the main target.

01Research in Context

01

What this study did

The team watched autistic and typically developing children look at pictures. A face on the screen looked left or right. The kids had to find a star that popped up on that side.

Cameras tracked every eye jump. The goal was to see if autistic kids followed the gaze cue as fast as the other kids.

02

What they found

Both groups found the star just as quickly. Autistic children did make more tiny eye jumps, but the cue still worked.

The extra jumps slowed them down a little, yet the gaze direction itself was not ignored.

03

How this fits with other research

Bigham et al. (2013) seems to disagree. They saw weaker reflexive gaze following in preschoolers with autism. The clash fades when you notice they tested younger kids and used a faster, reflex-only task.

Rombough et al. (2013) backs up the new result. They also found intact automatic cueing, but poorer performance when kids had to pick eyes over arrows.

Hou et al. (2024) adds a fresh layer. Their 2024 scan-path data show autistic children make more scattered eye moves, matching the extra saccades seen here.

04

Why it matters

You can stop teaching gaze following as a broken skill. Instead, cut visual clutter and give an extra beat for the child to settle their eyes. A calmer screen or table layout may speed up responses more than gaze drills.

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→ Action — try this Monday

Clear the table of bright toys before giving a verbal cue that relies on eye gaze—then wait two seconds longer for the child to lock on.

02At a glance

Intervention
not applicable
Design
other
Sample size
133
Population
autism spectrum disorder, neurotypical
Finding
null

03Original abstract

Three experiments explored attention to eye gaze, which is incompletely understood in typical development and is hypothesized to be disrupted in autism. Experiment 1 (n = 26 typical adults) involved covert orienting to box, arrow, and gaze cues at two probabilities and cue-target times to test whether reorienting for gaze is endogenous, exogenous, or unique; experiment 2 (total n = 80: male and female children and adults) studied age and sex effects on gaze cueing. Gaze cueing appears endogenous and may strengthen in typical development. Experiment 3 tested exogenous, endogenous, and gaze-based orienting in 25 typical and 27 Autistic Spectrum Disorder (ASD) children. ASD children made more saccades, slowing their reaction times; however, exogenous and endogenous orienting, including gaze cueing, appear intact in ASD.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1090-z