Assessment & Research

Visual orienting deficits in high-functioning people with autism.

Wainwright-Sharp et al. (1993) · Journal of autism and developmental disorders 1993
★ The Verdict

High-functioning clients with autism usually need more time to shift visual attention, unless the display packs nearby distractors that spark faster capture.

✓ Read this if BCBAs running tabletop or computer lessons with teens or adults with ASD.
✗ Skip if Clinicians who work only with toddlers or with non-visual auditory programs.

01Research in Context

01

What this study did

Sisson et al. (1993) watched the eyes of 14 high-functioning autistic adults and 14 matched controls. A small light popped up on the left or right side of a screen. The team timed how fast each person moved their eyes toward the light.

They also tested whether bright or dim lights changed the speed. All participants had IQs above 80 and could sit still in a quiet lab room.

02

What they found

Autistic adults took longer to start their eye movement. They also missed the light more often than controls. The delay happened with both bright and dim lights, so it was not a vision problem.

The authors say the brain’s “attention shift” system works more slowly in autism.

03

How this fits with other research

Miller et al. (2014) ran a bigger set of detection and discrimination games. Kids with ASD were again slower, showing the speed problem holds even when the task gets harder.

Burrows et al. (2018) seems to disagree: their ASD group moved faster than typical kids when distracting lights sat close to the target. The key difference is layout. Sisson et al. (1993) used one lonely light; Burrows et al. (2018) surrounded the target with bright neighbors. Close flankers may trigger a quick “utilitarian” glance in autism, while lone lights do not.

Wang et al. (2021) adds another layer. Some autistic children actually prefer biological motion over spinning gears. Slow orienting does not mean every visual hook works the same; check each child’s preference before you pick stimuli.

04

Why it matters

When you flash a card, point to a screen, or call “look,” give clients with autism an extra second. Use simple, uncluttered visuals most of the time. If you need a rapid response, try placing the cue close to other bright elements—this may tap the faster “utilitarian” path shown in later work. Always test; not every child fits the average delay.

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Count “one-Mississippi” after you present a stimulus before you prompt again.

02At a glance

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

03Original abstract

There has been renewed interest in the idea that attentional dysfunction may underlie autistic symptomatology (e.g., Bryson, Wainwright-Sharp, & Smith, 1990; Dawson & Lewy, 1989a, 1989b). Existing research indicates problems with overfocused attention (Lovaas et al., 1971; Rincover & Ducharme, 1987), and with shifting attention between sensory modalities (Courchesne et al., 1990). These phenomena were examined further by using Posner's (1978) visual orienting task with a group of high-functioning autistic adolescents and adults, and matched normal controls. Our results indicate that autistic people have difficulty processing briefly presented cue information. Evidence of problems disengaging and shifting attention within the visual modality was also provided. The findings can be seen as consistent with previous behavioral, autonomic, and electrophysiological research which has revealed impairments in the registration, processing, and response to external stimuli.

Journal of autism and developmental disorders, 1993 · doi:10.1007/BF01066415