Autism & Developmental

Accurate or assumed: visual learning in children with ASD.

Trembath et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Adding pictures to instructions does not give children with autism an automatic learning lift.

✓ Read this if BCBAs who use visual supports in classrooms or clinics.
✗ Skip if Practitioners already running pure auditory programs.

01Research in Context

01

What this study did

The team asked the kids to finish simple puzzles. Half had autism, half were typical. Each child tried two versions: spoken hints only, or hints plus a small picture.

Eye-tracking cameras watched where they looked. The goal was to see if the photo helped the autistic group more.

02

What they found

Pictures gave zero boost. Kids with ASD solved the puzzle just as fast and as well with words alone.

Their eyes did not linger longer on the photos either. The old idea that these children are “natural visual learners” did not hold up.

03

How this fits with other research

Hsieh et al. (2014) saw the same thing: autistic eyes moved across picture symbols the same way typical eyes did. Together the two studies break the myth that ASD equals automatic picture strength.

Hartley et al. (2015) extends the story. They showed that very young, minimally verbal children can use photos— but only when the photo looks exactly like the real toy. David’s older kids did not get that lifelike boost, so age and photo realism matter.

Miller et al. (2014) seems to disagree: they found autistic kids were slower on visual search tasks. The clash disappears when you see the tasks. Louisa measured pure speed; David measured learning gain. Slowness does not mean pictures teach better— it just means they need more time to look.

04

Why it matters

Stop handing out picture cues out of habit. First check if the child actually learns faster with them. Use brief A-B probes: teach one step with speech, one with speech plus photo, and track correct responses. If scores stay flat, drop the extra visuals and save prep time. Reserve photos for the real-life items they represent, especially with younger or non-verbal learners.

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→ Action — try this Monday

Run a quick alternating-treatment probe: teach one target with words, the same target with words plus photo, and record correct responses for each.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
61
Population
autism spectrum disorder, developmental delay, neurotypical
Finding
null

03Original abstract

Children with autism spectrum disorder (ASD) are often described as visual learners. We tested this assumption in an experiment in which 25 children with ASD, 19 children with global developmental delay (GDD), and 17 typically developing (TD) children were presented a series of videos via an eye tracker in which an actor instructed them to manipulate objects in speech-only and speech + pictures conditions. We found no group differences in visual attention to the stimuli. The GDD and TD groups performed better when pictures were available, whereas the ASD group did not. Performance of children with ASD and GDD was positively correlated with visual attention and receptive language. We found no evidence of a prominent visual learning style in the ASD group.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2488-4