Autism & Developmental

Attention to facial emotion expressions in children with autism.

Begeer et al. (2006) · Autism : the international journal of research and practice 2006
★ The Verdict

Tell autistic kids why emotion faces matter—social relevance instructions erase attention gaps in lab tasks.

✓ Read this if BCBAs running social skills or emotion ID programs with school-age clients.
✗ Skip if Clinicians focused only on toddler joint-attention or adult job skills.

01Research in Context

01

What this study did

The team watched 20 autistic kids and 20 typical kids look at faces on a screen.

Each child saw happy, angry, and neutral faces.

Before the task, half the kids heard: "Pick the person who wants to talk with you." The other half just looked.

02

What they found

When told the faces were for a social game, autistic kids looked at the eyes and mouth just like typical kids.

Without the social hint, they looked less at the key spots.

One sentence of context erased the usual group gap.

03

How this fits with other research

Nijs et al. (2016) seems to disagree. They found autistic kids still smiled less even when social cues were clear. The gap is real but small: Sander checked where kids look; S et al. checked how kids feel. Eye gaze can be normal while inner joy stays flat.

Twito et al. (2024) moves the story forward. Adults with autism could learn an "average" face but could not update it when emotions changed. Sander shows kids start okay if we set the stage; Renana warns the next step—flexible updating—may still lag.

Kong et al. (2025) adds a twist. Uncorrected astigmatism slowed face scanning even more. So vision checks come first; then add social relevance cues.

04

Why it matters

You can level the playing field in one breath. Tell your learner, "Look at my face to know if you’re right," before you teach emotions, joint attention, or social questions. Pair the rule with quick vision screening so glasses do not block the lesson.

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→ Action — try this Monday

Before an emotion-sort game, say, "Pick the friend who wants to talk," then start the trial.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
59
Population
autism spectrum disorder
Finding
positive

03Original abstract

High-functioning children in the autism spectrum are frequently noted for their impaired attention to facial expressions of emotions. In this study, we examined whether attention to emotion cues in others could be enhanced in children with autism, by varying the relevance of children's attention to emotion expressions. Twenty-eight high-functioning boys with autism and 31 boys from a control group were asked to sort photos depicting smiling or frowning faces of adults. As found in earlier studies, in neutral conditions children with autism were less attentive to emotion expressions than children from a control group. This difference disappeared when children were explicitly asked to make a socially relevant decision. These findings suggest that the attention of children with autism to emotion expressions in others is influenced by situational factors. Theoretical implications of these findings are discussed.

Autism : the international journal of research and practice, 2006 · doi:10.1177/1362361306057862