Autism & Developmental

Attentional capacities in children with autism: is there a general deficit in shifting focus?

Pascualvaca et al. (1998) · Journal of autism and developmental disorders 1998
★ The Verdict

Autistic kids can shift attention just fine; they stall when they cannot let go of the prior rule.

✓ Read this if BCBAs running skill-acquisition or social-cognition programs with school-age autistic clients.
✗ Skip if Clinicians who only treat toddlers or adults, or who never use rule-switch tasks.

01Research in Context

01

What this study did

Wilkinson et al. (1998) watched autistic kids do two computer games. One game kept their eyes on a spot. The other asked them to sort cards by color, shape, or number.

The team wanted to know if these kids had trouble moving their attention from one rule to the next.

02

What they found

The kids kept their eyes on the spot as well as typical kids. They also shifted rules on most trials without trouble.

Only on the card-sort game did they get stuck. They kept sorting by the old rule even after the rule changed. The hitch was not in shifting, but in letting go of the old rule.

03

How this fits with other research

Weiss et al. (2001) seems to disagree. They saw high-functioning autism kids lag when switching from small to big pictures. The tasks differ: M et al. used cards; J et al. used local-global pictures. The clash fades when you see both papers point to sticky attention under specific cues, not a broad deficit.

Kaland et al. (2008) ran the same card game on a screen and found autistic kids lost focus mid-task. This backs M et al.'s idea that disengagement, not poor shifting, hurts scores.

Higgins et al. (2021) used math models on a new task and showed that slow punishment learning, not weak shifting, drives poor set-shifting scores. This newer work supersedes the old view that autistic kids lack flexible thinking.

Simpson et al. (2025) added eye-tracking to the card game. Autistic kids looked away from errors faster, missing the chance to correct. This extends M et al. by showing how weak error-monitoring links to stuck performance.

04

Why it matters

You can drop the label "rigid thinker." When an autistic client stalls on a sorting task, prime them to release the old set: flash a brief break screen, give a vocal cue like "new rule," or highlight the new category in bright color. These tiny disengagement boosts often lift accuracy without extra drills.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Insert a 2-second blackout between task rules to help clients disengage from the old set.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
23
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Twenty-three children with autism and two control groups completed an attention battery comprising three versions of the continuous performance test (CPT), a digit cancellation task, the Wisconsin Card Sorting Test (WCST), and two novel, computerized tests of shifting attention (i.e., the Same-Different Computerized Task and the Computerized Matching Task). Children with autism could focus on a particular stimulus and sustain this focus as indicated by their performance on the digit cancellation task and the CPT. Their performance on the WCST suggested problems in some aspects of shifting attention (i.e., disengaging attention). The autism group performed as well as controls on the Same-Different Computerized Task, however, that required successive comparisons between stimuli. This implies that they could, in fact, shift their attention continuously. In addition, they did not differ from controls on the Computerized Matching Task, an analog of the WCST, suggesting that they do not have a general deficit in shifting attention.

Journal of autism and developmental disorders, 1998 · doi:10.1023/a:1026091809650