Autism & Developmental

Atypical Gaze Cueing Pattern in a Complex Environment in Individuals with ASD.

Zhao et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

In busy settings, clients with autism may not pick up gaze cues unless you give them an active reason to look.

✓ Read this if BCBAs running social-skills groups in classrooms, clinics, or community settings.
✗ Skip if Practitioners who only work on vocal manding with one-to-one table setups.

01Research in Context

01

What this study did

Zhao et al. (2017) asked adults with and without autism to watch a busy screen. Faces popped up and looked left or right. The task was to press a key when a target appeared where the face looked.

The twist: sometimes the screen had only a few items, sometimes it was packed with colors and shapes. The team tracked where each participant’s eyes went first and how fast they followed the gaze cue.

02

What they found

Typical adults got faster at following gaze when the scene was cluttered. Adults with autism did not. Their eyes stayed flat no matter how busy the screen became.

In simple scenes both groups did fine. Once complexity rose, the autism group lost the quick boost that usually helps people spot social hints.

03

How this fits with other research

Forgeot d'Arc et al. (2017) saw the same gap using a different test. They found people with autism need a bigger angle to tell where eyes point. Both studies agree: basic gaze reading is weaker in autism.

Cohrs et al. (2017) moved from still faces to short movies of kids playing. Youth with autism looked less at the social parts, and this predicted lower daily-living scores. Shuo’s lab result now helps explain why: busy real-life scenes may not guide their eyes the way they guide typical peers.

Wang et al. (2023) seemed to disagree. They showed preschoolers with autism will look at eyes if the task tells them to find a matching face. The fix is simple: give the child an active job. Shuo’s adults had no job beyond “press when you see the star,” so the cue stayed passive and the boost never came.

04

Why it matters

If your client ignores your eye shift in a noisy classroom, reduce visual clutter first. Then add an active step: “Point to the item I look at.” This pair of moves turns Shuo’s lab finding into a Monday-morning teaching tactic.

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Before giving a gaze cue, clear extra materials off the table, then say, “Look at me and tell me what I see.”

02At a glance

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

03Original abstract

Clinically, social interaction, including gaze-triggered attention, has been reported to be impaired in autism spectrum disorder (ASD), but psychological studies have generally shown intact gaze-triggered attention in ASD. These studies typically examined gaze-triggered attention under simple environmental conditions. In real life, however, the environment is complex. Previous studies have shown that an enhanced cueing effect was found when using eye gaze compared with arrow cues in unpredictably complex conditions in typically developing (TD) individuals. However, in the current study, compared with TD individuals, the cueing effect failed to enhance when using eye gaze compared with arrow cues under complex conditions in individuals with ASD. This may reflect the atypical style of gaze-triggered attention when individuals with ASD adapt to environmental complexity.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3116-2