Autism & Developmental

Brief report: perception of genuine and posed smiles by individuals with autism.

Boraston et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

Adults with autism miss genuine smiles because they don’t look at the eyes—teach sustained eye contact to improve social cue detection.

✓ Read this if BCBAs teaching social skills to teens or adults with autism in clinic, school, or day-program settings.
✗ Skip if Clinicians focused only on early-intensity language or severe behavior; this work is about subtle face reading in cognitively able clients.

01Research in Context

01

What this study did

Researchers showed adults with autism and typical adults short video clips of smiles. Some smiles were real, some were fake.

An eye-tracking camera recorded where each person looked. After each clip, the adult picked "genuine" or "posed."

The team also asked each person about everyday social interactions to see if smile skill linked to real-life social success.

02

What they found

Adults with autism chose the correct smile type far less often than typical adults.

They spent less time looking at the eye region. The less they looked at eyes, the worse they did on the smile test.

Poor smile reading also tracked with lower social interaction scores in daily life.

03

How this fits with other research

Kleinert et al. (2007) saw the same eye-avoidance a year earlier. That study used many emotions, not just smiles. Together the papers show the eye-gap is stable across tasks.

McLennan et al. (2008) seems to disagree. They found no overall eye-gaze gap between groups for simple emotions. The key difference is task type. D used still photos and basic happy/angry faces. L used dynamic smiles that required spotting tiny eye crinkles. When the cue is subtle, eye-avoidance in autism shows up.

Hanley et al. (2015) extended the idea to live chat. Students with autism who looked less at a speaker’s eyes also missed social tricks like white lies. The smile lab result maps onto real campus life.

04

Why it matters

If your client skips the eyes, they can miss friendly intent and land in social trouble. Build lessons that reward sustained eye contact during natural smiles. Use paused video, mirrors, or FaceTime to practice spotting crow’s-feet at the outer eye. Track trials and praise longer eye looks. Better eye focus may boost both lab scores and lunch-room friendships.

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

Run a 5-trial smile game: show short clips, pause at the apex, and deliver a token each time the client fixates on the eye region for 2 s before answering "real or fake?"

02At a glance

Intervention
not applicable
Design
case control
Population
autism spectrum disorder
Finding
negative

03Original abstract

Individuals with autism are impaired in the recognition of fear, which may be due to their reduced tendency to look at the eyes. Here we investigated another potential perceptual and social consequence of reduced eye fixation. The eye region of the face is critical for identifying genuine, or sincere, smiles. We therefore investigated this ability in adults with autism. We used eye-tracking to measure gaze behaviour to faces displaying posed and genuine smiles. Adults with autism were impaired on the posed/genuine smile task and looked at the eyes significantly less than did controls. Also, within the autism group, task performance correlated with social interaction ability. We conclude that reduced eye contact in autism leads to reduced ability to discriminate genuine from posed smiles with downstream effects on social interaction.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0421-1