Autism & Developmental

Children with autism fail to orient to naturally occurring social stimuli.

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

Kids with autism often miss everyday social bids like hearing their name, so simplify the scene and spotlight one social cue at a time.

✓ Read this if BCBAs assessing or teaching toddlers and preschoolers with autism in clinic or home programs.
✗ Skip if Practitioners working with high-functioning adults or purely academic skill goals.

01Research in Context

01

What this study did

Sutphin et al. (1998) watched how kids react to everyday social cues. They compared children with autism to kids with Down syndrome and typical kids. The team used simple real-life moments like hearing their name or seeing someone clap. They timed how fast each child looked toward the social cue.

They ran the test in a quiet room with toys around. No extra prompts or rewards were given. The goal was to see if autism itself makes social orienting harder.

02

What they found

Children with autism looked toward social events much less and much later than both other groups. They also showed fewer shared-attention moments like pointing or showing toys. The delay was large enough to be obvious without timers.

The result pointed to a specific social attention gap, not just a general delay.

03

How this fits with other research

Flanagan et al. (2015) seems to disagree. They found no social orienting gap when kids were matched on mental age. The key difference: Tara's team used computer cues and controlled mental age, while G et al. used natural sounds and matched only chronological age. The clash warns us to check how we measure both ability and stimuli.

Chita-Tegmark (2016) backs G et al. in a big way. A meta-analysis of 38 eye-tracking studies shows medium social attention deficits in autism, especially when scenes hold more than one person. The 1998 finding sits inside that larger trend.

Amso et al. (2014) extends the idea to bottom-up capture. Preschoolers with autism were extra drawn to flashy objects, and this extra capture linked to worse language scores. Together the papers suggest two hurdles: social cues are missed and nonsocial distractors win too easily.

04

Why it matters

If a child ignores their name or clapping, first rule out hearing issues, then consider social orienting weakness. Start therapy in a quiet space with one clear social cue at a time. Use highly preferred items or direct eye-gaze shown by Chevallier et al. (2013) to pull attention. When progress stalls, check mental-age match in your tasks to avoid the Tara contradiction. Target orienting early; Burnside et al. (2017) links it to later theory-of-mind growth.

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Call the child's name once, wait three full seconds, and reinforce the very first head-turn with a preferred item to build social orienting.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, down syndrome, neurotypical
Finding
negative
Magnitude
large

03Original abstract

Children with autism were compared to developmentally matched children with Down syndrome or typical development in terms of their ability to visually orient to two social stimuli (name called, hands clapping) and two nonsocial stimuli (rattle, musical jack-in-the-box), and in terms of their ability to share attention (following another's gaze or point). It was found that, compared to children with Down syndrome or typical development, children with autism more frequently failed to orient to all stimuli, and that this failure was much more extreme for social stimuli. Children with autism who oriented to social stimuli took longer to do so compared to the other two groups of children. Children with autism also exhibited impairments in shared attention. Moreover, for both children with autism and Down syndrome, correlational analyses revealed a relation between shared attention performance and the ability to orient to social stimuli, but no relation between shared attention performance and the ability to orient to nonsocial stimuli. Results suggest that social orienting impairments may contribute to difficulties in shared attention found in autism.

Journal of autism and developmental disorders, 1998 · doi:10.1023/a:1026043926488