Autism & Developmental

Complex facial emotion recognition and atypical gaze patterns in autistic adults.

Black et al. (2020) · Autism : the international journal of research and practice 2020
★ The Verdict

Autistic adults stare longer at the mouth when reading complex emotions—prime them to scan the eyes first.

✓ Read this if BCBAs teaching emotion recognition to adults with autism.
✗ Skip if Clinicians who work only with autistic children under 12.

01Research in Context

01

What this study did

Researchers asked autistic and neurotypical adults to watch short videos of people showing mixed emotions.

An eye-tracking camera recorded where each person looked while they named the emotion.

The team compared gaze time on eyes, nose, and mouth between the two groups.

02

What they found

Autistic adults spent more time looking at the mouth than neurotypical adults.

Both groups looked at the eyes about the same amount.

The extra mouth gaze happened only when the emotions were complex and changing, not simple still faces.

03

How this fits with other research

Older papers like Williams et al. (2002) and Spanoudis et al. (2011) found autistic adults look less at eyes.

Those studies used still photos; the new videos show the mouth can grab extra attention when emotions move.

Three child or teen studies seem to clash. Goulardins et al. (2013), Bar-Haim et al. (2006), and Costa et al. (2017) found less eye or mouth gaze, not more.

The gap is likely age: kids and teens may avoid the face, while adults lock onto the mouth to hunt for cues.

04

Why it matters

When you run social-skills groups, highlight eye-region cues and teach clients when the mouth helps or hurts.

Try brief prompts like “check the eyes” right before a dynamic clip.

This small shift may speed emotion recognition without long lectures.

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→ Action — try this Monday

Before playing a short video of a mixed emotion, say “eyes first, mouth second” and replay the clip.

02At a glance

Intervention
not applicable
Design
other
Sample size
40
Population
autism spectrum disorder, neurotypical
Finding
negative

03Original abstract

While altered gaze behaviour during facial emotion recognition has been observed in autistic individuals, there remains marked inconsistency in findings, with the majority of previous research focused towards the processing of basic emotional expressions. There is a need to examine whether atypical gaze during facial emotion recognition extends to more complex emotional expressions, which are experienced as part of everyday social functioning. The eye gaze of 20 autistic and 20 IQ-matched neurotypical adults was examined during a facial emotion recognition task of complex, dynamic emotion displays. Autistic adults fixated longer on the mouth region when viewing complex emotions compared to neurotypical adults, indicating that altered prioritization of visual information may contribute to facial emotion recognition impairment. Results confirm the need for more ecologically valid stimuli for the elucidation of the mechanisms underlying facial emotion recognition difficulty in autistic individuals.

Autism : the international journal of research and practice, 2020 · doi:10.1177/1362361319856969