Autism & Developmental

Decision-making in a changing world: a study in autism spectrum disorders.

Robic et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Adults with autism dip in accuracy when social rules suddenly change—front-load structure before you fade it.

✓ Read this if BCBAs coaching adults with autism on social, vocational, or driving skills.
✗ Skip if Clinicians serving only young children or clients with severe ID.

01Research in Context

01

What this study did

Nickerson et al. (2015) asked adults with autism to play a computer game. The game changed its rules without warning.

Sometimes the rule change involved social pictures, like faces. Other times it used neutral shapes. The team timed how fast and how well each adult adjusted.

02

What they found

Adults with autism made more mistakes than neurotypical adults right after the rule changed. The drop was biggest when the new rule involved social pictures.

In plain words, they struggled to switch gears when social cues shifted.

03

How this fits with other research

Gonzalez et al. (2013) saw the opposite pattern. Their adults with autism beat controls on a visual luggage-screening task. The twist: that task never changed its rules. The contradiction disappears when you see one job rewarded rigid focus while the other punished it.

Chezan et al. (2019) muddies the water. They also ran a visual search test, but added real-world clutter and social distractions. This time adults with autism were slower and less accurate. Together the three papers show: predictability helps, messy shifts hurt.

Worsham et al. (2015) used a similar social-decision lab set-up the same year. They found adults with autism sped up at the cost of accuracy when faces created conflict. The pair of 2015 studies warns us: rushing plus shifting rules is a double handicap.

04

Why it matters

If you run social skills or vocational training, build in clear signals when rules change. Start with stable, structured drills before you add real-life curveballs. Give written or visual prompts when social expectations shift. This small tweak can cut errors and frustration for adults who find rule changes extra hard.

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→ Action — try this Monday

Post a visual cue that signals 'rule change' before you switch activities in social skills group.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
29
Population
autism spectrum disorder
Finding
negative

03Original abstract

To learn to deal with the unexpected is essential to adaptation to a social, therefore often unpredictable environment. Fourteen adults with autism spectrum disorders (ASD) and 15 controls underwent a decision-making task aimed at investigating the influence of either a social or a non-social environment, and its interaction with either a stable (with constant probabilities) or an unstable (with changing probabilities) context on their performance. Participants with ASD presented with difficulties in accessing underlying statistical rules in an unstable context, a deficit especially enhanced in the social environment. These results point out that the difficulties people with ASD encounter in their social life might be caused by impaired social cues processing and by the unpredictability associated with the social world.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2311-7