Autism & Developmental

Dyadic orienting and joint attention in preschool children with autism.

Leekam et al. (2006) · Journal of autism and developmental disorders 2006
★ The Verdict

Autistic preschoolers miss basic adult looks, and those misses predict language delays—but targeted joint-attention drills can close the gap.

✓ Read this if BCBAs running early-intake or preschool autism classrooms.
✗ Skip if Clinicians who only serve verbal school-age learners.

01Research in Context

01

What this study did

Giallo et al. (2006) watched preschoolers with autism and kids with other delays during play. They counted how often each child looked when an adult tried to get their attention. They also counted how often the child pointed or showed toys to share attention.

The team wanted to know if simple looking skills link to bigger language scores.

02

What they found

The autism group looked less at the adult’s face or finger. They also started fewer shared looks at toys.

Kids who missed more adult looks had lower language and non-verbal scores.

03

How this fits with other research

Warreyn et al. (2007) saw the same gap one year later. Their videos showed autistic kids staring at the adult’s finger instead of following to the toy. Together the two papers confirm the looking problem is real and stable.

Bottema-Beutel (2016) pooled many studies and found the link between responding to joint attention and language is stronger in autism than in typical kids. This backs R et al.’s small-sample finding with lots more data.

Lawton et al. (2012) then moved from “they can’t” to “they can.” Their trial taught joint attention and play skills. Autistic preschoolers later showed more shared smiles and words. So the deficit R et al. measured can shift with practice.

04

Why it matters

Check dyadic orienting first. If a child rarely looks when you point or call, teach that skill before heavy language drills. Use quick show-and-point games and reinforce eye shifts, not just quiet sitting. Track looks per minute; gains here may forecast later word spurts.

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→ Action — try this Monday

Run a 5-minute pointing-and-looking game; reinforce the child’s eye shift from your finger to the toy with a favorite item and social praise.

02At a glance

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

03Original abstract

Acts of dyadic orienting (responses to attention bids by a researcher) and acts of joint attention (e.g. pointing and showing behaviors) were observed in preschool children with autism and children with developmental delay. Children with autism responded to fewer adult vocal and non-vocal attention bids that were made singly and by combining modalities (e.g. name call plus touch). Sensitivity in dyadic orienting was significantly related to child-initiated acts of joint attention (IJA). Sensitivity to dyadic orienting was also significantly related to language and non-verbal ability. These findings indicate that dyadic orienting difficulties are found alongside triadic joint attention difficulties in children with autism.

Journal of autism and developmental disorders, 2006 · doi:10.1007/s10803-005-0054-1