Autism & Developmental

Empathic responsiveness and helping behaviours in young children with Williams syndrome.

Plesa Skwerer et al. (2016) · Journal of intellectual disability research : JIDR 2016
★ The Verdict

Big feelings need a script—teach Williams toddlers exactly what to do when they notice someone is upset.

✓ Read this if BCBAs writing social-skill plans for preschoolers with Williams syndrome.
✗ Skip if Clinicians only treating older WS clients with no empathy-helping goals.

01Research in Context

01

What this study did

Spriggs et al. (2016) watched toddlers with Williams syndrome, Down syndrome, and typical kids during a staged mishap. An adult knocked over a cup and looked sad. The team scored how much each child showed concern and whether the child tried to help.

They used simple acts: staring at the sad adult, offering a toy, or handing back the cup. No drills, no rewards—just a quick snapshot of natural reactions.

02

What they found

Williams kids showed the biggest frowns and worried looks. Yet they helped no more than the other groups. Typical kids matched their concern with action; the two syndrome groups did not.

In short, high empathy did not turn into extra helping for Williams or Down toddlers.

03

How this fits with other research

McGonigle et al. (2014) already showed that preschoolers with Williams syndrome shine at friendly talk but lag in daily tasks like pouring juice. The new study adds a social twist: warm feelings alone don’t close the action gap.

Whitehouse et al. (2014) found older Williams youth trust strangers too quickly. Taken together, the picture is clear—social radar is on, but safety and helpful steps need to be taught.

Young et al. (2023) later turned this idea into therapy. They used playful, step-by-step exposure to help Williams kids face fears. The same coaching style could link empathy to real helping acts.

04

Why it matters

Don’t assume a child who says “sorry” or hugs will also wipe the spill or fetch a band-aid. Write goals that spell out the physical help: hand the object, pat the back, get an adult. Pair the child’s strong emotional radar with rehearsed, concrete steps so empathy finally meets action.

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Add one chained task: child sees dropped item → picks it up → hands it over → earns labeled praise.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
down syndrome, neurotypical, other
Finding
mixed

03Original abstract

BACKGROUND: Anecdotal and caregiver reports often highlight the sociability and empathy of children with Williams syndrome (WS), a genetically based neurodevelopmental disorder characterised by a distinctive, cognitive and social phenotype. Despite these characteristics, people with WS have many difficulties navigating the social world. In this study, we investigated whether the heightened social motivation and empathy demonstrated by children with WS lead to prosocial behaviours such as instrumental helping. METHODS: We compared 2;8 to 5;8 year olds with WS to an age-matched and developmental quotient-matched group of children with Down syndrome (DS) and an age-matched group of typically developing children, in their responses to semi-structured naturalistic situations designed to elicit empathic and helping behaviours. RESULTS: Children with WS showed more empathic concern than both comparison groups towards a person in distress but did not differ from controls in their level of helping behaviour. Children in both the WS and DS groups consistently received higher ratings on empathy than on helpfulness, in contrast to the balanced profile shown by the typically developing children. DISCUSSION: Findings suggest that the heightened emotional responsivity displayed by children with WS or DS does not readily translate into other forms of socially competent behaviour. The complex relations between empathy and prosocial behaviours in typical and atypical development are discussed.

Journal of intellectual disability research : JIDR, 2016 · doi:10.1111/jir.12302