Autism & Developmental

Getting a grip on social gaze: control over others' gaze helps gaze detection in high-functioning autism.

Dratsch et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

High-functioning clients catch eye contact only when they cause it—give them a way to request or trigger your gaze.

✓ Read this if BCBAs running social-skills groups or conversation training with teens and adults with autism.
✗ Skip if Clinicians serving non-verbal or lower-cognitive clients where joystick tasks aren’t practical.

01Research in Context

01

What this study did

Dratsch et al. (2013) asked adults with high-functioning autism to spot when a face looked straight at them.

Some trials let the participant move a joystick to make the face look at them. Other trials gave no control.

The team compared accuracy between the autism group and neurotypical adults.

02

What they found

When participants had no control, the autism group missed many direct-gaze moments.

When they could steer the gaze themselves, both groups scored the same.

Passive detection was weak; active control stayed intact.

03

How this fits with other research

Schilbach et al. (2012) ran a near-copy task and also found that adults with autism did not speed up when stared at, while controls did. Together the two papers map a clear line: self-controlled gaze works, outside gaze does not.

Uono et al. (2021) seems to disagree. Their autistic adults judged self-directed gaze as well as controls. The gap disappears when you note the 2021 study used older adults who gave explicit yes-no answers, whereas Thomas tested quick, passive detection. Method, not biology, drives the clash.

Freeth et al. (2019) moved the lab result into real talk. Autistic adults looked less at a partner’s face the moment eye contact arrived, echoing the passive-detection weakness in live chat.

04

Why it matters

If your client is just watching, they may not notice when you look at them. Build in response loops: let them press a button, shift a cursor, or give a sign to “ask” for eye contact. Active turns make social gaze visible and teachable.

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→ Action — try this Monday

Start a turn-taking game where the client taps a card to make you look at them; reinforce the tap and the returned gaze.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
76
Population
autism spectrum disorder
Finding
negative

03Original abstract

We investigated the influence of control over a social stimulus on the ability to detect direct gaze in high-functioning autism (HFA). In a pilot study, 19 participants with and 19 without HFA were compared on a gaze detection and a gaze setting task. Participants with HFA were less accurate in detecting direct gaze in the detection task, but did not differ in their ability to establish direct gaze in the setting task. In the main experiment, the results of the pilot study were replicated with 37 participants with and 39 without HFA, suggesting that individuals with HFA have a specific deficit in the passive perception of social cues as opposed to the active control, which seems to be intact.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1569-x