Autism & Developmental

Handedness patterns in autism suggest subtypes.

Soper et al. (1986) · Journal of autism and developmental disorders 1986
★ The Verdict

Mixed handedness in autism may point to lower cognitive scores, but newer gender-sensitive tools now give clearer data.

✓ Read this if BCBAs who assess autism in clinic or school teams.
✗ Skip if Clinicians only running verbal behavior programs with no diagnostic role.

01Research in Context

01

What this study did

Soper et al. (1986) watched how autistic people used their hands. They looked for left, right, or mixed hand use. They also gave IQ tests to see if hand choice linked to thinking scores.

The team wanted to know if odd hand-use patterns could split autism into smaller groups.

02

What they found

More autistic people showed left-hand or mixed-hand use than typical samples. The group with mixed hand use also scored lower on IQ tests.

This hints that how a child prefers to hold a pencil may flag a certain cognitive profile.

03

How this fits with other research

Diemer et al. (2023) now shows most clinicians skip female-specific tools. Their newer, sharper tests replace the rough handedness clue from 1986.

Coo et al. (2008) tracked rising autism counts in schools. They proved many gains came from re-labeling, not new cases. Soper et al. (1986) did not speak to counts; it only mapped inner traits.

Milne et al. (2009) later found odd drawing styles in autism. Like handedness, these motor quirks help reveal hidden sub-types.

Together the papers move us from simple body signs to fine-tuned, validated checklists.

04

Why it matters

When you see a child switch hands while writing, note it. Do not use it as a diagnosis, but pair the clue with full tools like those in Diemer et al. (2023). Hand-use remains a quick red flag you can spot on the playground or during table work.

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During table sessions, jot which hand the child uses most; if it switches often, flag for fuller cognitive review.

02At a glance

Intervention
not applicable
Design
case series
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The present study reports preliminary data from two unselected samples of carefully diagnosed autistic subjects (children and adults) and an assessment procedure that includes a large sample of items, appropriate for lower-functioning autistic subjects, with multiple presentations within and between sessions 1 week apart. The study seeks to determine (1) whether a raised incidence of non-right-handedness exists in these samples (2) if so, what constructs best represent this shift in the handedness distribution (i.e., phenotype and CNS substrate) and (3) whether these handedness phenotypes are associated with different levels of cognitive functioning. The results reveal a dramatic shift away from right-handedness in both autistic samples, due to a raised incidence of two phenotypes, manifest left-handedness and ambiguous handedness. The ambiguously handed, who were postulated to represent substantial bilateral CNS pathology due to early brain injury, were found to have much lower intellectual scores in one of the study samples.

Journal of autism and developmental disorders, 1986 · doi:10.1007/BF01531727