Joint attention in preverbal children: autism and developmental language disorder.
Autistic preschoolers share looks with adults far less than language-matched peers, so teach joint attention first.
01Research in Context
What this study did
The team watched preverbal preschoolers during play.
Kids had autism or a developmental language disorder.
Both groups had similar language skills.
Researchers counted how often each child looked at an adult to share interest.
What they found
Autistic children looked at the adult far less.
They missed chances to check if the adult saw the same toy.
The gap was big even though both groups spoke at the same level.
This hints the problem is not just slow language.
How this fits with other research
Neef et al. (1986) saw the same pattern ten years earlier.
Their data also showed autism, not language delay, drives the gap.
Abrahamsen et al. (1990) followed autistic preschoolers for over a year.
They found early joint-attention gestures predicted later language better than starting language scores.
Together these studies say: target joint attention early and directly.
Why it matters
If you serve preverbal autistic preschoolers, screen joint attention in your first visit.
Use simple toys and pause so the child can look at you, then back at the toy.
When this triadic gaze is weak, make it a treatment goal before chasing words.
Teaching the look-back can unlock both social and language gains down the road.
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02At a glance
03Original abstract
For preverbal children, episodes of joint attention are contexts for communication with responsive adults. This study describes the joint attention of 3- to 5-year-old children, 15 with autistic disorder (AD) and 15 with developmental language disorder (DLD), during play sessions with unfamiliar adults. Adults used fewer conventional than literal bids for joint attention with AD children and vice versa with DLD children. Children with AD were less likely to engage in joint attention than children with DLD. In the allocation of attention, AD children monitored the channel of communication with the adult 37% less often than DLD children. We discuss how perturbations in reciprocal interactions permeate the sharing situation and the implications of this problem for the mastery of cultural conventions.
Journal of autism and developmental disorders, 1996 · doi:10.1007/BF02172271