Autism & Developmental

Joint attention in preverbal children: autism and developmental language disorder.

McArthur et al. (1996) · Journal of autism and developmental disorders 1996
★ The Verdict

Autistic preschoolers share looks with adults far less than language-matched peers, so teach joint attention first.

✓ Read this if BCBAs assessing or treating preverbal autistic children in clinic or home programs.
✗ Skip if Clinicians serving only verbal school-age or adult clients.

01Research in Context

01

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.

02

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.

03

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.

04

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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During play, pause and hold a wind-up toy at your eye level; wait for the child to look at you before you activate it.

02At a glance

Intervention
not applicable
Design
other
Sample size
30
Population
autism spectrum disorder, developmental delay
Finding
negative
Magnitude
medium

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