Autism & Developmental

Maternal judgments of intentionality in young children with autism: the effects of diagnostic information and stereotyped behavior.

Sperry et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Telling moms a child has autism makes them view his repetitive actions as less intentional.

✓ Read this if BCBAs coaching families of toddlers awaiting or receiving an autism diagnosis.
✗ Skip if Clinicians serving only school-age or adult clients.

01Research in Context

01

What this study did

Researchers asked moms to watch short clips of 18-month-olds. Some clips showed typical play. Others showed repeated hand-flapping or spinning.

Half the moms were told the child later got an autism diagnosis. The other half got no label. All moms rated how "on purpose" each action looked.

02

What they found

The label did not change overall ratings. Moms still saw most play moves as intentional.

But for the flapping and spinning, the autism label dropped intentionality scores. Same motion, different meaning.

03

How this fits with other research

Gillberg et al. (1983) saw the same label effect with preschool twins. When adults knew the child was autistic, they spoke more simply and kept him on task.

Margoni et al. (2019) flips the picture. Their autistic preschoolers could tell accidental from on-purpose harm, showing the kids themselves grasp intention.

Buon et al. (2013) and Fernandes et al. (2022) add that autistic adults sometimes miss others’ intentions. Together the papers say: intention-reading is patchy, not missing, and outside labels shape how we judge it.

04

Why it matters

Your words change parent eyes. If you call a behavior "stereotypy," moms may see it as less purposeful. That can cut child control and increase adult takeover. Before you share a diagnosis, show the function of the movement—sensory, communication, or play—so families stay curious instead of closing the intention book.

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Describe the sensory or communicative purpose of a stereotypy before naming the diagnosis.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
36
Population
autism spectrum disorder
Finding
null

03Original abstract

This study examined the relation among maternal judgment of intentionality and variables relevant to families of children with autism. Thirty-six mothers of children with autism rated segments of home videotape of behavior from very young children later diagnosed with autism. Mothers were randomly assigned to either a diagnostic or a no diagnostic information group. No significant difference was found on overall ratings of intentionality. Maternal stress was not correlated with overall ratings of intentionality for either group. Mothers in the diagnostic information group rated stereotyped behavior as less intentional. Post hoc analyses showed no differences on maternal ratings of intentionality when the child was in a social setting or interacting with an object, but there were significant differences between ratings when the child was alone. The results are discussed in relation to early development and identification issues in autism.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1024454517263