Autism & Developmental

Social approach in pre-school children with Williams syndrome: the role of the face.

Dodd et al. (2010) · Journal of intellectual disability research : JIDR 2010
★ The Verdict

Face contact is not the fuel for the over-friendly approach seen in Williams syndrome.

✓ Read this if BCBAs writing safety or social programs for preschool and school-age kids with Williams syndrome.
✗ Skip if Clinicians who only serve adults with WS or teams focused on ASD without WS cases.

01Research in Context

01

What this study did

Researchers watched preschoolers with Williams syndrome meet a stranger.

Half the time the stranger wore a cloth over her face.

Kids could choose to move closer or stay back.

The team wanted to know if the children’s famous friendliness needs a face to trigger it.

02

What they found

Children with Williams syndrome walked right up to the stranger, even when her face was hidden.

Typical kids held back more, especially when the face was covered.

The result shows the syndrome’s social approach is not just a love of faces.

03

How this fits with other research

Libero et al. (2016) asked parents and heard the same story: their kids rush toward strangers at the store, not just in labs.

Ng et al. (2014) adds that the motor is a deep wish for warm, affectionate contact, not simply face staring.

Tyrer et al. (2009) seems to disagree: they found typical social-anxiety levels in older people with Williams syndrome.

The gap is age, not fact. Preschoolers barrel forward; teens and adults learn some caution even though their anxiety scores stay average.

04

Why it matters

If you write a social-skills plan, do not bank on face masks or “don’t talk to strangers” pictures to slow them down.

Teach stop-rules, safe-distance games, and scripted check-ins with trusted adults instead.

Start early: the pull toward people shows up before kindergarten and lasts into internet use, as Libero et al. (2016) later showed for online risk.

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Run a 5-minute “stop at arm’s length” drill before free play and praise every stop with high-five or token.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
10
Population
other
Finding
positive

03Original abstract

BACKGROUND: Indiscriminate social approach behaviour is a salient aspect of the Williams syndrome (WS) behavioural phenotype. The present study examines approach behaviour in pre-schoolers with WS and evaluates the role of the face in WS social approach behaviour. METHOD: Ten pre-schoolers with WS (aged 3-6 years) and two groups of typically developing children, matched to the WS group on chronological or mental age, participated in an observed play session. The play session incorporated social and non-social components including two components that assessed approach behaviour towards strangers; one in which the stranger's face could be seen and one in which the stranger's face was covered. RESULTS: In response to the non-social aspects of the play session, the WS group behaved similarly to both control groups. In contrast, the pre-schoolers with WS were significantly more willing than either control group to engage with a stranger, even when the stranger's face could not be seen. CONCLUSION: The findings challenge the hypothesis that an unusual attraction to the face directly motivates social approach behaviour in individuals with WS.

Journal of intellectual disability research : JIDR, 2010 · doi:10.1111/j.1365-2788.2009.01241.x