Autism & Developmental

Social Decision Making in Autistic Adolescents: The Role of Theory of Mind, Executive Functioning and Emotion Regulation.

Woodcock et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Autistic teens offer fewer fair deals because they need more time to weigh fairness and can’t shake off rejection quickly.

✓ Read this if BCBAs running social-skills or peer-negotiation programs for autistic middle- and high-schoolers.
✗ Skip if Clinicians focused on early learner or adult vocational teams where bargaining games aren’t used.

01Research in Context

01

What this study did

Woodcock et al. (2020) watched autistic and typical teens play an Ultimatum Game.

Each teen decided how to split ten dollars with another player.

The team also tested theory-of-mind, executive skills, and emotion control.

02

What they found

Autistic teens offered fewer fair splits.

After getting stingy offers, they stayed upset longer and used fewer calming tricks.

Typical teens matched their age and IQ, but still handled the social slap better.

03

How this fits with other research

Ghosn et al. (2025) looked at the same game and found autistic youth took more time, not less fairness.

Their slower choices show careful thought, not poor control — an update that refines Anne’s story.

Knaier et al. (2023) review agrees: autistic people do fine on simple reward tasks, yet struggle when values clash.

So the “selfish” offers may reflect slow fairness checks plus weak emotion cool-down, not mean intent.

04

Why it matters

When you run social-skills groups, give autistic teens extra seconds to decide and teach quick calm-down tools like deep breaths or brief self-talk.

Frame negotiation tasks as fairness puzzles, not speed contests, and coach emotion recovery right after rejection.

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→ Action — try this Monday

Add a 5-second wait cue before any client response in social bargaining games and pair it with a rehearsed calming step like shoulder shrugs plus exhale.

02At a glance

Intervention
not applicable
Design
case control
Sample size
20
Population
autism spectrum disorder
Finding
negative

03Original abstract

Social decision making is often challenging for autistic individuals. Twenty autistic adolescents made decisions in the socially interactive context of a one-shot ultimatum game, and performance was compared to a large matched typical reference sample. Theory of mind, executive functioning and emotion regulation were measured via direct assessments, self- and parent report. Relative to the reference sample, autistic adolescents proposed fewer fair offers, and this was associated with poorer theory of mind. Autistic adolescents responded similarly to the reference sample when making decisions about offers proposed to them, however they did not appear to down regulate their negative emotion in response to unfair treatment in the same way. Atypical processes may underpin even apparently typical decisions made by autistic adolescents.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-03975-5