Autism & Developmental

The use of social referencing to teach safety skills to toddlers with autism

Couger et al. (2022) · Behavioral Interventions 2022
★ The Verdict

Toddlers with autism can learn to read your face for danger cues in one short chaining session.

✓ Read this if BCBAs teaching safety or social skills to young children with autism in clinic or home settings.
✗ Skip if Practitioners working only with older learners who already show solid gaze following.

01Research in Context

01

What this study did

Couger et al. (2022) worked with two toddlers with autism. The goal was to teach them to look at an adult's face before touching unknown objects.

The team built a chain. First the child saw a new item. Next they turned to look at the adult. Last they acted only if the adult smiled. Prompts and praise shaped each step.

02

What they found

Both toddlers learned the full chain. They checked the adult's face and then chose safe items. The skill stayed strong when new toys and foods were added.

No extra teaching was needed for the new items. The children kept looking at the adult first, even a week later.

03

How this fits with other research

Pelaez et al. (2012) showed that typical babies as young as four months can learn the same look-then-act rule. Couger et al. prove the rule still works when autism delays social learning.

Weisberg et al. (2019) also taught social referencing to kids with autism, but each child needed custom tweaks. Couger kept the procedure almost the same for both toddlers, showing fewer tweaks may be needed when the goal is clear safety cues.

Gunby et al. (2018, 2017) taught gaze following alone. Couger links that gaze to a real-life choice, moving the skill from the table to the playroom.

04

Why it matters

You can add a quick social check to any safety program. Place an odd item on the floor, wait, and deliver a smile or a brief head shake. Reinforce the first look at your face. In minutes the child learns to read you before they grab. The chain protects them from hot cups, broken glass, or pills without adult physical blocks.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Put a novel item on the table, wait for the child to look at you, and smile only if the item is safe—reinforce the first gaze shift.

02At a glance

Intervention
chaining
Design
single case other
Sample size
2
Population
autism spectrum disorder
Finding
positive

03Original abstract

AbstractSocial referencing is a chain of behavior where the presence of an ambiguous stimulus evokes a gaze shift from the stimulus to another individual. The other individual's facial expression signals either the availability of reinforcement or punishment. The purpose was to teach two toddlers with autism to discriminate between safe and dangerous stimuli through a social referencing chain. Participants were trained using differential reinforcement and least‐to‐most prompting to gaze shift from an item inside of a lunchbox or a bin to an adult, and to respond differentially based on the adult's facial expression. Results showed acquisition of both the discrimination between safe and dangerous stimuli and the maintenance of a social referencing chain in the presence of unfamiliar stimuli. These findings are discussed as they relate to the implications of teaching socially valid safety skills to toddlers with autism.

Behavioral Interventions, 2022 · doi:10.1002/bin.1837