Autism & Developmental

Visual attention to competing social and object images by preschool children with autism spectrum disorder.

Sasson et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Special-interest objects pull preschoolers’ eyes away from human faces, so control the environment before social teaching.

✓ Read this if BCBAs running social-skills groups or eye-contact programs with 3- to 5-year-olds with autism.
✗ Skip if Clinicians working only with infants or school-age fluency clients.

01Research in Context

01

What this study did

The team showed preschoolers with autism two pictures at once. One picture was a face. The other was an object tied to the child’s special interest, like trains or wheels.

Kids wore eye-tracking goggles. The researchers counted how long each child looked at the face versus the object.

02

What they found

Children with autism looked at the faces far less when their special-interest object was on the same screen.

Typical preschoolers kept looking at the faces. The difference was large on all three eye-tracking measures.

03

How this fits with other research

Wilson et al. (2023) repeated the setup but swapped in animal faces. Kids with autism kept looking at the animal faces even when their special objects were present. Animal faces seem to resist the pull of CI objects, while human faces do not.

Fullana et al. (2007) looks like the opposite finding: when CI objects were placed inside a play session, kids started more social bids. The key difference is context. In the 2014 study children only watched pictures. In the 2007 study they played with an adult. Passive viewing hurts face gaze, but interactive play can use the object to spark social contact.

Ferreri et al. (2011) showed the same preschool group already fixates longer on CI objects. The new work proves this fixation comes at the cost of human faces.

04

Why it matters

If you need eye contact or social attention, move the child’s special-interest objects out of sight first. Swap in animal pictures or toys when you want shared attention without losing engagement. During play, you can safely embed the object to create social moments, but keep screens and pictures of the object away when teaching face-to-face skills.

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

Clear the table of the child’s favorite objects before starting face-to-face drills.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
30
Population
autism spectrum disorder
Finding
negative
Magnitude
medium

03Original abstract

Eye tracking studies of young children with autism spectrum disorder (ASD) report a reduction in social attention and an increase in visual attention to non-social stimuli, including objects related to circumscribed interests (CI) (e.g., trains). In the current study, fifteen preschoolers with ASD and 15 typically developing controls matched on gender and age (range 24-62 months) were eye tracked while viewing a paired preference task of face and object stimuli. While co-varying verbal and nonverbal developmental quotients, preschoolers with ASD were similar to controls in their visual attention to faces presented with objects unrelated to CI, but attended significantly less than controls to faces presented with CI-related objects. This was consistent across three metrics: preference, prioritization and duration. Social attention in preschoolers with ASD therefore appears modulated by salience of competing non-social stimuli, which may affect the development of both social and non-social characteristics of the disorder.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-013-1910-z