Autism & Developmental

Visuospatial perspective taking in people with Down syndrome.

Hershkovich et al. (2023) · Research in developmental disabilities 2023
★ The Verdict

People with Down syndrome can take another’s visual perspective if the task is simple, so pick straightforward assessments and teach in small steps.

✓ Read this if BCBAs assessing or teaching social-cognitive or navigation skills to clients with Down syndrome.
✗ Skip if Practitioners working only with autism or older adults with dementia.

01Research in Context

01

What this study did

Hershkovich et al. (2023) asked whether people with Down syndrome can take someone else's visual point of view. They tested two groups: individuals with Down syndrome and typically developing children matched for non-verbal ability.

They used two classic tasks. The Dog Task is simple: decide if a toy dog sees a bone. The Three Mountains Task is harder: say what a doll sees on a complex model. Both groups tried both tasks.

02

What they found

When the task was easy, accuracy was the same for both groups. The Dog Task showed no difference between Down syndrome and matched controls.

On the harder Three Mountains Task, both groups struggled more, but still performed alike. Task complexity, not Down syndrome itself, drove the drop in scores.

03

How this fits with other research

Williams et al. (2010) and Hewitt et al. (2016) ran similar visuospatial tasks with autism. They also found equal accuracy between clinical and control groups, but discovered autistic learners use mental rotation instead of body cues. The Down syndrome pattern is simpler: if the task is easy, they pass; if it is hard, everyone slips.

Kleinert et al. (2007) showed Down syndrome spatial memory stays solid until extra working-memory load is added. Arielle’s team now extends that rule to perspective-taking: keep the visual load low and the skill looks intact.

Neitzel et al. (2021) found only about one-third of their Down syndrome sample passed a false-belief theory-of-mind task. Arielle et al. add that visuospatial perspective-taking is spared, suggesting not all social-cognitive steps are equally affected.

04

Why it matters

For BCBAs, the message is practical: choose the right test. Use simple, single-view tasks to check visuospatial skills in clients with Down syndrome. Save complex arrays for teaching, not assessment. When you need true perspective shifts, break them into small steps and cut extra visual clutter. This keeps your data clean and your learners confident.

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Swap any busy, multi-view perspective test for a clean two-object scene and record clearer baseline data.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
38
Population
down syndrome, neurotypical
Finding
null

03Original abstract

Visuospatial perspective taking (VPT) refers to the process of mentally representing a viewpoint different from one's own. It is related to mental rotation and theory of mind and helps to support some complex spatial activities such as wayfinding. Despite research advances in spatial cognition, little is known about VPT in people with Down syndrome (DS). Here, we examined VPT in people with DS. A total of 38 individuals with DS (aged 12-25 years old) and nonverbal ability-matched typically developing (TD) children (aged 4-9 years old) participated. They completed two VPT tasks: the classic Piagetian Three Mountains Task and a modified version of the "Dog Task" (Newcombe & Huttenlocher, 1992). For both groups, the Three Mountains Task was more difficult than the Dog Task, implying the impact of task complexity on assessing VPT. However, the overall performance did not differ between the TD and DS groups in either VPT task. Implications of the results were discussed.

Research in developmental disabilities, 2023 · doi:10.3758/s13421-021-01272-0