Teaching children with autism to tell socially appropriate lies

This study used a nonconcurrent multiple baseline across participants design to evaluate the use of rules, role‐play, and feedback for teaching 3 children with autism spectrum disorder to tell socially appropriate lies when (a) presented with an undesired gift and (b) someone's appearance changed in an undesired way. The intervention was effective in teaching use of socially appropriate lies, and generalization to untrained people and gifts or appearances was observed.     

Teaching foundational perspective‐taking skills to children with autism using the PEAK‐T curriculum: single‐reversal “I–You” deictic frames

We taught basic perspective‐taking tasks to 3 children with autism and evaluated their ability to derive mutually entailed single‐reversal deictic relations of those newly established perspective‐taking skills. Furthermore, we examined the possibility of transfers of perspective‐taking function to novel untrained stimuli. The methods were taken from the PEAK‐T training curriculum, and results yielded positive gains for all 3 children to learn basic perspective taking as well as for 2 of the 3 to derive untrained single‐reversal I relations following direct training of single‐reversal You relations. All participants demonstrated a transfer of stimulus function to untrained stimuli after the single‐reversal deictic relations had been mastered.     

Using video modeling and reinforcement to teach perspective-taking skills to children with autism

We evaluated video modeling and reinforcement for teaching perspective-taking skills to 3 children with autism using a multiple baseline design. Video modeling and reinforcement were effective; however, only 2 children were able to pass an untrained task, indicating limited generalization. The findings suggest that video modeling may be an effective technology for teaching perspective taking if researchers can continue to develop strategies for enhancing the generalization of these new skills.     

Establishing a generalized repertoire of helping behavior in children with autism

The present study used a multiple baseline across participants design to assess whether 4 children with autism could learn a generalized repertoire of helping adults with different tasks through the use of a multicomponent teaching package. Different helping responses were taught in the presence of multiple exemplars of discriminative stimuli drawn from experimenter-defined categories of helping behavior (e.g., locating objects, putting away items, setting up an activity). During the training condition, video models, prompting, and reinforcement were used. The results showed that all 4 children learned to emit appropriate helping responses in the presence of discriminative stimuli from the helping categories used during training. Generalization of helping responses was observed in the presence of untrained discriminative stimuli during additional probe conditions. Additional pre- and postintervention generalization trials showed that the frequency of helping responses also increased in the presence of novel stimuli, in a novel setting, and with a novel instructor.     

Using multiple-exemplar training to teach a generalized repertoire of sharing to children with autism

The current study examined the utility of multiple-exemplar training to teach children with autism to share. Stimuli from 3 of 4 categories were trained using a treatment package of video modeling, prompting, and reinforcement. Offers to share increased for all 3 children following the introduction of treatment, with evidence of skill maintenance. In addition, within-stimulus-category generalization of sharing was evident for all participants, although only 1 participant demonstrated across-category generalization of sharing. Offers to share occurred in a novel setting, with familiar and novel stimuli, and in the presence of novel adults and peers for all participants during posttreatment probes.     

Contextual influence over deriving others' true beliefs using a relational triangulation perspective‐taking protocol (RT‐PTP‐M1)

This paper introduces the relational triangulation framework as a functional contextual expansion of the established Relational Frame Theory (Hayes, Barnes‐Holmes, & Roche, 2001) account of perspective‐taking. Initial support for the new framework is provided through data collected with a novel relational triangulation perspective‐taking protocol configured in the present study to show contextual influence over deriving true belief in others following the direct training of a “seeing leads to knowing” repertoire (Leslie & Frith, 1988). Eight verbally competent adults were directly trained to make operant discriminations on a first set of target stimuli (i.e., the identities of three distinct figurines) and then directly trained to make contextually controlled deictic pointing responses to a second set of target stimuli (i.e., to the relative location of a target beacon according to the signaled spatial perspective of the self vs. two others). The test for derivation was whether the stimuli that had directly acquired contextual control over deictic perspective‐taking during training would spontaneously exert contextual control over figurine discrimination relative to the spatial perspective of the two others. That is, passing the test for derivation required participants to infer that the others would “report what they were seeing” the same way that the self would if the self were in their position, suggesting coordination of the self and others. Seven of the eight participants exhibited the intended derivation of the others' “true beliefs,” confirming successful relational triangulation perspective‐taking protocol configuration for this purpose.     

言语行为的关系框架理论视角:孤独症谱系障碍的新探索

语言功能异常是孤独症谱系障碍(ASD)的典型症状之一。1957年,斯金纳从行为学角度提出"言语行为",认为人们获得表达和理解语言的能力与学会走路、跳舞等行为的原理相同。2001年,海斯等人在斯金纳的基础上提出关于人类语言和认知的新视角——关系框架理论(Relational Frame Theory,RFT),澄清了语言的推衍性实质,认为言语行为是将一个刺激与其他刺激建立关系框架的过程。研究表明基于RFT的多范例训练可以提升ASD患者的推衍关系反应水平,且推衍关系反应与语言和认知功能的发展高相关。未来RFT的研究可以探索如何通过推衍关系反应训练修复ASD患者的语言和认知功能缺陷。     

Effects of exemplar training in exclusion responding on auditory-visual discrimination tasks with children with autism

In Experiment 1 with 7 autistic children (3 to 6 years old), auditory-visual exclusion was tested with four unknown word-item pairs for each child. One child demonstrated exclusion and positive learning outcomes unequivocally with the four auditory-visual relations. Three children demonstrated exclusion, though inconsistently, and failed to demonstrate positive learning outcomes. The remaining 3 children failed to demonstrate exclusion; therefore, the learning outcome test was omitted. The 6 children who failed to demonstrate exclusion or positive learning outcomes participated in the second experiment. In Experiment 2, nonreinforced exclusion trials with four new unknown word-item pairs were included in trial blocks that also contained reinforced exclusion trials with the unknown exemplars from Experiment 1. Five children demonstrated exclusion with the new word-item pairs, and 4 of these demonstrated positive learning outcomes in further tests. One child demonstrated some limited but inconsistent improvement in exclusion and was not tested for learning outcomes. The data suggest that contemporaneous presentation of multiple examples of reinforced exclusion facilitated nonreinforced exclusion performances and that the resulting reduction in errors was critical in producing accurate learning outcomes with the new word-item discriminations.     

Visual perspective taking impairment in children with autistic spectrum disorder

Evidence from typical development and neuroimaging studies suggests that level 2 visual perspective taking - the knowledge that different people may see the same thing differently at the same time - is a mentalising task. Thus, we would expect children with autism, who fail typical mentalising tasks like false belief, to perform poorly on level 2 visual perspective taking as well. However, prior data on this issue are inconclusive. We re-examined this question, testing a group of 23 young autistic children, aged around 8 years with a verbal mental age of around 4 years and three groups of typical children (n = 60) ranging in age from 4 to 8 years on a level 2 visual perspective task and a closely matched mental rotation task. The results demonstrate that autistic children have difficulty with visual perspective taking compared to a task requiring mental rotation, relative to typical children. Furthermore, performance on the level 2 visual perspective taking task correlated with theory of mind performance. These findings resolve discrepancies in previous studies of visual perspective taking in autism, and demonstrate that level 2 visual perspective taking is a mentalising task.     

A blueprint for general‐case procedures illustrated by teaching adolescents with autism spectrum disorder to use a chip‐debit card

Individuals diagnosed with autism spectrum disorder (ASD) often respond poorly to novel stimulus combinations and may have difficulty discriminating across critical and noncritical stimulus dimensions without direct teaching. General‐case procedures and multiple‐exemplar training have been effectively used to address this deficit. In the current study, the experimenters outlined general‐case procedures with video modeling, prompting and reinforcement to teach three adolescents with ASD a generalized repertoire of using a chip‐debit card. A multiple‐probe across participants design demonstrated the effectiveness of these procedures. All participants acquired the skill, responding generalized from simulated teaching materials to four novel automatic payment machines, and maintained 4 weeks following teaching. Implications of using these general‐case procedures as a blueprint for future researchers to reference when teaching individuals with ASD a generalized repertoire of any skill are discussed.     

‘You be the big sister’: Maternal‐preschooler internal state discourse,perspective‐taking,and sibling caretaking

Maternal–preschooler internal state discourse, preschooler perspective‐taking, and sibling caretaking for 32 dyads (preschooler M age=46.4 months, toddlers=14 months) was examined across three contexts varying in emotional demands: (a) naturalistic home observations, (b) mother–preschooler book reading (Parent–Child Affect Communication Task; Zahn‐Waxler, Ridgeway, Denham, Usher and Cole, 1993), and (c) a laboratory maternal separation session. Preschooler perspective‐taking was positively associated with emotional understanding during book reading. However, mothers did not adjust their internal state discourse in any of the three contexts to reflect preschoolers' perspective‐taking skills. Both preschooler internal state language during sibling conflict and maternal leave‐taking discourse were associated with sibling caretaking. Findings are discussed in light of the role of family discourse and dynamics in the development of children's social understanding. Copyright © 2004 John Wiley & Sons, Ltd.     

Assessing and teaching job‐related social skills to adults with autism spectrum disorder

Few studies have evaluated interventions to improve the job‐related social skills of adults with autism spectrum disorder. In this study, we examined the efficacy of a treatment package for teaching several social skills that are critical to job success, such as responding appropriately to feedback and asking for a task model from the supervisor. Three adults, aged 19 to 27 years, participated. Initial training of each skill consisted of verbal explanations, modeling, and role‐play with feedback, along with stimulus prompts to promote generalization to a different setting. The trainer introduced additional intervention components as needed. We also evaluated generalization across different social skills and evocative situations. Results indicated that the treatment package was generally effective in improving the targeted social skills, and that stimulus prompts may be necessary for generalization to a job setting. However, generalized responding across social skills rarely emerged. These findings have important implications for preparing individuals with autism to function successfully on the job.     

Animal Faux Pas: Two Legs Good Four Legs Bad for Theory of Mind,but Not in the Broad Autism Spectrum

Research shows that the general population varies with regard to both autistic traits and theory of mind (ToM) ability. Other work has shown that autistic individuals may not underperform on ToM tests when the agent of evaluation is anthropomorphic rather than typically human. Two studies examined the relation between ToM and autistic trait profiles in over 650 adults using either the standard Faux Pas Recognition Test (FPT) or an anthropomorphized version of the FPT (FPTa). Results showed that autistic trait profiles were related to faux pas detection ability in the FPT but not the FPTa. Furthermore, while those with the broad autism phenotype scored significantly worse than those who were typically developed on the FPT, scores did not significantly differ on the FPTa. These findings add to a growing body of work suggesting that ToM ability is not at a global deficit in those on the autistic spectrum, but may relate to the mindreading of specifically human agents.     

“Making it explicit” makes a difference: Evidence for a dissociation of spontaneous and intentional level 1 perspective taking in high-functioning autism

The ability of perspective taking is a fundamental aspect of social cognition. The ability to decide, what another person can or cannot see is referred to as “level 1 perspective taking.” This is thought to be a process that we can make use of intentionally, but which also takes place spontaneously. Autism is characterized by impairments of social interaction, which are thought to be related to deficits in implicit rather than explicit perspective taking. In order to assess both levels of processing with regard to perspective taking, we employed an established task in patients and controls. Our results demonstrate that both groups engage in spontaneous level 1 perspective taking. In contrast to controls, however, patients reacted more slowly if they had to verify the other’s as compared to their own perspective, which shows that participants with high-functioning autism have selective difficulties in explicit, but not implicit, level 1 perspective taking. These findings demonstrate that while spontaneous level 1 perspective taking appears to be intact in autism, this ability is impaired in patients when used explicitly.