The use of stories as autistic objects

This paper reviews Frances Tustin's concept of the 'autistic object' and its development over the course of her writings. Clinical material from work with a 4-year-old boy is brought to suggest that the concept can usefully be extended to include such cultural artefacts as stories as well as the physical objects emphasized by Tustin. It is also emphasized that the awareness of reality which autistic objects are used to defend against refers both to internal as well as external reality. The paper argues that it is the function to which the object is put that is critical in determining whether or not it should be viewed as an autistic object.     

Children with autism spectrum disorder are more trusting than typically developing children

The current study examined whether children with autism spectrum disorder (ASD) had an indiscriminate trust bias whereby they would believe any information provided by an unfamiliar adult with whom they had no interactive history. Young school-aged children with ASD and their age- and ability-matched typically developing (TD) peers participated in a simple hide-and-seek game. In the game, an experimenter with whom the children had no previous interactive history pointed to or left a marker on a box to indicate the whereabouts of a hidden reward. Results showed that although young school-aged ASD children did not blindly trust any information provided by the unfamiliar adult, they appeared to be more trusting in the adult informant than did their age- and ability-matched TD children.     

Generalized Schedule Following in a Youth with Autism

Abstract

Photographic activity schedules were used to increase on-task behaviour in a youth with autism. The multiple probe design included baseline, training, tests for training effects, resequencing of photographs, generalization to new photographs, and maintenance. The results showed that the participant was able to carry out four different chains (photographic activity schedules) without any prompts from the staff, even when the photographs were resequenced, and new photographs were included. On the other hand, there was no reduction of training trials to reach criterion from the first to the fourth chain. The results are discussed with reference to different aspects of generalization.     

Prediction of treatment outcomes and longitudinal analysis in children with autism undergoing intensive behavioral intervention

Outcome prediction is an important component of treatment planning and prognosis. However, reliable predictors of intensive behavioral intervention (IBI) have not been clearly established. IBI is an evidence-based approach to the systematic teaching of academic, social, verbal, and daily living skills to individuals with autism spectrum disorder. Incorporating longitudinal analysis to IBI outcome studies may help to identify outcome predictors of clinical value. Twenty-four children with autism underwent on average two years of IBI and completed language, daily living skills, cognitive, and motor assessments (Early Learning Accomplishment Profile and the Learning Accomplishment Profile-Diagnostic, 3rd edition) every six months. We used multilevel analysis to identify potential longitudinal predictors including gender, age, intervention intensity, intervention duration, total intervention time, and pre-intervention functioning. Results indicated that total intervention time, pre-intervention functioning, and age caused the greatest increase in goodness-of-fit of the longitudinal multilevel models. Longitudinal analysis is a promising analytical strategy to identify reliable predictors of the clinical outcome of IBI.     

An interactional “live eye tracking” study in autism spectrum disorder: combining qualitative and quantitative approaches in the study of gaze

Recent studies on gaze behaviours in individuals with autism spectrum disorder (ASD) have utilised “live eye tracking.” Such research has focused on generating quantitative eye tracking measurements, which provide limited (if any) qualitative contextual details of the actual interactions in which gaze occurs. This article presents a novel methodological approach that combines live eye tracking with qualitative interaction analysis, multimodally informed conversation analysis. Drawing on eye tracking and wide-angle video recordings, this combination renders visible some of the functions, or what gaze “does,” in interactional situations. The participants include three children with ASD and their adult co-participants during body-movement gaming sessions. The article demonstrates how quantitative eye tracking research can be extended qualitatively using a microanalytic interaction analysis to recontextualise the gaze shifts identified. The findings in this article show that the co-participants treat a child’s gaze shifts differently depending on when these occur in a stream of other action. The study suggests that introducing this qualitative dimension to eye tracking research could increase its ecological validity and offer new insight into gaze behaviours in ASD.     

高功能孤独症者非字面语义理解缺陷：隐喻视角的ERP研究

研究采用事件相关电位技术从隐喻语义理解角度考察了高功能孤独症成人非字面语义理解中的行为特点及脑半球参与模式。行为结果显示：高功能孤独症成人对新异隐喻句的反应时最长,两类隐喻句的反应时均长于普通成人,但错误率上两组被试间无差异。脑电结果显示：高功能孤独症组对新异隐喻句的N400波幅最大,未出现半球偏侧化现象,传统隐喻句在左半球的N400波幅大于右半球,两类隐喻句的N400波幅均大于正常被试。结论：高功能孤独症成人具备隐喻理解能力,并对新异隐喻的理解做出更多努力,但右脑功能异常仍旧存在,左右半球在总体功能或神经联通性上仍旧弱于常人。     

The relationship between premature birth and caregiver first concern in toddlers with autism spectrum disorder: A brief report

The current study examines the relationship between premature birth and the age at which caregivers first become concerned with their child’s development in a sample of 84 toddlers with autism spectrum disorder (ASD). The participants were split into two groups: those born prematurely and those born full term. The results indicate that the age of caregiver first concern is significantly younger for those born prematurely than those born full term. The average age caregivers reported first becoming concerned about their child’s development was around 7 months for participants born prematurely and around 13 months for participants born full term. Possible explanations for the results and their implications are discussed.     

自闭症谱系障碍儿童在多重线索下习得词语的眼动研究

本文利用眼动追踪技术在基线、一致和矛盾3种实验条件下考察感知觉线索和社会性线索在自闭症谱系障碍儿童词语习得中的相对作用。行为数据结果表明, 此类儿童在矛盾条件下选择枯燥物体作为新异词语的所指对象, 这说明社会性线索较之于感知觉线索具有优势作用; 而他们在基线和一致条件下选择有趣物体作为新异词语的所指对象, 且一致条件的词语习得成绩优于基线条件, 这说明社会性线索较之于感知觉线索具有促进作用。眼动数据结果表明, 此类儿童在脸部注视模式和视线追随行为上与普通儿童存在差异。这说明, 虽然社会性线索在此类儿童与普通儿童的词语习得中具有相同的相对作用, 但他们获取社会性信息的方式与普通儿童存在差异。     

Comparison of progressive prompt delay with and without instructive feedback

We examined the effectiveness and efficiency of 2 instructional arrangements using progressive prompt delay (PPD) with 3 young children with autism and 1 child with developmental delays. Specifically, we compared PPD with instructive feedback (IF) to PPD without IF in an adapted alternating treatment design. The results suggested that (a) children with autism and developmental delays can learn when PPD is used with IF, (b) IF can be an effective method of instruction for young children with autism and developmental delays, and (c) the combination of PPD and IF can increase the efficiency of instruction. Data collected 8 to 9 weeks after instruction ended showed that participants maintained mastery of 58% to 92% of the acquired behaviors. We discuss these results within the constraints and limitations of the data and recommend areas for future research.