The autistic dialogic style: a case of Asperger's syndrome

This paper explores the idea of possible proto-experiences of the prenatal child in the context of Bion's model of container/contained. The physical configuration of the embryo/foetus contained in the maternal uterus represents the starting point for an enquiry into the unborn child's possible experiences of its state of being contained in a container. The paper takes into consideration the sensory dimensions of auditory, tactile and kinaesthetic levels of awareness of the prenatal child in relation, respectively, to the maternal voice and the uterine environment. The author's hypothesis is that concrete prenatal experiences of containment may have their mental counterpart in the development of a proto-mental container and memory, the existence of which can be observed in the newborn infant. It is also suggested that prenatal proto-experiences of containment may prepare the child for further postnatal realisations of the pre-conception of containment and represent the experiential basis for the encounter with the breast. Observations of newborn babies in an obstetric ward, as well as the observation of a prematurely born child, seem to confirm the idea that the intrauterine experience of container/contained plays a role in the child's prenatal development. The meaning of prenatal thumb-sucking is explored in terms of the model of container/contained at a part-object level. An observation of the play of a three-year-old child offers material for further thought about the meaning and function of the introjected configuration of container/contained for the development of a sense of identity and symbolic thinking. The clinical case of an autistic child who survived a threatened miscarriage shows how the emotional containment in psychotherapy allowed the formerly inaccessible nameless dread to re-emerge and be represented and shared.     

The use of geometric properties of 2D arrays across development

Four- to 10-year-old children (n = 50) participated in a 2D search task that included geometry (with- and without lines) and feature conditions. During each of 27 trials, participants watched as a cartoon character hid behind one of three landmarks arranged in a triangle on a computer screen. During feature condition trials, participants could use the unique features of landmarks to locate the hidden character. During geometry condition trials the landmarks were identical, and participants had to rely on the geometric properties of the triangle they formed to locate the hidden character. In the feature condition, search accuracy was high for children of all ages. In the geometry condition (both with- and without lines), there was a sharp developmental trend in which 4-year-olds showed poor search accuracy, but performance improved with age and was at ceiling by 9- to 10-years. The presence of lines connecting the landmarks boosted performance most dramatically for the youngest children. Findings are discussed in the context of the broader literature on spatial cognition in human and non-human animals.     

Is Theory of Mind Understanding Impaired in Males with Fragile X Syndrome?

Males with fragile X syndrome (FXS) have difficulties with social interaction and many show autistic features. This study examined whether the social deficits characteristic of FXS are associated with theory of mind difficulties. Two groups of boys with FXS participated: a group with few autistic features and a group with many autistic features. An intellectual disability control group also participated. In addition to using standard theory of mind tasks, new techniques were used that were able to separate out the various processing demands of the task (e.g., memory, inhibitory control). Overall, the findings indicate that both groups of boys with FXS have difficulty with theory of mind tasks compared to an intellectual disability control group. However, both groups with FXS also performed worse on comparison trials that required working memory but not theory of mind. Theory of mind difficulties are likely to be an important aspect of the FXS clinical profile, but are most likely the result from a more basic difficulty with working memory.     

自闭谱系障碍:一种主动性的社会认知控制缺陷

认知控制是一项高级的认知能力,是个体执行功能的一部分。包括认知控制在内的执行功能缺陷被认为是自闭谱系障碍的主要原因之一。本研究基于双重认知控制模型,通过非社会性和社会性两个领域的任务比较了自闭谱系障碍儿童（ASD）与正常发展儿童（TD）的认知控制能力的差异。结果发现：（1）ASD儿童在非社会性领域的认知控制上不存在缺陷,ASD儿童在社会性领域的认知控制上仅表现出了主动性认知控制缺陷,不存在反应性认知控制缺陷;(２)ASD儿童的主动性控制并不像TD儿童一样出现两个领域的加工分化,他们没有像TD儿童一样,表现出社会性领域的主动性控制的优势;（３）社会性领域的主动性控制和反应性控制可以显著从负正两个方向上预测自闭症状的严重程度。本研究认为,可以把ASD看成是一种主动性的社会认知控制缺陷。社会性领域的认知控制指标可为ASD的诊断与训练提供重要参考。     

Individual differences in autistic trait load in the general population predict visual working memory performance

Prior studies have reported instances of both intact and impaired working memory (WM) performance in people with autism spectrum disorder (ASD). In order to investigate the relation between autistic traits that extend into the normal population and WM, 104 normal college-aged students who varied in their levels of autistic traits were tested. The loading of ASD-associated traits in the normal population leads to differing predictions about WM performance. ASD traits related to a local processing style (or “attention to detail”) might enhance WM while ASD-associated traits related to difficulty switching attention and reorienting focus (or “social interaction”) might impair WM performance. To assess these predictions, participants filled out the Autism Spectrum Quotient (AQ) and performed a working memory task with both visual and verbal variants. AQ scores were then broken into “attention to detail” and “social interaction” factors, as proposed by Hoekstra and colleagues. The results showed that AQ scores did not predict verbal WM performance but they did predict visual WM performance. The social interaction and attention to detail factors of the AQ had opposing relationships with visual WM performance: A higher level of social difficulty was associated with significantly poorer visual WM performance while a higher level of attention to detail was associated with enhanced visual WM performance. Further investigation of the relation between AQ and WM using the original five-factor model proposed by Baron-Cohen and colleagues (2001) revealed an association between impoverished imagination and visual WM overall.     

The loss of the transitional object - Some thoughts about transitional and ‘pre-transitional’ phenomena

This paper examines the use made of the transitional object in order to construct a coherent sense of self. Examples are cited from both Freud's and Winnicott's work about the use of an object to manage separations and extend a sense of self. Then some current case material is presented to make sense of the meaning of a patient's strong attachment to a negative transitional object in childhood. Its influence on her current state of mind and relationships is explored. A theoretical term, ‘the existential object’, is introduced to make sense of her use of objects. Contemporary thinking about the loss of the mother in early childhood and its influence on the sense of self is explored with reference to Andre Green's work, which is then related to Freud's and Winnicott's earlier thinking on the subject.     

When learning to classify by relations is easier than by features

Relational reasoning is often considered more resource intensive than feature-based reasoning. This view implies that learning categories defined by relational regularities should be more difficult than learning categories defined by featural regularities. Unfortunately previous studies do not ground featural and relational information in a common perceptual substrate. After addressing this concern, a series of experiments compare learning performance for relation- and feature-based categories. Under certain circumstances we find faster learning for relation-based categories. The results suggest that mechanisms rooted in relational processes (e.g., relative stimulus judgement, analogical comparison) facilitate or hinder learning depending on whether the relational processes highlight or obscure the underlying category structure. Conversely, category learning affects relational processes by promoting relational comparisons that increase the coherence of acquired categories. In contrast to the largely independent research efforts in category learning and analogy research, our findings suggest that learning and comparison processes are deeply intertwined.     

The horizontal and vertical relations in upright faces are transmitted by different spatial frequency ranges

Faces convey distinct types of information: features and their spatial relations, which are differentially vulnerable to inversion. While inversion largely disrupts the processing of vertical spatial relations (e.g. eyes’ height), its effect is moderate for horizontal relations (e.g. interocular distance) and local feature properties. The SF ranges optimally transmitting horizontal and vertical face relations were here investigated to further address their functional role in face perception. Participants matched upright and inverted pairs of faces that differed at the level of local featural properties, horizontal relations in vertical relations. Irrespective of SF, the inversion effect was larger for vertical than horizontal and featural cues. Most interestingly, SF differentially influenced the processing of vertical, horizontal and featural cues in upright faces. Vertical relations were optimally processed in intermediate SF, which are known to carry useful information for face individuation. In contrast, horizontal relations were best conveyed by high SF, which are involved in the processing of local face properties. These findings not only confirm that horizontal and vertical relations play distinct functional roles in face perception, but they also further suggest a unique role of vertical relations in face individuation.     

Regression in Autistic Spectrum Disorders

A significant proportion of children diagnosed with Autistic Spectrum Disorder experience a developmental regression characterized by a loss of previously-acquired skills. This may involve a loss of speech or social responsitivity, but often entails both. This paper critically reviews the phenomena of regression in autistic spectrum disorders, highlighting the characteristics of regression, age of onset, temporal course, and long-term outcome. Important considerations for diagnosis are discussed and multiple etiological factors currently hypothesized to underlie the phenomenon are reviewed. It is argued that regressive autistic spectrum disorders can be conceptualized on a spectrum with other regressive disorders that may share common pathophysiological features. The implications of this viewpoint are discussed.     

Joint Attention and Attachment in Toddlers with Autism

Joint attention is often referred to as a triadic relation between self, other and object. Young children with autism show deficiencies in the use of joint attention behaviors. Individual differences may be expected, and they may be determined by the children’s cognitive development or the characteristics of the relationship of the child with the caregiver. Although most joint attention skills develop under the age of three, most studies of joint attention in children with autism involved children older than 3 years of age, due to difficulties in diagnosing autism under this age. In this study we investigated joint attention behaviors of 78 young children (mean age 25.7 months, SD 6.1) with autism spectrum disorders (n = 20), other developmental delays (n = 18), and typically developing children (n = 40). Following the pertinent literature and confirmed by factor analysis, two types of joint attention behaviors were distinguished, Basic Joint Attention (BJA) and Associated Joint Attention (AJA). We found that cognitive delays and autistic symptoms—but not attachment insecurity or disorganization—were related to less joint attention. Already at the age of 2 years, children with more autistic symptoms show less joint attention, even after controlling for developmental level.