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      Unimpaired Attentional Disengagement and Social Orienting in Children With Autism

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          Abstract

          Visual attention is often hypothesized to play a causal role in the development of autism spectrum disorder (ASD). Because attention shapes perception, learning, and social interaction, early deficits in attention could substantially affect the development of other perceptual and cognitive abilities. Here we test two key attentional phenomena thought to be disrupted in autism: attentional disengagement and social orienting. We find in a free-viewing paradigm that both phenomena are present in high-functioning children with ASD ( n = 44, ages 5–12 years) and are identical in magnitude to those in age- and IQ-matched typical children ( n = 40). Although these attentional processes may malfunction in other circumstances, our data indicate that high-functioning children with ASD do not suffer from across-the-board disruptions of either attentional disengagement or social orienting. Combined with mounting evidence that other attentional abilities are largely intact, it seems increasingly unlikely that disruptions of core attentional abilities lie at the root of ASD.

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          Most cited references42

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          Early social attention impairments in autism: social orienting, joint attention, and attention to distress.

          This study investigated social attention impairments in autism (social orienting, joint attention, and attention to another's distress) and their relations to language ability. Three- to four-year-old children with autism spectrum disorder (ASD; n = 72), 3- to 4-year-old developmentally delayed children (n = 34), and 12- to 46-month-old typically developing children (n = 39), matched on mental age, were compared on measures of social orienting, joint attention, and attention to another's distress. Children with autism performed significantly worse than the comparison groups in all of these domains. Combined impairments in joint attention and social orienting were found to best distinguish young children with ASD from those without ASD. Structural equation modeling indicated that joint attention was the best predictor of concurrent language ability. Social orienting and attention to distress were indirectly related to language through their relations with joint attention. These results help to clarify the nature of social attention impairments in autism, offer clues to developmental mechanisms, and suggest targets for early intervention. ((c) 2004 APA, all rights reserved)
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            Nonparametric estimates of standard error: The jackknife, the bootstrap and other methods

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              Absence of preferential looking to the eyes of approaching adults predicts level of social disability in 2-year-old toddlers with autism spectrum disorder.

              Within the first week of life, typical human newborns give preferential attention to the eyes of others. Similar findings in other species suggest that attention to the eyes is a highly conserved phylogenetic mechanism of social development. For children with autism, however, diminished and aberrant eye contact is a lifelong hallmark of disability. To quantify preferential attention to the eyes of others at what is presently the earliest point of diagnosis in autism. We presented the children with 10 videos. Each video showed an actress looking directly into the camera, playing the role of caregiver, and engaging the viewer (playing pat-a-cake, peek-a-boo, etc). Children's visual fixation patterns were measured by eye tracking. Fifteen 2-year-old children with autism were compared with 36 typically developing children and with 15 developmentally delayed but nonautistic children. Preferential attention was measured as percentage of visual fixation time to 4 regions of interest: eyes, mouth, body, and object. Level of social disability was assessed by the Autism Diagnostic Observation Schedule. Looking at the eyes of others was significantly decreased in 2-year-old children with autism (P < .001), while looking at mouths was increased (P < .01) in comparison with both control groups. The 2 control groups were not distinguishable on the basis of fixation patterns. In addition, fixation on eyes by the children with autism correlated with their level of social disability; less fixation on eyes predicted greater social disability (r = -0.669, P < .01). Looking at the eyes of others is important in early social development and in social adaptation throughout one's life span. Our results indicate that in 2-year-old children with autism, this behavior is already derailed, suggesting critical consequences for development but also offering a potential biomarker for quantifying syndrome manifestation at this early age.
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                Author and article information

                Journal
                Clin Psychol Sci
                Clin Psychol Sci
                CPX
                spcpx
                Clinical Psychological Science
                SAGE Publications (Sage CA: Los Angeles, CA )
                2167-7026
                2167-7034
                March 2014
                March 2014
                : 2
                : 2
                : 214-223
                Affiliations
                [1 ]Department of Brain and Cognitive Sciences and McGovern Institute for Brain Research, Massachusetts Institute of Technology
                [2 ]Department of Psychology, University of Minnesota
                Author notes
                [*]Jason Fischer, Massachusetts Institute of Technology, 43 Vassar Street, 46-4141, Cambridge, MA 02139 E-mail: jason_f@ 123456mit.edu

                Author Contributions: J. Fischer and K. Koldewyn contributed equally to this work. The study was designed by Y. V. Jiang, K. Koldewyn, and N. Kanwisher. Testing and data collection were performed by K. Koldewyn and J. Fischer. Data analysis and interpretation were performed by J. Fischer and K. Koldewyn under the supervision of Y. V. Jiang and N. Kanwisher. The article was written by J. Fischer, K. Koldewyn, Y. V. Jiang, and N. Kanwisher.

                Article
                10.1177_2167702613496242
                10.1177/2167702613496242
                4238971
                25419497
                a7888006-4dcb-45d5-8d9a-7d5ef71c9254
                © The Author(s) 2013

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License ( http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page( http://www.uk.sagepub.com/aboutus/openaccess.htm).

                History
                : 3 June 2013
                : 28 January 2013
                Categories
                Empirical Articles

                asd,autism,attention,social attention,social orienting,disengage,eye tracking,free viewing,face perception,vision

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