SLPOtherMolecular autism2025

A cross-cultural examination of bi-directional mentalising in autistic and non-autistic adults.

Bianca A Schuster, Y Okamoto, T Takahashi and 8 others

PMID 40361199

WHAT IT FOUND

Japanese non-autistic adults showed no difficulty interpreting animations made by Japanese autistic adults.

UK non-autistic adults did show lower accuracy for animations made by UK autistic adults, so the mismatch effect was not stable across cultures.

Key findings

01UK non-autistic adults showed lower accuracy when interpreting animations generated by UK autistic adults than when interpreting animations generated by UK non-autistic adults.

02Japanese non-autistic adults showed no comparable difference in accuracy when interpreting animations generated by Japanese autistic adults versus Japanese non-autistic adults.

03In exploratory cross-cultural contrasts, Japanese autistic adults showed higher mental-state animation accuracy than UK autistic adults and UK non-autistic adults.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study used a computer animation task, not real conversation or clinical outcomes, so it may not show how autistic and non-autistic people communicate in daily life. The samples were not fully matched: Japanese autistic participants had mean FSIQ 105.12, compared with 113.44 in Japanese non-autistic participants, and UK autistic participants had mean age 31.64, compared with 24.33 in UK non-autistic participants. The cross-cultural difference in accuracy was exploratory, not pre-registered, so it should not be treated as a firm finding. Some autistic participants did not have confirmatory research diagnoses: eight of 25 UK participants and three of 25 Japanese participants. Recruitment differed between countries, which may have introduced sampling bias not captured by IQ or AQ scores. Cultural membership was defined by living in the country for at least 10 years, a cut-off the authors call arbitrary. The animations task may have limited cultural transferability, and high Japanese autistic accuracy may not reflect true social abilities.

Declared interests

Funding was reported from the Japan Society for the Promotion of Science, the Austrian Science Fund, a Medical Research Council studentship, the European Union's Horizon 2020 Research and Innovation Program, the JST-Mirai Program, Grants-in-Aid for Scientific Research, and the University of Vienna. The supplied text does not include an author conflict-of-interest declaration.

The easy way to misread this

Do not conclude that non-autistic people universally struggle to interpret autistic people's social cues. The UK sample showed this pattern, but the Japanese sample did not, and the animations task may not transfer across cultures.

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