SLPCase-ControlJournal of autism and developmental disorders2018

Abilities to Explicitly and Implicitly Infer Intentions from Actions in Adults with Autism Spectrum Disorder.

Eleanor J Cole, Katie E Slocombe, Nick E Barraclough

PMID 29214604

WHAT IT FOUND

Adults with autism and IQ scores above 100 showed no clear group difference when choosing partners without being asked to infer intentions, but were worse at explicitly naming whether hand actions were deliberate or accidental.

Eye gaze was typical.

Key findings

01On the implicit partner-choice task, adults with ASD made poorer task-specific choices than controls, but the differences were not significant (Mentalizing-Action U=112.50, p=.27; Either-Action U=90.00, p=.06).

02When explicitly asked to label intentions, adults with ASD were significantly worse than matched controls (median -1.88 vs -0.74; U=61.50, p=.03, r=.39).

03Adults with ASD showed typical fixation patterns during both the implicit and explicit tasks.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample was small and highly selected: 17 adults with ASD were analysed after four of 21 recruited participants were excluded for control-task performance, and all had IQ scores above 100 with no history of delayed language development or learning difficulties, so it says little about lower-IQ adults or those with broader support needs. The explicit experiment used a smaller analysed sample than the implicit experiment (30 participants, 15 matched pairs), because two adults with ASD could not return, so the two tasks are not compared in exactly the same people. The implicit task was not significant, but it showed a trend, so it cannot be read as proof that implicit intention inference is intact. The videos were brief hand-action clips without faces, so everyday social judgement involving faces, speech, context and conversation may be harder. Three participants with ASD had ADOS scores below the clinical cut-off, although their AQ and SRS scores indicated high traits or social impairment, so the group's clinical status was not uniform.

Declared interests

Funding was from the Economic and Social Research Council. The supplied text does not report author conflicts of interest.

The easy way to misread this

Do not conclude that adults with autism cannot infer intentions in everyday life. The significant deficit was only when participants were explicitly asked to label intentions from hand-action videos, while the implicit partner-choice task was not significantly impaired, and all participants had IQ scores above 100.

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