Do gaze cues in complex scenes capture and direct the attention of high functioning adolescents with ASD? evidence from eye-tracking

Visual fixation patterns whilst viewing complex photographic scenes containing one person were studied in 24 high-functioning adolescents with Autism Spectrum Disorders (ASD) and 24 matched typically developing adolescents. Over two different scene presentation durations both groups spent a large, strikingly similar proportion of their viewing time fixating the person’s face. However, time-course analyses revealed differences between groups in priorities of attention to the region of the face containing the eyes. It was also noted that although individuals with ASD were rapidly cued by the gaze direction of the person in the scene, this was not followed by an immediate increase in total fixation duration at the location of gaze, which was the case for typically developing individuals

The eye gaze direction of an observed person can bias perception, memory, and attention in adolescents with and without autism spectrum disorder

The reported experiments aimed to investigate whether a person and his or her gaze direction presented in the context of a naturalistic scene cause perception, memory, and attention to be biased in typically developing adolescents and high-functioning adolescents with autism spectrum disorder (ASD). A novel computerized image manipulation program presented a series of photographic scenes, each containing a person. The program enabled participants to laterally maneuver the scenes behind a static window, the borders of which partially occluded the scenes. The gaze direction of the person in the scenes spontaneously cued attention of both groups in the direction of gaze, affecting judgments of preference (Experiment 1a) and causing memory biases (Experiment 1b). Experiment 2 showed that the gaze direction of a person cues visual search accurately to the exact location of gaze in both groups. These findings suggest that biases in preference, memory, and attention are caused by another person's gaze direction when viewed in a complex scene in adolescents with and without ASD (C) 2009 Elsevier Inc. All rights reserved

The eye gaze direction of an observed person can bias perception, memory, and attention in adolescents with and without autism spectrum disorder

The reported experiments aimed to investigate whether a person and his or her gaze direction presented in the context of a naturalistic scene cause perception, memory, and attention to be biased in typically developing adolescents and high-functioning adolescents with autism spectrum disorder (ASD). A novel computerized image manipulation program presented a series of photographic scenes, each containing a person. The program enabled participants to laterally maneuver the scenes behind a static window, the borders of which partially occluded the scenes. The gaze direction of the person in the scenes spontaneously cued attention of both groups in the direction of gaze, affecting judgments of preference (Experiment 1a) and causing memory biases (Experiment 1b). Experiment 2 showed that the gaze direction of a person cues visual search accurately to the exact location of gaze in both groups. These findings suggest that biases in preference, memory, and attention are caused by another person's gaze direction when viewed in a complex scene in adolescents with and without ASD (C) 2009 Elsevier Inc. All rights reserved

Brief report: how adolescents with ASD process social information in complex scenes. Combining evidence from eye movements and verbal descriptions

We investigated attention, encoding and processing of social aspects of complex photographic scenes. Twenty-four high-functioning adolescents (aged 11–16) with ASD and 24 typically developing matched control participants viewed and then described a series of scenes, each containing a person. Analyses of eye movements and verbal descriptions provided converging evidence that both groups displayed general interest in the person in each scene but the salience of the person was reduced for the ASD participants. Nevertheless, the verbal descriptions revealed that participants with ASD frequently processed the observed person’s emotion or mental state without prompting. They also often mentioned eye-gaze direction, and there was evidence from eye movements and verbal descriptions that gaze was followed accurately. The combination of evidence from eye movements and verbal descriptions provides a rich insight into the way stimuli are processed overall. The merits of using these methods within the same paradigm are discussed

Understanding attention to social information in adults with and without autism spectrum disorders

This thesis aims to further our understanding of social attention, and its manifestation in adults with autism spectrum disorders (ASD) and their typically-developed (TD) peers. Atypicalities in social attention have been proposed to play a crucial role in the development of autism. If social attention difficulties persist across the life-span, we would also expect them to impair ongoing social interactions in adolescents and adults with ASD. However, social attention in adulthood has been little examined. Instead, research tends to focus on more complex social cognitive difficulties, or to investigate attention to social stimuli presented in isolation. Our understanding of the role of social attention in autism is further inhibited by conflicting evidence on the influence of high-level input and low-level stimulus properties on selecting the focus of attention in TD individuals. The studies presented here tackle these issues by assessing social attention in adults using stimuli which: present social information in a realistic context; measure spontaneous attentional processes; and provide control over the low-level properties of stimuli. Three studies each employed a method newly applied to the study of social attention. These were: a free-description task that coded verbal accounts of social scenes; a social change detection task that recorded change detection speed and accuracy for alterations to social and non-social aspects of a person; and a preferential-looking task that presented social and non-social scenes side-by-side, while recording eye-movements. It was predicted that findings from each study would indicate a social attention bias in TD adults, while people with ASD would have either a weaker social attention bias or no bias at all. In contrast to predictions, these results showed that people with ASD spontaneously attend to social stimuli, as revealed by the social content of their verbal descriptions and their rapid and accurate detection of changes to eye-gaze direction. However, eye-tracking data in the preferential-looking task indicate that the social attention bias is subtly different in people with ASD, who show a reduced attentional priority for social information, and less persistence in looking at social stimuli over time, compared to TD participants. A series of cross-task analyses examining relationships between tasks indicated that a single social attention construct whichoperates across tasks and scenarios may not exist. These studies also emphasise the need to make distinctions between different types of social information and the idea of a hierarchy of social stimuli available in the real world is proposed. Taken together, the studies reported in this thesis provide new data indicating that social attentional difficulties found in children with autism do not continue in adulthood. Strong attentional preferences for social information, which override the influence of low-level stimulus properties, are found in both TD and ASD groups. The findings also contribute a new way of thinking about the construct of social attention, in particular indicating that different types of social information may interact with individual attentional preferences. These data are interpreted in the context of recent fmdings of perceptual atypicalities in people with ASD, which may interact with their social difficulties. The motion and multi-sensory properties of real-life social interaction may present specific processing difficulties for people with ASD. If so, the mild group differences found in our studies could translate into profound problems for people with ASD in the real world, and this is an area ripe for future research

Eye-tracking explorations of attention to faces for communicative cues in Autism Spectrum Disorders

Background Individuals with Autism Spectrum Disorder (ASD) have been reported to show socio-communicative impairments which are associated with impaired face perception and atypical gaze behaviour. Attending to faces and interpreting the important socio-communicative cues presented allows us to understand other’s cognitive states, emotions, wants and desires. This information enables successful social encounters and interactions to take place. Children with ASD not attending to these important social cues on the face may cause some of the socio-communicative impairments observed within this population. Examining how children with ASD attend to faces will enhance our understanding of their communicative impairments. Aim The present thesis therefore aimed to use eye-tracking methodology to examine attention allocation to faces for communicative cues in children with ASD. Method The first line of enquiry examined how children with ASD (n = 21; age = 13y7m) attended to faces presented within their picture communication systems compared to typically developing children matched on chronological age, verbal ability age and visuo-spatial ability age. The next investigation was conducted on the same group of children and examined how children with ASD attended to faces of different familiarity including, familiar, unfamiliar and the child’s own face. These faces were also presented with direct gaze or averted gaze to investigate how this would impact on the children’s allocation of attention. The final exploration highlighted how children with ASD (n = 20; age = 12y3m) attended to socially salient information (faces) and non-socially salient information (objects) presented within social scenes of varying complexity, compared to typically developing controls. Again groups were matched based on chronological age, verbal ability age, and visuo-spatial ability age. Results Children with ASD were shown to allocate attention to faces presented within their picture communication symbols similarly compared to their typically developing counterparts. All children were shown to fixate significantly longer on the face images compared to the object images. The children with ASD fixated for similar amounts of time to the eye and mouth regions regardless of familiarity and gaze direction compared to their controlled matches. All groups looked significantly longer at the eye areas compared to the mouth areas of the faces across all familiarity types. The children also fixated longer on the eye and mouth regions of direct gazing faces compared to the regions presented on the averted gazing faces. The children with ASD fixated on the faces and objects presented within social scenes similar to their typically developing counterparts across all complexity conditions. The children were shown to fixate significantly longer on the objects compared to the faces. Conclusions Children with ASD showed typical allocation of attention to faces. This suggests that faces are not aversive to them and they are able to attend to the relevant areas such as eye and mouth regions. This may have been influenced by the inclusion of high functioning children with ASD. However these results may also suggest that attention allocation and gaze behaviour are not the only factors which contribute to the socio-communicative impairments observed in ASD

How accurate are autistic adults and those high in autistic traits at making face-to-face line-of-sight judgements?

Being able to follow the direction of another person’s line-of-sight facilitates social communication. To date, much research on the processes involved in social communication has been conducted using computer-based tasks that lack ecological validity. The current paradigm assesses how accurately participants can follow a social partner’s line-of-sight in a face-to-face scenario. In Study 1, autistic and neurotypical adults were asked to identify which location, on a grid of 36 potential locations, the experimenter was looking at on a series of discrete trials. All participants (both autistic and neurotypical) were able to effectively make line-of-sight judgements, scoring significantly above chance. Participants were also just as effective at making these judgements from either a brief, 1s, glance or from a prolonged, 5s, stare. However, at the group level, autistic participants were significantly less accurate than neurotypical participants overall. In Study 2, potential variation in performance along the broad autism phenotype was considered using the same paradigm. Bayesian analyses demonstrated that line-of-sight judgement accuracy was not related to the amount of autistic traits. Overall, these findings advance the understanding of the mechanistic processes of social communication in relation to autism and autistic traits in a face-to-face setting

Attention-Based Applications in Extended Reality to Support Autistic Users: A Systematic Review

With the rising prevalence of autism diagnoses, it is essential for research to understand how to leverage technology to support the diverse nature of autistic traits. While traditional interventions focused on technology for medical cure and rehabilitation, recent research aims to understand how technology can accommodate each unique situation in an efficient and engaging way. Extended reality (XR) technology has been shown to be effective in improving attention in autistic users given that it is more engaging and motivating than other traditional mediums. Here, we conducted a systematic review of 59 research articles that explored the role of attention in XR interventions for autistic users. We systematically analyzed demographics, study design and findings, including autism screening and attention measurement methods. Furthermore, given methodological inconsistencies in the literature, we systematically synthesize methods and protocols including screening tools, physiological and behavioral cues of autism and XR tasks. While there is substantial evidence for the effectiveness of using XR in attention-based interventions for autism to support autistic traits, we have identified three principal research gaps that provide promising research directions to examine how autistic populations interact with XR. First, our findings highlight the disproportionate geographic locations of autism studies and underrepresentation of autistic adults, evidence of gender disparity, and presence of individuals diagnosed with co-occurring conditions across studies. Second, many studies used an assortment of standardized and novel tasks and self-report assessments with limited tested reliability. Lastly, the research lacks evidence of performance maintenance and transferability.Comment: [Accepted version] K. Wang, S. J. Julier and Y. Cho, "Attention-Based Applications in Extended Reality to Support Autistic Users: A Systematic Review," in IEEE Access, vol. 10, pp. 15574-15593, 2022, doi: 10.1109/ACCESS.2022.314772

Social attention with real versus reel stimuli: toward an empirical approach to concerns about ecological validity

Cognitive neuroscientists often study social cognition by using simple but socially relevant stimuli, such as schematic faces or images of other people. Whilst this research is valuable, important aspects of genuine social encounters are absent from these studies, a fact that has recently drawn criticism. In the present review we argue for an empirical approach to the determination of the equivalence of different social stimuli. This approach involves the systematic comparison of different types of social stimuli ranging in their approximation to a real social interaction. In garnering support for this cognitive ethological approach, we focus on recent research in social attention that has involved stimuli ranging from simple schematic faces to real social interactions. We highlight both meaningful similarities and differences in various social attentional phenomena across these different types of social stimuli thus validating the utility of the research initiative. Furthermore, we argue that exploring these similarities and differences will provide new insights into social cognition and social neuroscience