Cross-cultural variation in experiences of acceptance, camouflaging and mental health difficulties in autism:A registered report

Recent findings suggest that stigma and camouflaging contribute to mental health difficulties for autistic individuals, however, this evidence is largely based on UK samples. While studies have shown cross-cultural differences in levels of autism-related stigma, it is unclear whether camouflaging and mental health difficulties vary across cultures. Hence, the current study had two aims: (1) to determine whether significant relationships between autism acceptance, camouflaging, and mental health difficulties replicate in a cross-cultural sample of autistic adults, and (2) to compare these variables across cultures. To fulfil these aims, 306 autistic adults from eight countries (Australia, Belgium, Canada, Japan, New Zealand, South Africa, the United Kingdom, and the United States) completed a series of online questionnaires. We found that external acceptance and personal acceptance were associated with lower levels of depression but not camouflaging or stress. Higher camouflaging was associated with elevated levels of depression, anxiety, and stress. Significant differences were found across countries in external acceptance, personal acceptance, depression, anxiety, and stress, even after controlling for relevant covariates. Levels of camouflaging also differed across countries however this effect became non-significant after controlling for the covariates. These findings have significant implications, identifying priority regions for anti-stigma interventions, and highlighting countries where greater support for mental health difficulties is needed

Assessing social motivation in Autism Spectrum Disorder

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Socially Interacting in Autism: Between Social Motivation and Social Anxiety

This thesis asks why social interaction unfolding in autistic adults and children is often characterised as atypical. To answer this question, I investigated two main hypotheses: the Social Motivation Theory and the Social Anxiety Hypothesis. The five studies comprised in this dissertation are based on three different paradigms: [1] social attention in 40 autistic (20 women; 20 men) and 40 neurotypical adults (matched on age, gender and IQ) in front of speaking videos of actors displaying a direct or averted gaze; [2] social attention and [3] disfluency production in the same sample during a live face-to-face cognitive task with an experimenter displaying a direct or averted gaze; [4] social attention and [5] interactional behaviours in 18 autistic children matched on gender (15 boys; 3 girls) and mental (18) or chronological (18) age to neurotypicals during a real-life recreational task with a familiar or unfamiliar adult experimenter. The investigation of these social aspects has been based on eye- tracking measures, electrodermal activity and fine-grained disfluency and interactional behaviours coding.In Study [1], I found an absence of preference for direct versus averted gaze in the autistic group, probably because of difficulties in distinguishing eye gaze direction. In Study [2], I found no difference in social attention between autistic and neurotypical adults, but an increased experienced arousal in neurotypicals whose direct gaze was not reciprocated. We could wonder whether the neurotypicals' discomfort could provoke a more insistent looking for eye contact behaviour, potentially leading to autistics' uneasiness. In Study [3], I found less listener- and more speaker-oriented disfluencies in the autistic speech, potentially contributing to neurotypicals' difficulties in understanding it. In Study [4], I found similar social attention, experienced stress and familiarity effect in autistic and neurotypical children. This suggests that real-life results could contrast with lab observations in terms notably of eye gaze behaviours. The impression of atypicality in social interactions with autistics could be due to an autism-specific profile, described in Study [5] as more disinhibited and spontaneous. In Study [5], I also reported differences in interactional behaviours in all children depending on whether they were familiar to their partner and on the topics they discussed. These results are discussed in the light of reciprocity issues, social motivation and social anxiety.Doctorat en Langues, lettres et traductologieinfo:eu-repo/semantics/nonPublishe

La Motivation à interagir chez les individus du spectre de l’autisme: La Théorie de la motivation sociale au crible de l’analyse des interactions : recommandations pour une autre évaluation -- Linguistique

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Neurotypical, but not autistic, adults might experience distress when looking at someone avoiding eye contact: A live face-to-face paradigm

Many autistics report being distressed by eye contact, but eye-tracking studies suggest that eye contact is associated with hypo-arousal rather than hyper-arousal in autism. Within a live face-to-face paradigm combining a wearable eye-tracker with electrodermal activity sensors, 80 adults (40 autistics) defined words in front of an experimenter either staring at their eyes (direct gaze condition) or looking elsewhere (averted gaze condition). Autistics did not differ from neurotypicals in their eye behaviours nor their skin conductance responses. Autistics did not appear distressed when they were looking at the experimenter’s eyes in the direct gaze condition. However, neurotypicals, compared to autistics, might experience more stress when looking at the experimenter in the averted gaze condition, even after controlling for social anxiety and alexithymia. In comparison to autistics, neurotypicals might be hyper-aroused when they look at someone avoiding eye contact. Based on a bidirectional perspective on interactional difficulties in autism, we speculate that the neurotypicals’ distress when their attempts to eye contact are not reciprocated could make their behaviour insistent, which, in turn, could make the autistics uncomfortable. In our study, participants’ partner remained passive, displaying no specific reaction when a mutual gaze was shared or not. Future studies should test different partner reactions to gaze in various social contexts. Lay abstract What is already known about the topic? Autistics are usually reported to share less eye contact than neurotypicals with their interlocutors. However, the reason why autistics might pay less attention to eyes looking at them is still unknown: some autistics express being hyper-aroused by this eye contact, while some eye-tracking studies suggest that eye contact is associated with hypo-arousal in autism. What this paper adds? This study is based on a highly controlled live face-to-face paradigm, combining a wearable eye-tracker (to study eye behaviours) with electrodermal activity sensors (to assess potential stress). We draw a nuanced picture of social attention in autism, as our autistic participants did not differ from our neurotypical group in their eye behaviours nor their skin conductance responses. However, we found that neurotypicals, compared to autistics, seemed to be much more distressed when their interlocutor did not gaze at them during the experiment. Implications for practice, research or policy: Our study encourages to consider social interaction difficulties in autism as a relational issue, instead as an individual deficit. This step might be first taken in research, by implementing paradigms sensitive to the experimenter’s role and attitude.info:eu-repo/semantics/publishe

Listener- Versus Speaker-Oriented Disfluencies in Autistic Adults: Insights From Wearable Eye-Tracking and Skin Conductance Within a Live Face-to-Face Paradigm

Purpose: Our study addresses three main questions: (a) Do autistics and neurotypicals produce different patterns of disfluencies, depending on the experimenter's direct versus averted gaze? (b) Are these patterns correlated to gender, skin conductance responses, fixations on the experimenter's face, alexithymia, or social anxiety scores? Lastly, (c) can eye-tracking and electrodermal activity data be used in distinguishing listener- versus speaker-oriented disfluencies? Method: Within a live face-to-face paradigm combining a wearable eye-tracker with electrodermal activity sensors, 80 adults (40 autistics, 40 neurotypicals) defined words in front of an experimenter who was either staring at their eyes (direct gaze condition) or looking elsewhere (averted gaze condition). Results: Autistics produce less listener-oriented ( uh ,um ) and more speaker-oriented (prolongations, breath) disfluencies than neurotypicals. In both groups, men produce less um than women. Both autistics' and neurotypicals' speech are influenced by whether their interlocutor systematically looks at them in the eyes or not, but their reactions go in opposite directions. Disfluencies seem to primarily be linguistic phenomena as experienced stress, social attention, alexithymia, and social anxiety scores do not influence any of the reported results. Finally, eye-tracking and electrodermal activity data suggest that laughter could be a listener-oriented disfluency. Conclusions: This article studies disfluencies in a fine-grained way in autistic and neurotypical adults while controlling for social attention, experienced stress, and experimental condition (direct vs. averted gaze). It adds to current literature by (a) enlightening our knowledge of speech in autism, (b) opening new perspectives on disfluency patterns as important signals in social interaction, (c) addressing theoretical issues on the dichotomy between listener- and speaker-oriented disfluencies, and (d) considering understudied phenomena as potential disfluencies (e.g. laughter, breath). Supplemental Material: https://doi.org/10.23641/asha.23549550SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Similar social attention, physiological arousal, and familiarity effect in autistic and neurotypical children: A real-life recreational eye-tracking paradigm.

Social attention is reported to be crucial for the development of social skills, and, according to the social cognitive developmental theory, is fostered by social interactions. Autism is of central importance to the study of social attention, as autism is characterized by atypical social interactions and low social attention, both linked according to the social motivation theory to diminished social interest. Much evidence for positing low social interest in autism comes from eye-tracking studies, which, however, lack ecological validity. Our study documents social attention and physiological arousal, within close to real-life settings, in autistic children, as well as in their neurotypical peers, matched on gender and mental or chronological age. To explore the potential influence of partner familiarity or of the conversational topic, children gaze and electrodermal activity were recorded while they engaged in watercolor activities with, first a familiar and, next, an unfamiliar adult experimenter, who both introduced various topics. Autistic and neurotypical children exhibited comparable attention to their partners’ eyes. Notably, across all groups, heightened visual attention was directed to familiar rather than unfamiliar partners. Moreover, parallel arousal patterns emerged, with all children displaying increased skin conductance responses during more engaging topics and when looking at their interactional partner’s eyes. These findings underscore the task- and context-dependent nature of social attention and highlight the role of familiarity in an ecologically valid context. The absence of group differences challenges the universality of the social cognitive developmental theory and questions the scope of the social motivation theory of autism.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Perspective-taking and frugal strategies: Evidence from sarcasm detection

Prior research suggests an egocentric bias in the ability to adopt a third-person perspective in sarcastic statements. However, it remains unclear whether (1) this bias is genuinely due to egocentric anchoring or to the cost of the activation of the sarcastic interpretation; (2) context-based, allocentric processing of sarcasm can be by-passed by cheaper strategies, such as prosody processing. To settle the first question, two sarcastic conditions were compared: one, ‘egocentric’, where the favored interpretation was sarcastic only from the participant's perspective, and another, ‘allocentric’, where the sarcastic interpretation was salient from both the addressee's and the participant's perspectives. To address the second question, performance in the egocentric and allocentric conditions were compared when salient prosodic cues were added. To show direct evidence for serial adjustment and to minimize the possibility of parallel processing of prosodic and contextual cues, we compare two experiments: In the first experiment, French-speaking participants had no time limit to respond, while time pressure was added in the second experiment. Results confirm that perspective-shifting is egocentrically anchored (i.e. slower reaction times and poorer accuracy for egocentric condition than allocentric one); furthermore, this egocentric bias is already evident in early stages of processing (within 3 s). We also show that perspectival assessment of contextual cues is not triggered in the presence of salient prosodic cues. Since perspective-taking is time consuming, using the non-contextual, prosodic cue is an efficient strategy to make an accurate judgment with the least processing effort.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

No preference for direct versus averted gaze in autistic adults: a reinforced preferential looking paradigm

Abstract Background With the overarching objective to gain better insights into social attention in autistic adults, the present study addresses three outstanding issues about face processing in autism. First, do autistic adults display a preference for mouths over eyes; second, do they avoid direct gaze; third, is atypical visual exploration of faces in autism mediated by gender, social anxiety or alexithymia? Methods We used a novel reinforced preferential looking paradigm with a group of autistic adults ( n  = 43, 23 women) pairwise matched on age with neurotypical participants ( n  = 43, 21 women). Participants watched 28 different pairs of 5 s video recordings of a speaking person: the two videos, simultaneously displayed on the screen, were identical except that gaze was directed at the camera in one video and averted in the other. After a 680 ms transition phase, a short reinforcement animation appeared on the side that had displayed the direct gaze. Results None of the groups showed a preference for mouths over eyes. However, neurotypical participants fixated significantly more the stimuli with direct gaze, while no such preference emerged in autistic participants. As the experiment progressed, neurotypical participants also increasingly anticipated the appearance of the reinforcement, based on the location of the stimulus with the direct gaze, while no such anticipation emerged in autistic participants. Limitations Our autistic participants scored higher on the social anxiety and alexithymia questionnaires than neurotypicals. Future studies should match neurotypical and autistic participants on social anxiety and alexithymia and complement questionnaires with physiological measures of anxiety. Conclusions The absence of preference for direct versus averted gaze in the autistic group is probably due to difficulties in distinguishing eye gaze direction, potentially linked to a reduced spontaneous exploration or avoidance of the eye region. Social attention and preference for direct versus averted gaze correlated with alexithymia and social anxiety scores, but not gender.info:eu-repo/semantics/publishe

Representing Polar Questions

Although the linguistic properties of polar questions have been extensively studied, comparatively little is known about how polar questions are processed in real time. In this paper, we report on three eye-tracking experiments on the processing of positive and negative polar questions in English and French. Our results show that in the early stages, participants pay attention to both positive and negative states of affairs for both positive and negative questions. In the late stages, positive and certain negative polar questions were associated with a bias for the positive state, and this bias appears to be pragmatic in nature. We suggest that different biases in mental representations reflect the hearer’s reasoning about the speaker’s purposes of enquiry.SCOPUS: ar.jinfo:eu-repo/semantics/publishe