Joint attention revisited: Finding strengths among children with autism

Abstract

Differences in joint attention (JA) are prominent for some children with autism and are often used as an indicator of the disorder. This study examined the JA competencies of young children with autism who demonstrated JA ability and compared them to children with developmental delays. Method: Forty children with autism and developmental delays were matched pairwise based on mental and chronological age. Videos of children engaging in play were coded for the frequency and forms (eye contact, gestures, affect, etc.) of JA. Additionally, concurrent language was compared among children with autism (N=32) by their JA ability. Results: Children with ASD entered into JA significantly less often than children with DD but once engaged, used the forms of JA similarly. For the matched pairs there were no differences in language but the children with autism who used JA had significantly better language than children with autism who did not (even after controlling for mental age). Conclusions: There is a group of young children with autism who can use JA but do so at lower frequencies than children with DD. Possible reasons include difficulty disengaging attention and limited intrinsic social motivation to share. Adult persistence is recommended to encourage JA

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