Peter Mundy

A longitudinal study of joint attention and language development in autistic children

This study was designed to examine the degree to which individual differences in gestural joint attention skills predicted language development among autistic children. A group of 15 autistic children (mean CA=45 months) were matched with one group of mentally retarded (MR) children on mental age and another group of MR children on language age. These groups were administered the Early Social-Communication Scales. The latter provided measures of gestural requesting, joint attention, and social behaviors. The results indicated that, even when controlling for language level, mental age, or IQ, autistic children displayed deficits in gestural joint attention skills on two testing sessions that were 13 months apart. Furthermore, the measure of gestural nonverbal joint attention was a significant predictor of language development in the autistic sample. Other variables, including initial language level and IQ were not significant predictors of language development in this sample.

Affective sharing in the context of joint attention interactions of normal, autistic, and mentally retarded children

Disturbances in the development of joint attention behaviors and the ability to share affect with others are two important components of the social deficits of young autistic children. We examined the association of shared positive affect during two different communicative contexts, joint attention and requesting. The pattern for the normal children was one of frequent positive affect displayed toward the adult during joint attention situations. Compared to the normal children, the autistic children failed to display high levels of positive affect during joint attention whereas the mentally retarded children displayed high levels of positive affect during requesting as well as joint attention situations. These results lend support to the hypothesis that the joint attention deficits in autistic children also are associated with a disturbance in affective sharing.

Attention, Joint Attention, and Social Cognition

Before social cognition there is joint processing of information about the attention of self and others. This joint attention requires the integrated activation of a distributed cortical network involving the anterior and posterior attention systems. In infancy, practice with the integrated activation of this distributed attention network is a major contributor to the development of social cognition. Thus, the functional neuroanatomies of social cognition and the anterior–posterior attention systems have much in common. These propositions have implications for understanding joint attention, social cognition, and autism.

Annotation: The neural basis of social impairments in autism: the role of the dorsal medial-frontal cortex and anterior cingulate system

BACKGROUND The fundamental social disturbance of autism is characterized, in part, by problems in the acquisition of joint attention skills in the first years of life, followed by impairments in the development of social cognition, as assessed on theory of mind (ToM) measures. Recently, studies have indicated that a system involving the dorsal medial-frontal cortex (DMFC), and the anterior cingulate (AC), may contribute to the development of the tendency to initiate joint attention in infancy. Similarly, research has implicated the DMFC/AC system in ToM performance in typical and atypical individuals. These data suggest it may be useful to consider the functions associated with this system in the developmental psychopathology of autism. METHOD A review of the studies of the connections between the DMFC/AC system, joint attention and ToM task performance. RESULTS AND CONCLUSIONS This review raises the hypothesis that the DMFC/AC may be involved in the basic disturbance in social orienting in autism. The DMFAC/AC may also play a role in the capacity to monitor proprioceptive information concerning self-action and integrate this self-related information with exteroceptive perceptual information about the behavior of other people. A disturbance in these functions of the DMFC/ AC may contribute to the atypical development of intersubjectivity, joint attention and social cognition that may impair the lives of people with autism. Thus, impairment in the development of this system may constitute a neural substrate for socio-cognitive deficits in autism.

Individual differences in joint attention skill development in the second year

The development of joint attention skills is considered to be critical to early social, cognitive and language development. Joint attention skills refer to the capacity to coordinate attention with others regarding objects and events. While infants and toddlers display systematic, age related gains in joint attention skill development between 6 and 18 months of age, they also may display considerable individual differences in the development of this skill. Little research, however, has been directed toward evaluating the significance of these individual differences. This longitudinal study of 14- to 17-month-olds was designed to examine the hypothesis that individual differences in one type of joint attention skill, the tendency to follow the gaze and pointing of a tester, would be a significant predictor of receptive language development. The second goal of this study was to examine the assumption that different types of joint attention skill reflect the development of a single common cognitive process. The results provided strong support for the primary hypothesis, but equivocal support for the common process assumption. In particular, the results of this study suggested that different types of joint attention skills may reflect partially distinct processes associated with comprehension and expression factors in early social-communication development. The results of this study have implications for current conceptualizations of joint attention development, as well as for understanding the linkage between joint attention and early language development.

Joint attention and early social communication : Implications for research on intervention with autism

Highly structured, intensive early intervention may lead to significant developmental gains for many children with autism. However, a clear understanding of early intervention effects may currently be hampered by a lack of precision in outcome measurement. To improve the precision and sensitivity of outcome assessment it may be useful to integrate research on the nature of the social disturbance of autism with research on early intervention. In this regard, it may be that measures of nonverbal social communication skills are especially important in the study of preschool intervention programs. This is because these measures appear to tap into a cardinal component of the early social disturbance of autism, and because these measures have been directly related to neurological, cognitive, and affective processes that may play a role in autism. The research and theory that support the potential utility of these types of measures for early intervention research are reviewed. Examples are provided to illustrate how these types of measures may assist in addressing current issues and hypotheses about early intervention with autism including the “recovery hypothesis,” the “pivotal skill hypothesis,” and the relative effectiveness of discrete trial versus incidental learning approaches to early intervention. A cybernetic model of autism is also briefly described in an effort to better understand one potential component of early psychoeducational treatment effects with children with autism.

Joint attention and social-emotional approach behavior in children with autism.

Autism is a development disorder that is characterized by a significant disturbance of social development. Research strongly suggests that this disorder results from neurological anomalies or deficits. However, both the specific neural systems involved in autism, and the most pertinent behavioral functions of those systems remains unclear. One current topic of debate concerns the degree to which the social disturbance of autism may result from developmental anomalies in neurological systems that subserve cognitive, or affective processes. In this paper a model of the neurological, cognitive, and affective processes involved in the pathogenesis of autism will be described in the context of an attempt to understand dissociations in the early social-skill development of these children. Young children with autism are better able to use social-communication gestures to request objects or events than they are able to use similar gesture simply to initiate joint or socially shared attention relative to an object or event. An integration of recent research suggests that joint attention skill development differs from requesting skill development with regard to affective and cognitive processes that may be associated with frontal and midbrain neurological systems. In particular, this integration of the literature suggests the following: (a) there is a specific neurological subsystem that regulates and promotes what are called social-emotional approach behaviors; (b) the tendency to initiate joint attention bids is prototypical of a social-emotional approach behavior; and (c) attenuation of social-approach behaviors in children with autism leads to a specific impoverishment of social information processing opportunities. This impoverishment has a lifelong negative effect on the social cognitive development of these children.

Responding to Joint Attention Across the 6- Through 24-Month Age Period and Early Language Acquisition

Abstract This study examined individual differences in the development of the capacity of infants to respond to the joint attention bids of others (e.g., gaze shift, pointing, and vocalizing) across the first and second year. The primary aim of the study was to determine if responding to joint attention (RJA) in the first and second year was related to subsequent vocabulary acquisition and whether a specific period of development during the first 2 years was optimal for the assessment of individual differences in this skill. The study was also designed to determine if RJA provided unique predictive information about language development over and above that provided by parent reports of early vocabulary acquisition. Findings indicated that RJA at 6, 8, 10, 12, and 18 months was positively related to individual differences in vocabulary development. Furthermore, both a 6- to 18-month aggregate measure of RJA and a parent report measure of language development made unique contributions to the predictions of vocabulary acquisition. Finally, individual differences in RJA measured at 21 and 24 months were not related to language development.

A Parallel and Distributed Processing Model of Joint Attention, Social-Cognition and Autism

The impaired development of joint attention is a cardinal feature of autism. Therefore, understanding the nature of joint attention is central to research on this disorder. Joint attention may be best defined in terms of an information‐processing system that begins to develop by 4–6 months of age. This system integrates the parallel processing of internal information about ones own visual attention with external information about the visual attention of other people. This type of joint encoding of information about self and other attention requires the activation of a distributed anterior and posterior cortical attention network. Genetic regulation, in conjunction with self‐organizing behavioral activity, guides the development of functional connectivity in this network. With practice in infancy the joint processing of self–other attention becomes automatically engaged as an executive function. It can be argued that this executive joint attention is fundamental to human learning as well as the development of symbolic thought, social cognition and social competence throughout the life span. One advantage of this parallel and distributed‐processing model of joint attention is that it directly connects theory on social pathology to a range of phenomena in autism associated with neural connectivity, constructivist and connectionist models of cognitive development, early intervention, activity‐dependent gene expression and atypical ocular motor control.

Assessing interactional competencies: The early social‐communication scales

Interactional competencies that develop in the first two years of life provide a foundation for all further social and communicative developments. Their normal acquisition, especially in the handicapped, can not be taken for granted. If delays in social-communicative development can be identified early in life and changes made in how the social environment interacts with the child, intervention may effectively facilitate social development. However, to accomplish this, both a model for describing and an instrument for assessing interactional competencies are needed. A recently developed set of scales, organized according to a cognitive-developmental framework and drawing upon recent research literature, is described in terms of its organization and content. Results that support the cognitive model underlying the set of scales are reported. The paper concludes with a consideration of potential criticisms that may apply to such a theoretically based instrument.