R. Peter Hobson

Early childhood autism and the question of egocentrism.

An individuals social competence is often considered in terms of his role-taking abilities. In the light of studies by Piaget, it has been supposed that a childs developing capacity to appreciate the viewpoints of others in a social context is reflected in his ability to recognize points of view in a visuospatial setting. If this is valid, then visuospatial role-taking tasks may afford a measure of some relatively “cognitive” component of the capacity to engage in social behavior. Tasks in which subjects were required to make judgments about different and yet related views of a three-dimensional scene or object, together with tests of operational thinking, were presented to normal children and to subjects with the diagnosis of infantile autism. The results indicate that autistic children are no more impaired in their recognition of visuospatial perspectives than are normal children of comparable intellectual level in tests of operational thinking. A further, more limited study yielded suggestive evidence that over this series of tasks, autistic children perform as well as subjects with Downs syndrome who have a similar verbal mental age. These findings render it improbable that autistic children are especially “egocentric” in their appreciation of visuospatial perspectives.

Are infants with autism socially engaged? A study of recent retrospective parental reports.

The purpose of this study was to identify the specific aspects of social engagement that distinguish infants with autism from infants of similar age and developmental level who do not have autism. Ten parents of preschoolers with autism and 10 parents of matched children without autism were given a semistructured interview, the Detection of Autism by Infant Sociability Interview (DAISI), which elicits reports on whether 19 aspects of social engagement characteristic of typically developing infants were present at some time during the childs first 24 months. The reports of infants with autism differed from those of the control group on 16 items. Findings suggest that infants with autism have marked limitation in both person-to-person and person-person-object social engagement, in keeping with the theory that autism involves impairments in primary as well as secondary intersubjectivity (Hobson, 1993a).

Qualities of Symbolic Play Among Children with Autism: A Social-Developmental Perspective

We hypothesized that the qualities of play shown by children with autism reflect their impoverished experience of identifying with other people’s attitudes and moving among person-anchored perspectives. On this basis, we predicted their play should manifest a relative lack of the social-developmental hallmarks that typify creative symbolic functioning. We videotaped the spontaneous and modelled symbolic play of matched groups of children with and without autism. The two groups were similar in the mechanics of play, for example in making one thing stand for another and using materials flexibly. By contrast, and as predicted, children with autism were rated as showing less playful pretend involving self-conscious awareness of pretending, investment in the symbolic meanings given to play materials, creativity, and fun.

How mothers with borderline personality disorder relate to their year-old infants

BACKGROUND Women with borderline personality disorder have conflictual interpersonal relations that may extend to disrupted patterns of interaction with their infants. AIMS To assess how women with borderline personality disorder engage with their 12 to 18-month-old infants in separation-reunion episodes. METHOD We videotaped mother-infant interactions in separation-reunion episodes of the Strange Situation test. The mothers were women with borderline personality disorder, with depression, or without psychopathological disorder. Masked ratings of maternal behaviour were made with the Atypical Maternal Behavior Instrument for Assessment and Classification. RESULTS As predicted, a higher proportion (85%) of women with borderline personality disorder than women in the comparison groups showed disrupted affective communication with their infants. They were also distinguished by the prevalence of frightened/disoriented behaviour. CONCLUSIONS Maternal borderline personality disorder is associated with dysregulated mother-infant communication.

Anticipatory concern. A study in autism

There has been substantial research on childrens empathic responsiveness towards distressed people, and on the limited responsiveness of children with autism. To date, however, there have not been experimental studies to test how far children show concern towards someone who might be expected to feel badly, when that person has not (yet) expressed any negative feelings. We tested matched groups of children with autism and learning disability, and typically developing children of similar verbal mental age (approximately 6 years), with a novel procedure in which participants witnessed one person (E1) tearing the drawing of another (E2). In a comparison condition, a blank card was torn. In the torn-drawing condition, as predicted, fewer participants with autism orientated towards E2 with an immediate look, and as a group, they were rated as showing less concern for, and fewer concerned looks towards, E2. We discuss possible implications for theoretical perspectives on the early development of empathy in typically as well as atypically developing children.

The Autistic Child's Recognition of Age- and Sex-Related Characteristics of People.

Matched autistic, normal, and nonautistic retarded children were tested for their ability to choose schematic and photographed faces of a man, a woman, a girl, and a boy, to accompany videotaped sequences depicting a person of each class in (a) gestures, (b) vocalizations, and (c) “contexts” that might be considered typical for an individual of this age and sex. Although both autistic and control subjects were able to choose drawings of nonpersonal objects to correspond with videotaped cues, the autistic children were markedly impaired in selecting appropriate faces for the videotaped individuals. It is suggested that these results may reflect autistic childrens relative disability in differentiating adults from children and males from females.

Individual differences in young children's IQ: a social-developmental perspective.

From a sample of middle-class mothers and their 3-year-old children, a selected group of 36 mothers were divided into 2 groups according to the quality of their responses to the Adult Attachment Interview as a Questionnaire (Crandell, Fitzgerald, & Whipple, 1997). Twenty mothers provided coherent accounts of their early parent-child relationships (secure) and 16 mothers provided idealised, entangled, or otherwise incoherent accounts of their early parent-child relationships (insecure). The mothers were administered an abbreviated version of the WAIS-R and the children were given an abbreviated version of the Stanford-Binet Intelligence Scale. The quality of mother-child interactions was assessed by videotaping a 20-minute play episode and clean-up period, and by rating the degree of synchrony according to a modified version of the Belsky Parent-Child Interaction System (Whipple, Denburg, & Davies, 1993). The results were that children of secure mothers scored 19 points higher on the Stanford-Binet test compared to children of insecure mothers. (The adjusted mean difference was 12 points when maternal IQ, education, and family SES were taken into account.) The group difference in the childrens IQ remained significant when comparisons were made between a subgroup of 12 secure and 12 insecure mothers who were matched for maternal IQ. Finally we examined the subgroup of 16 cases where child IQ scores were either 10 points higher or lower than maternal IQ. In all 6 cases where child IQ was at least 10 points below maternal IQ, the child had a mother who was insecure; in contrast, only 4 of the 10 children who had IQ scores 10 points higher than maternal IQ had an insecure mother. In terms of parent-child interaction patterns, there was suggestive evidence that the degree of parent-child synchrony was also related to child IQ. The results suggest important social-developmental contributions to young childrens performance on standardised tests of intellectual ability.

Reversible Autism among Congenitally Blind Children? A Controlled Follow-Up Study.

BACKGROUND Atypical forms of autism may yield insights into the development and nature of the syndrome. METHODS We conducted a follow-up study of nine congenitally blind and seven sighted children who, eight years earlier, had satisfied formal diagnostic criteria for autism and had been included in groups matched for chronological age and verbal ability. In keeping with the original study, we met with teachers to discuss a DSM-based checklist of clinical features of autism, and conducted direct observations of the children to complete assessments on the Childhood Autism Rating Scale (CARS; Schopler, Reichler, and Renner, 1986) and the Behavior Checklist for Disordered Preschoolers (BCDP; Sherman, Shapiro, & Glassman, 1983). RESULTS As predicted, a substantially higher proportion of blind (eight out of nine) than sighted (none out of seven) children now failed to meet formal DSM criteria for autism, and in keeping with BCDP ratings, they had significantly lower CARS scores. CONCLUSIONS Follow-up of nine congenitally blind children with autism revealed that, in adolescence, only one still satisfied diagnostic criteria for the syndrome. We consider the implications for theoretical perspectives on the development of autism.

Person-Centred (Deictic) Expressions and Autism

We employed semi-structured tests to determine whether children with autism produce and comprehend deictic (person-centred) expressions such as ‘this’/‘that’, ‘here’/‘there’ and ‘come’/‘go’, and whether they understand atypical non-verbal gestural deixis in the form of directed head-nods to indicate location. In Study 1, most participants spontaneously produced deictic terms, often in conjunction with pointing. Yet only among children with autism were there participants who referred to a location that was distal to themselves with the terms ‘this’ or ‘here’, or made atypical points with unusual precision, often lining-up with an eye. In Study 2, participants with autism were less accurate in responding to instructions involving contrastive deictic terms, and fewer responded accurately to indicative head nods.

Interpersonally Situated Cognition

Abstract In this paper I consider how thinking emerges out of human infants’ relatedness towards the personal and non‐personal world. I highlight the contrast between cognitive aspects and cognitive components of psychological functioning, and propose that even when thinking has become a partly separable component of the mind, affective and conative aspects inhere in its nature. I provide illustrative evidence from recent research on the developmental psychopathology of autism. In failing to adopt a developmental perspective, contemporary theorizing has displaced thinking from where it is properly situated – intimately woven with feeling as well as action, and infused with qualities of interpersonal relatedness from which its structure is derived.