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2004 Lawson Etal JADD PDF
2004 Lawson Etal JADD PDF
2004 Lawson Etal JADD PDF
mind (ToM) deficit (Baron-Cohen, Leslie, & Frith, Table I. Possible Cognitive Styles
1985). More recently, an approach has emerged
Cognitive style Description
from within the ToM paradigm that focuses on
empathising and systemising skills (Baron-Cohen, Balanced Aptitude in empathising and
Wheelwright, Lawson, Griffin, & Hill, 2002). Find- systemising is at a similar level
ings of a sex difference in empathising (females per- Empathising bias Empathising skills are greater
than systemising skills by a
forming better) have led theorists to investigate the
small but significant amount
possibility that ASCs may constitute an extreme Systemising bias Systemising skills are greater
version of a pattern of cognitive difference that than empathising skills by a
extends across the entire population (Baron-Cohen, small but significant amount
2002). This idea has become known as the extreme Extreme empathising bias Empathising skills are much
greater than systemising skills
male brain theory of autism (EMB) and is discussed
Extreme systemising bias Systemising skills are much
below. The aim of the research presented here is to greater than empathising skills
explore and test further both the empathising–syste-
mising models and the EMB theory.
areas of social judgement (Argyle & Cook, 1976; their empathising skills might be just high enough
Halpern, 1992), accurate decoding of non-verbal to avoid many of the social difficulties typically
communication (Hall, 1985), sensitivity to emo- associated with ASCs.
tional expression (Baron-Cohen, Jolliffe, Mortimore, If the E–S model is combined with the idea of
& Robertson, 1997) and some aspects of empathy cognitive styles as summarised in Table I we arrive
(Eisenberg & Lennon, 1983). In terms more specific at a model that is summarised graphically in Fig. 1.
to theory of mind, similar sex differences have been This model represents one view of how em-
found in the ability of adults to mindread (Baron- pathising and systemising may be associated. As
Cohen & Hammer, 1997). Female superiority has this model suggests, it is possible for a person’s per-
also been found with children in such areas as pre- formance to be balanced at all levels of skill. For
dicting and explaining false beliefs (Cutting & example, someone may be highly skilled at both em-
Dunn, 1999), assessing the motives and feelings of pathising and systemising, or they might have very
characters in a story (Bosacki & Astington, 1999), little ability in either domain. In both cases however
distinguishing between the appearance and reality they would be balanced in terms of cognitive style
of emotion (Banerjee, 1997), and false belief devel- (Type B). Alternatively, there may be a discrepancy
opment (Charman, Ruffman, & Clements, 2002). between the level of a person’s empathising and sy-
One study has even identified a female preference stemising abilities. The issue of how large this dis-
for social stimuli just 24 hours after birth (Conne- crepancy should be to qualify as being biased is, of
llan, Baron-Cohen, Wheelwright, Ba’tki, & Ahluwa- course, completely arbitrary. For this reason we
lia, 2001). Second, male superiority has been have borrowed from standard statistical conventions
reported in tasks involving mathematical reasoning to sketch our initial definitions. As a result, in this
(Kimura, 1999), mental rotation (Halpern &
Wright, 1996; Voyer, Voyer, & Bryden, 1995),
mechanical reasoning (Stanley, Benbow, Brody, Empathising
Dauber, & Lupkowski, 1991), and spatial visualisa- +3
tion (Kimura, 1999). In other words, male superior-
ity has been found on tasks that involve systemising
+2
skills and female superiority has been found on
tasks that draw on empathising skills. In terms of
the different styles summarised in Table I, males on +1
Systemising
average can be said to have a systemising cognitive
style, and females to have an empathising cognitive -3 -2 -1 0 +1 +2 +3
style (Baron-Cohen, 2002).3
Due to the sex ratio in AS (10:1 male:female
(Gillberg, 1989)), certain theorists have started to -1
model Type E is defined as having empathising ab- below is the first to examine systemising perfor-
ilities that are between one and two standard dev- mance, in relation to understanding physical systems
iations higher than systemising skills. The Extreme in adults with ASCs. The Physical Prediction Ques-
Type E style is defined as empathising abilities being tionnaire (PPQ) involves understanding physical sys-
more than two standard deviations higher than tems but was designed to be challenging enough so
systemising abilities. The same sizes of discrepancy as to reveal individual differences. It comprises 40
in favour of systemising skills are used to define items taken from the Vincent Mechanical Diagrams
Type S and Extreme Type S styles. This model Test (NIIP, n.d.) in which participants study
assumes that empathising and systemising are nor- mechanical diagrams and predict the movement of
mally distributed across the population and inde- two levers or bobs in response to the movement of
pendent of each other. These assumptions may need a connected lever. The test was in multiple-choice
to be revised as more data become available. The format where participants had to choose one of five
key issue in this model is the possible existence of possible outcomes. The likelihood of choosing the
asymmetries of ability. correct outcome by chance is therefore p ¼ .2 on
any given item.
Like systemising, empathising can be applied to
THE EXPERIMENTS a number of possible content areas. However, to
balance the first test, we developed a measure that
In order to test the model in Fig. 1 and further evaluated people’s understandings of social out-
explore the EMB theory of ASCs, empathising and comes. One approach to this problem in the past
systemising abilities were examined in three popula- has been to examine children’s ability to identify
tion groups: males with AS, males without AS, and ‘‘faux-pas’’ in a conversation and ask if anyone said
females without AS. Females with AS were not pos- anything they should not have said (Baron-Cohen,
sible to recruit in sufficient numbers. It was hypoth- O’Riordan, Stone, Jones, & Plaisted, 1999).
esised that on the empathising measure the females Although an adult version of this has been used
would perform better than the non-AS-males, who with neurological patients (Stone, Baron-Cohen, &
in turn would perform better than the males with Knight, 1998) a much more sophisticated test had
AS. On the systemising task it was unclear exactly to be developed, containing more discreet faux pas,
what we would find. If empathising and systemising in order to examine subtle sex differences in normal
were to show symmetrically opposite patterns, then adults and to avoid ceiling effects. The test devel-
the non-AS-males would perform better than the oped was the Social Stories Questionnaire (SSQ).
females but worse than the males with AS. How- The SSQ contains 10 short stories and involves
ever, previous literature suggests that while both utterances made by one character that could upset
male groups would perform better than the female another character in the story. Each story is divided
group the AS group would not necessarily perform into three sections making 30 sections overall with at
better than the non-AS-males. least four utterances in each section. Ten of the sec-
Although systemising can be applied to a range tions contained a blatant target utterance, 10 con-
of possible content areas, understanding rules con- tained a subtle target utterance and 10 contained no
cerned with causality in physical systems is a good target utterance. Each section contained several
example as these rules make it possible to predict questions for the participant to answer. First, they
outcomes. For example, in playing snooker or pool, had to judge whether the section contained a poten-
some basic, intuitive understanding of the rules of tially upsetting utterance and where relevant under-
inertia and trigonometry is needed to predict cor- line the text in question (the probability of
rectly where to send the cue ball in order to achieve identifying a target by chance alone is therefore
the desired result. One previous test found that chil- p ¼ .5 .25 ¼ .125). Second, they had to judge
dren with ASCs were superior to controls in such whether this utterance (if present) would have upset
folk physics (Baron-Cohen, Wheelwright, Spong, the character concerned. Each of the 10 stories also
Scahill, & Lawson, 2001) and results from a recent included a control question and only those partici-
questionnaire (the Systemising Quotient or SQ) also pants who answered all of these correctly were
found that adults with ASCs have a stronger drive included in the analysis. Participants were scored
to systemise (Baron-Cohen, Richler, Bisarya, according to the number of targets correctly identi-
Gurunathan, & Wheelwright, 2003). The experiment fied. The erroneous identification of non-targets was
Empathising and Systemising in Adults 305
not included in this paper although it is worth men- way to control task order, they were asked to com-
tioning that no participants consistently answered plete the two booklets in which ever order they pre-
yes to every question. Decisions concerning whether ferred. Participants were also instructed to take as
specific utterances were blatant or subtle in nature long as was needed and to ensure that they were
were made by a mixed sex panel of six judges, and not helped in any way by anyone else. Completed
only those in which there was unanimous agreement booklets were then returned in person at which time
were included. IQ measurements were taken.
Analysis
METHOD
Results from the SSQ were distributed in an
approximately Gaussian way. The PPQ results how-
Participants
ever, showed a bi-modal distribution that appeared
A total of 107 adult participants (over the age to be caused by the differences between male and
of 18 years) took part in the study: Group 1 con- female scores. As the skewness and kurtosis statistics
tained 18 males with AS (AS-males) diagnosed both fell within the standard ‘‘acceptable range’’ ()2
according to internationally recognised criteria to +2), no transformations of the data were carried
(APA, 1994; ICD-10, 1994). Group 2 contained 44 out.
males without AS (non-AS-males) and group 3 con-
tained 45 females also without AS (non-AS-
RESULTS
females). Age and IQ information is summarised in
Table II.
In response to the slight deviation from normal-
IQ in Group 1 was measured using either the
ity and the low numbers in the AS group, the results
WASI (Wechsler, 1999) or the short form WAIS-R
were first examined with a Mann–Whitney test. On
(Wechsler, 1997) and in the other groups by the
the SSQ the non-AS-females scored significantly
NART (Nelson & Willison, 1991). Although the use
higher than non-AS-males (z ¼ )2.4, p < .02) who
of different IQ scales is not ideal it has been argued
scored higher than the AS-males (z ¼ )3.6,
that the two tests are highly comparable (Crawford,
p < .002). On the PPQ the non-AS-females scored
Stewart, Parker, Besson, & DeLacy, 1989). These
significantly lower than their nearest group, the non-
test results serve as an index that all had an IQ in
AS males (z ¼ )4.7, p < .001) but the AS-males did
the normal range.
not score significantly higher than the non-AS-males
Group 1 consisted of individuals on a research
(z ¼ ).161, p < .87). The SSQ and PPQ scores were
database at the Autism Research Centre in Cam-
then examined using a multivariate analysis of
bridge University. They came from varied socio-eco-
covariance (MANCOVA) and post hoc test (Tukey
nomic and educational backgrounds. Groups 2 and
HSD). In order to examine any possible role of age
3 were respondents to a newspaper advertisement
and IQ these variables were entered as covariates
requesting ‘‘volunteers for research into thinking
but were found to be non-significant (age, p > .171
styles’’. The groups did not differ in terms of socio-
and IQ, p > .918). These data were also examined
economic and educational background.
to see whether scores on the two tests were corre-
lated but no significant correlation was found overall
or within each group (all groups r ¼ .046, p > .63,
Procedure
females r ¼ .136, p > .37, non-AS males r ¼ .174,
Participants were sent the two test booklets by p > .25, AS males r ¼ .33, p > .19). The results
post, along with a covering letter. As there was no from the tests are summarised in Table III.
Table III. SSQ and PPQ Means and Standard Deviations (SD)
PPQ SSQ
Mean SD Mean SD
DISCUSSION
systemising task (PPQ) the female group, on aver- asked about feelings (e.g., how will the utterance
age, performed worse than both of the male groups. affect x) but not about factual detail (e.g., at what
The two male groups did not differ significantly street number was the dinner party being held)
from each other on this task. These results support seems problematic. It is also unclear whether the
the idea that people with autism spectrum condi- PPQ really does involve fewer executive demands
tions demonstrate an empathising deficit whilst hav- than the SSQ. In some of the more complex dia-
ing a level of systemising skills that is, at least, in grams in the PPQ, the interactions of several cogs
the normal range. They are also consistent with the and pulleys had to be considered concurrently. The
EMB theory of autism (Baron-Cohen, 1999). Executive Dysfunction model therefore seems
The distribution summarised in Table IV sug- unable to account for the specific pattern of results
gests that a bias, towards either empathising or sy- found.
stemising exists not only in the AS group, but also
in the general population with 55% of the sample
Weak Central Coherence
falling into one of the non-balanced groups. The
distribution is also congruent with the possibility It has been suggested that theory of mind abil-
that distinctive empathising and systemising styles ity may be inversely associated with performance on
may be associated with specific population groups. central coherence tasks (Jarrold, Butler, Cottington,
For example, the ASCs group aside, Type E is more & Jimenez, 2000). The central coherence framework
often associated with females (42% vs. 9% f:m) and therefore seems to offer a promising explanation of
Type S is more often associated with males (7% vs. the results. This framework would explain the find-
25% f:m). Likewise, 11% of females fell into the ings of the SSQ in terms of the distinction between
extreme Type E compared with none from the other the local and global processing. While an utterance
groups. However, the absence of significant correla- said to person x in context x would cause no
tion between SSQ and PPQ scores both overall and offence, it may do so to person y in context y, or
within each group suggests that empathising and sy- even person x in context y. In other words, the
stemising are independent abilities. In other words, lower scores on the SSQ result from ignoring the
as a person’s empathising ability increases, their sy- wider context. Success with the control questions
stemising ability does not necessarily decrease. might be said to occur because they only require an
Other research has found significant (inverse) corre- analysis of surface meaning rather than global con-
lation between empathising type tasks and systemis- text (e.g., the street number of the party doesn’t
ing type tasks (Baron-Cohen et al., 2003; Jarrold, alter according to who is in the room etc.). The
Butler, Cottington, & Jimenez, 2000). The apparent results from the PPQ are however slightly more
contradiction between these studies might be due to problematic for this model. A network of levers and
small sample size and may also suggest that other pulleys might appear to be a straightforward local
factors are involved. processing task. However, to predict a specific out-
come in terms of lever movements, a person must
achieve a wider contextual view of the entire system.
Alternative Explanations of the Results While attention to detail would inform about local-
ised outcomes, completing the PPQ requires draw-
Executive Dysfunction
ing these local outcomes together holistically.
Within this framework the relatively poor per- Despite this, the mean score of the ASC group on
formance of the ASC group on the SSQ (empathis- the PPQ is higher than the other groups. Thus, the
ing) could be explicable in terms of demands placed Central Coherence model also cannot easily account
on working memory and general attention. Simulta- for the specific pattern of results.
neously, higher performance on the PPQ (systemis-
ing) might be explained by the greater overall
Levels of Difficulty
simplicity of the task. However, no time limits were
placed on the participants and everyone was able to One possible explanation of why people with
refer to ‘‘hard’’ (paper) copies of the tasks. As a ASCs score lower on the SSQ is simply that it is a
result, demands on working memory were minimal. harder task than the PPQ. However, it seems prob-
Furthermore, the idea that executive demands lematic to argue that either task is significantly
would cause decreased performance when being more challenging than the other. If it were simply a
308 Lawson, Baron-Cohen, and Wheelwright
matter of difficulty, why is the female group scoring occurs, event y will always follow. However, Bhas-
lower than the other two groups on the easier of kar argues that this kind of conjunction of events
the tasks? Rather than one being quantitatively only occurs when a closure is achieved; isolating all
harder than the other, the two tasks seem to require of the mechanisms involved in that event and creat-
qualitatively different approaches. ing a closed system. For a system to become closed,
two different types of closure condition must be
achieved: extrinsic and intrinsic. Extrinsic closure
Socialization
refers to the isolation of the target phenomena from
Many theorists have shown that male and any external confounding mechanism that could
female infants are socialised differently in a variety influence outcomes. Intrinsic closure concerns the
of ways. Some have suggested that girls are raised internal structure of the target phenomenon. That
to be more caring and sensitive towards the feelings is, despite an identical context and extrinsic closure,
of others than boys are (Gilligan, 1982). Likewise, whether there is anything that could give rise to dif-
educational experience and the expectations of par- ferent outcomes on subsequent occasions, e.g., peo-
ents and teachers could result in males being better ple making differing choices or having different
equipped to solve certain types of problems like desires. An open system is therefore any in which it
those in the PPQ. Thus, the pattern of results across is not possible to obtain a closure. It may be that
the three groups could simply be reflecting differen- empathising and systemising are human adaptations
tial gender socialization. While socialization to a crucial environmental distinction. When appro-
undoubtedly has a significant influence on people’s priate, we systemise, apply rules, and think in terms
abilities, some studies suggest there is more to these of event regularities. In other situations, we empa-
differences than socialization. Differential attention thise, demonstrate greater flexibility, and think in
towards social and non-social stimuli has been terms of contingencies. Current research is examin-
found among males and female infants just ing whether the open–closed distinction extends the
24 hours after birth (Connellan, et al., 2001). The empathising–systemising theory, or whether it actu-
implication from that study is that females, on aver- ally represents an alternative model of understand-
age, possess a ‘‘hard-wired’’ preference for social ing ASCs altogether (Lawson, 2003).
phenomena. In a similar vein, levels of eye contact, In sum, we have reported two tasks which
a possible early component of empathising, have show that, as predicted, males on average have bet-
been shown to be inversely correlated with levels of ter systemising skills than females, females on aver-
foetal testosterone (Lutchmaya, Baron-Cohen, & age have better empathising skills than males, and
Raggett, 2002). This implies that biological factors that people with ASCs have an extreme of the male
may also contribute to a female superiority in em- style (lower empathising alongside intact or superior
pathising. systemising). These results are compatible with the
E–S and EMB models. We have also discussed these
results with reference to several alternative models
Open and Closed Systems
most of which seem unable to explain the findings
Another possibility is that empathising and fully. Future studies will need to test this pattern of
systemising might be specific abilities that have results across a larger sample, as well as across a
developed in response to qualitatively different wider set of tests. Future work also needs to focus
kinds of phenomena that exist in our world. on females with ASCs and explore their empathising
According to Bhaskar (Bhaskar, 1978) our worlds and systemising abilities.
contain different combinations of object and context
that in turn give rise to qualitatively different kinds
of event: open and closed systems. We attempt to
understand these events and phenomena by consid- ACKNOWLEDGMENTS
ering a host of issues such as properties, relation-
ships with other phenomena and so on. According During this work JL was supported by the
to deductivism an event is explained when a univer- Isaac Newton Trust. SBC & SW were supported by
sal law is formulated from which the event can be the MRC (U.K.), and the James S. McDonnell
deduced. The basic form of this law is ‘‘if x then Foundation, and the Three Guineas Trust. The
y’’, in other words, whenever a given event x Physical Prediction Questionnaire was adapted from
Empathising and Systemising in Adults 309
the National Institute of Industrial Psychology Vin- Connellan, J., Baron-Cohen, S., Wheelwright, S., Ba’tki, A., &
Ahluwalia, J. (2001). Sex differences in human neonatal
cent Mechanical Diagrams set. The authors would social perception. Infant Behavior and Development, 23, 113–
like to thank all those participants who took part in 118.
the study. Crawford, J. R., Stewart, L. E., Parker, D. M., Besson,
J. A. O., & DeLacy, G. (1989). Prediction of WAIS IQ
with the National Adult Reading Test: Cross-validation
and extension. British Journal of Clinical Psychology, 28,
267–273.
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