Professional Documents
Culture Documents
Flood 2011
Flood 2011
The relationship of the social deficits associated with autism spectrum dis-
orders (ASD) to understanding and participating in actual social interaction
and interpersonal relationships (Travis and Sigman, 1998; Loveland et al.,
Copyright © The Author(s), 2011. Reprints and permissions: 601
http://www.sagepub.co.uk/journalspermissions.nav
DOI: 10.1177/1362361310387803
602
5. RESPONSE DECISION
4. RESPONSE •
response evaluation
ACCESS OR •
outcome expectations
CONSTRUCTION •
self-efficacy evaluation
•
response selection
DATABASE
PEER
EVALUATION
AND
2. INTERPRETATION RESPONSE
OF CUES 1. ENCODING
OF CLUES
• causal attributions
(both internal
• intent attributions
and external)
• other interpretative processes
- evaluation of goal
- attainment
- evaluation of past
performance
- self-evaluations
- other-evaluations
Scores are summed for each story type, with a maximum score of 6 for
each story type sub-totals and a maximum overall score of 12.
(2) Attributional Style – based on the Children’s Attributional Style
Questionnaire (Seligman et al., 1984), for each scenario, participants were
presented with six sets of paired attributions and asked to choose one they
regarded as the most likely reason for events in the scenario. For each pair
of statements, one of the factors along the Internal/External, Global/Specific
and Stable/Unstable dimensions was manipulated whilst the other two were
kept stable. For example:
Now I’m going to read some possible reasons why you got bumped. Choose
the reason that is more likely why you got bumped.
Example of external versus internal attribution:
a) That kid is pushy
b) You get in the way
Example of unstable versus stable attribution:
a) That kid sometimes pushes you
b) That kid usually pushes you
Example of specific versus global attribution:
a) You get in that kid’s way
b) You get in most kids’ way
A composite attribution score was derived from the sum of the number of
occasions in which an internal, global or stable attribution was chosen,
with a maximum scores of 6 per story, 12 per scenario type sub-total and
24 for the whole measure.
607
Quality
Participants were asked to give an overall rating of the response on a 4-
point scale:
What kind of an idea do you think this is?
very bad (1 point)
pretty bad (2 point)
pretty good (3 points)
very good (4 points)
Scores were summed for story type, with a maximum score of 8 for each
story type sub-totals and an overall score of 16 possible.
Positive outcome
Participants rated the possible outcome of responding in the manner
described by answering two multiple response questions:
Would kids like you if you pushed the kid who bumped you?
Would you get your place in the line back if you pushed the kid who
bumped you?
definitely would not (1 point)
probably would not (2 points)
probably would (3 points)
definitely would (4 points)
608
Results
The AS group comprised n = 26, with 25 complete sets of data. Four others
did not complete the study due to language or attentional difficulties. The
comparison group comprised n = 24, who completed all the measures.
Demographic characteristics of the two groups are shown in Table 1.
Table 2 Descriptive statistics for the scores derived from the SIPI for the AS
and comparison groups
Intent attribution
Entry 4 2 to 5 3 2 to 4
Provocation 4 3 to 5 4 3 to 5
Total 8 5.5 to 9 7 4.25 to 9
Attributional style
Entry 4 2 to 5 2 1 to 3
Provocation 4 2 to 5 2 1 to 3
Total 7 5 to 9 3 3 to 5.75
Response generation
Entry 3.72* 2.37** 5* 2.06**
Provocation 3.80* 2.10** 5.33* 1.79**
Total 7.52* 4.26** 10.33* 3.73**
Response evaluation
assertive/quality
Entry 4 2 to 5 3 2 to 4
Provocation 6 4.5 to 6 6 5 to 7
Total 10 8 to 11 9.5 7.25 to 11
Assertive/positive outcome
Entry 9 7 to 10 9.5 8 to 11
Provocation 9 6.5 to 10 9 8 to 11
Total 18 13 to 21 19 17 to 21
Withdrawal/quality
Entry 6 5 to 6 5 4 to 6
Provocation 4 4 to 5 4 2.25 to 5.75
Total 10 9 to 11 9 7 to 11
Withdrawal/positive outcome
Entry 9 7 to 10 9 8.25 to 10
Provocation 7 5 to 8.5 8 6 to 9
Total 10 9 to 11 17 14.25 to 18
Note. SIDI = Social Information Processing Interview (Quiggle et al., 1992); AS = Asperger syndrome;
IQR = interquartile range; SD = standard deviation.
611
Mean SD % Mean SD %
responses responses
Note. SIDI = Social Information Processing Interview (Quiggle et al., 1992); AS = Asperger syndrome.
612
Discussion
The findings of the current study did not support the hypothesis that the
AS group would be more likely to attribute malevolent intent in ambigu-
ous scenarios, with no significant difference for the overall intent attribu-
tion score or for the subtotals for entry and provocation scenario types,
nor for scenario type, with neither group showing significant differences
between their attributions of intent in the entry and provocation situations.
Previous ToM research would suggest that the young people with AS
would have difficulties with attributing intent (Baron-Cohen, 2000), but
present findings did not support the notion of impaired attribution of
intent. Although the AS group had lower scores on a measure of ToM, they
were no more likely than the comparison group to attribute malevolent
intent to the protagonists in the SIPI scenarios. As understanding the intent
of others is an early stage in the development of ToM in typically develop-
ing children (Tomasello et al., 1993), a developmental perspective on ToM
acquisition (Steele et al., 2003) would suggest the performance of the AS
group on this task reflected their relatively good cognitive and language
skills and also that this was a relatively easy test of ToM compared to Strange
Stories. Moreover, there is no evidence to suggest that Strange Stories scores
would be associated with specific attributions of malevolence, as opposed
to benign and socially considerate attributions. Pierce et al. (1997) found
that larger numbers of social cues were associated with poorer interpreta-
tion of social situations, but in the present study, information was presented
in written form with only limited contextual information. Thus, the AS
group may have had more difficulties in the intent attribution stage had
more complex social scenarios had been presented.
The present findings supported the hypothesis that the two groups
would differ on a measure of attributional style, with the AS group en-
dorsing more internal, global and stable attributions than the comparison
group with regard to both the entry and the provocation scenarios. When
attributional style was examined within the groups, no differences were
observed for either group between the entry and the provocation scenar-
ios. Further analysis of the composite attribution score indicated that the
AS group differed from the comparison group on only one attributional
domain (global vs. specific) and endorsed more global explanations.
Although differences in attributional style have not been previously reported
(e.g. Blackshaw et al., 2001), the global versus specific dimension has not
previously been explored. The increased global explanations reported here
616
Differences in
outcome expectations
and evaluations
4. RESPONSE
ACCESS OR
5. RESPONSE DECISION
CONSTRUCTION
Fewer
responses
generated DATABASE
PEER
EVALUATION
AND
RESPONSE
Global attributional bias 1. ENCODING
OF CLUES
The results of the current study suggest that young people with AS also
have difficulty with other social cognitive skills involved in interpersonal
interactions, which would not necessarily benefit from just teaching ToM
skills. The intervention package described by Bauminger (2002) targeted
specific social cognitive skills, including the generation of solutions to
social problems and also the evaluation of potential solutions with respect
to the outcome. The results of the current study provide empirical justifi-
cation for the inclusion of these components into social skills interventions
as well as indicating that attributional style should be the focus of inter-
vention.
In addition, the present results have broader implications for interven-
tion work, particularly cognitive-behavioural therapy (CBT) for people with
AS (Sofronoff et al., 2007; Hare, 2010). Abell and Hare (2005) propose
that ToM, executive function and specific autobiographical memory deficits
contribute to the social difficulties experienced by people with AS and that
repeated experiences of negative social interactions leads to an attributional
621
Notes
1. Quiggle et al. (1992) included two further stories relating to failure, which were
found to be of limited utility (Quiggle, 2003, personal communication).
References
Abell, F. & Hare, D. (2005) ‘Experimental Investigation of the Phenomenology of
Delusional Beliefs in People with Asperger’s Syndrome’, Autism 9(5): 557–573.
Abramson, L.N., Seligman, M.E.P. & Teasdale, J.D. (1978) ‘Learned Helplessness in
Humans: Critique and Reformulation’, Journal of Abnormal Psychology 87(1): 49–74.
Adams, C., Green, J., Gilchrist, A. & Cox, A. (2002) ‘Conversational Behaviour of
Children with Asperger Syndrome and Conduct Disorder’, Journal of Child Psychology
and Psychiatry 43(5): 679–690.
Barnhill, G.P. & Smith-Myles, B. (2001) ‘Attributional Style and Depression in
Adolescents with Asperger Syndrome’, Journal of Positive Behavior Interventions 3(3):
175–192.
Baron-Cohen, S. (1989) ‘The Autistic Child’s Theory of Mind: A Case of Specific
Developmental Delay’, Journal of Child Psychology and Psychiatry 30: 285–298.
Baron-Cohen, S. (2000) ‘Theory of Mind and Autism: A Fifteen Year Review’, in
S. Baron-Cohen, H. Tager-Fluseberg & D.J. Cohen (eds), Understanding Other Minds:
Perspectives from Developmental Cognitive Neuroscience (2nd ed.). Oxford: Oxford University
Press.
Barry, T.D., Klinger, L.G., Lee, J.M., Palardy, N., Gilmore, T. & Bodin, S.D. (2003)
‘Examining the Effectiveness of an Outpatient Clinic Based Social Skills Group for
High-functioning Children with Autism’, Journal of Autism and Developmental Disorders
33(6): 685–701.
Bauminger, N. & Kasari, C. (2000) ‘Loneliness and Friendship in High-Functioning
Children with Autism’, Child Development 71(2): 447–456.
Bauminger, N. (2002) ‘The Facilitation of Social-Emotional Understanding and Social
Interaction in High-Functioning Children with Autism: Intervention Outcomes’,
Journal of Autism and Developmental Disorders 32(4): 283–298.
622
623
624