First Impressions Matter
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by two core-defining features: impairments in (a) social communication and (b) restricted and repetitive behaviors or interests (American Psychiatric Association [APA], 2013). Social-communication deficits include difficulties making affective (emotional) contact with others. This includes deficits in nonverbal communicative behaviors used for social interaction which range from poorly integrated- verbal and nonverbal communication, through abnormalities in eye contact and body-language, or deficits in understanding and use of nonverbal communication, to a lack of facial expression or gestures.
Many individuals on the autism spectrum have a “flat affect” or reduced facial display. “Flat affect” is a term used to describe a lack of emotional reactivity or expressivity. With a flat affect, expressive gestures are minimal, and there is little animation in facial expression or vocal inflection. Facial expressions are a form of non-verbal communication essential to interpersonal relationships. An inability to read facial and social cues makes “connecting” to others very difficult. Likewise, reduced expressivity may impede social discourse or provoke negative initial reactions to the person with autism.
Research
A study published in the
journal Autism
examined the impact of facial
expressivity on first impression formation and found that typically developing
children formed their impressions of peers with ASD in as little as 30 seconds.
Videos of children with ASD were initially rated for facial expressivity by
adults who were unaware of the condition. Researchers further investigated the
friendship ratings given by 44 typically developing children to the same
videos. The children making friendship judgments were also unaware that they
were rating children with autism. These ratings were compared to friendship
ratings given to video clips of typically developing children. Adult
participants rated children with autism as being less expressive than typically
developing children. The 44 child participants also rated peers with autism lower
than typically developing children on all aspects of friendship measures. Autistic children were rated not as trustworthy as the typically-developing
children in the films. Moreover, study participants were less likely to say
that they wanted to play with or be friends with the video subjects on the
spectrum. These results suggest that impression formation is less positive
towards autistic children than towards typically developing children even when
exposure time is brief.
Implications
The findings of this study
have important implications for intervention. First impressions make a difference: whether you are looking at facial expressions, gestures, or just general appearance, people are quick to form judgments about others. Autistic children experience more peer rejection and have fewer friendships than their
typically developing peers. Limited facial expressivity may further remove
children with autism from meaningful interactions and reciprocal emotional relatedness
with others. Negative peer responses can be especially upsetting for more
socially aware autistic children who may be strive but fail to form friendships.
Further, distress often increases as children approach adolescence and the
social milieu becomes more complex.
Social relationship skills
are critical to successful social, emotional, and cognitive development and to
long-term outcomes for all students. An increase in the quality of social
relationships can have a major influence on the social and academic development
of both typically developing children and those with autism. Consequently, intervention
needs to be focused on both groups in potential interactions rather than
solely on the child with autism. This includes strategies designed to promote
skill acquisition in building social relationships such as direct instruction,
modeling, role-play, structured activities, social stories, formal social groups,
pivotal response teaching, self-monitoring, and coaching.
Students in general education can help the process of cohesion by serving as prosocial role models for autistic students. Teachers may also provide reinforcement for prosocial behavior or assign students in general education to work with students with autism in small groups on class projects together to promote positive interaction. Schools should make a dedicated effort to educate typically developing children about autism and associated symptoms. Educating children and increasing awareness will hopefully encourage a more thoughtful first impression formation process. Teaching social skills can have both preventive and remedial effects that can help reduce the risk for negative outcomes not only for children on the autism spectrum, but also for all children.
Students in general education can help the process of cohesion by serving as prosocial role models for autistic students. Teachers may also provide reinforcement for prosocial behavior or assign students in general education to work with students with autism in small groups on class projects together to promote positive interaction. Schools should make a dedicated effort to educate typically developing children about autism and associated symptoms. Educating children and increasing awareness will hopefully encourage a more thoughtful first impression formation process. Teaching social skills can have both preventive and remedial effects that can help reduce the risk for negative outcomes not only for children on the autism spectrum, but also for all children.
Does facial expressivity
count? How typically developing children respond initially to children with
Autism. Steven D Stagg, Rachel
Slavny, Charlotte Hand, Alice Cardoso and Pamela Smith. Autism
published online 11 October 2013 DOI: 10.1177/1362361313492392
The online version of this
article can be found at: http://aut.sagepub.com/content/early/2013/10/10/1362361313492392
Lee
A. Wilkinson, PhD, is a licensed and nationally certified school
psychologist, and certified cognitive-behavioral
therapist. He is author of the award-winning books, A Best Practice Guide to Assessment and
Intervention for Autism and Asperger Syndrome in Schools and Overcoming Anxiety and Depression on the
Autism Spectrum: A Self-Help Guide Using CBT. He is also
editor of a text in the APA School Psychology Book Series, Autism Spectrum Disorder in Children and
Adolescents: Evidence-Based Assessment and Intervention in Schools. His latest book is A Best Practice Guide to Assessment and
Intervention for Autism Spectrum Disorder in Schools (2nd Edition).
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