Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-25T04:51:28.342Z Has data issue: false hasContentIssue false

Visual attention abnormalities in autism: Delayed orienting to location

Published online by Cambridge University Press:  26 February 2009

Jeanne Townsend
Affiliation:
University of California, San Diego, Department of Neurosciences, La Jolla, CA 92093 Autism and Brain Development Research Lab, Children's Hospital Research Center, San Diego, CA 92123
Naomi Singer Harris
Affiliation:
Autism and Brain Development Research Lab, Children's Hospital Research Center, San Diego, CA 92123 San Diego State University, Department of Psychology/University of California, San Diego, Department of Psychiatry, San Diego, CA 92182
Eric Courchesne
Affiliation:
University of California, San Diego, Department of Neurosciences, La Jolla, CA 92093 Autism and Brain Development Research Lab, Children's Hospital Research Center, San Diego, CA 92123

Abstract

These studies provide evidence for slowed spatial orienting of attention in autism. A group of well-defined adult autistic subjects and age-matched normal controls performed a traditional spatial cueing task in which attention-related response facilitation is indexed by speed of target detection. To address the concern that motor impairment may interfere with interpretation of response time measures in those with neurologic abnormality, we also used a new adaptation of the traditional task that depended on accuracy of response (target discrimination) rather than speed of response. This design allowed separation of time to process and respond to target information from the time to move and engage (orient) attention. Results from both tasks were strikingly similar. Normal subjects oriented attention very quickly, and showed maximal performance facilitation at a cued location within 100 ms. Autistic subjects oriented attention much more slowly and showed increasing benefits of a spatial cue with increasing cue-to-target delays. These results are consistent with previous reports that patients with autism, the majority of whom have developmental abnormalities of the cerebellum, as well as those with acquired damage to the cerebellum, are slow to shift attention between and within modalities. This paper also addresses the variability in behavioral findings in autism, and suggests that many of the apparently contradictory findings may actually reflect sampling differences in patterns of brain pathology. (JINS, 1996, 2, 541–550.)

Type
Research Article
Copyright
Copyright © The International Neuropsychological Society 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Akshoomoff, N. & Courchesne, E. (1992). A new role of the cerebellum in cognitive operations. Behavioral Neuroscience, 106, 731738.CrossRefGoogle ScholarPubMed
Akshoomoff, N. & Courchesne, E. (1994). ERP evidence for a shifting attention deficit in patients with damage to the cerebellum. Journal of Cognitive Neuroscience, 6, 388399.Google Scholar
Akshoomoff, N.A., Courchesne, E., Press, G.A., & Iragui, V. (1992). Contribution of the cerebellum to neuropsychological functioning: Evidence from a case of cerebellar degeneration. Neuropsychologia, 30, 315328.Google Scholar
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: Author.Google Scholar
Bauman, M.L. (1991). Microscopic neuroanatomic abnormalities in autism. Pediatrics, 87, 791796.Google Scholar
Bryson, S.E., Wainwright-Sharp, J.A., & Smith, I.M. (1990). Autism: A developmental spatial neglect syndrome? In Enns, James T. (Ed.) The development of attention: Research and theory (pp. 405427). Amsterdam: Elsevier North-Holland.Google Scholar
Burack, J.A. (1994). Selective attention deficits in persons with autism: Preliminary evidence of an inefficient attentional lens. Journal of Abnormal Psychology, 103, 535543.Google Scholar
Burack, J. & larocci, G. (1995, March). Visual filtering and covert orienting in developmentally disordered persons with and without autism. Presented at the Society for Research in Child Development, Indianapolis, IN.Google Scholar
Casey, B.J., Gordon, C.T., Mannheim, G.B., & Rumsey, J. (1993). Dysfunctional attention in autistic savants. Journal of Clinical and Experimental Neuropsychology, 15, 933946.CrossRefGoogle ScholarPubMed
Cheal, M.L. & Lyon, D.R. (1991). Central and peripheral precuing of forced-choice discrimination. The Quarterly Journal of Experimental Psychology, 43A, 859880.Google Scholar
Courchesne, E. (1987). A neurophysiologic view of autism. In Schopler, E. & Mesibov, G. (Eds.), Neurobiological issues in autism (pp. 258324). New York: Plenum Press.Google Scholar
Courchesne, E. (1989). Neuroanatomical systems involved in infantile autism. In Dawson, G. (Ed.), Autism (pp. 119143). New York: Guilford Press.Google Scholar
Courchesne, E. (1991). Neuroanatomic imaging in autism. Pediatrics, 87, 781790.Google Scholar
Courchesne, E. (1995). Infantile autism. Part 1: MR imaging abnormalities and their neurobehavioral correlates (pp. 141–154); & Part 2: A new neurodevelopmental model (pp. 155–165). International Pediatrics, 10, 141165.Google Scholar
Courchesne, E., Akshoomoff, N., & Townsend, J. (1990). Recent advances in autism. Current Opinion In Pediatrics, 2, 685693.Google Scholar
Courchesne, E., Chisum, H., & Townsend, J. (1994d). Neural activity-dependent brain changes in development: Implications for psychopathology. Development and Psychopathology, 6, 697722.CrossRefGoogle Scholar
Courchesne, E., Press, G.A., & Yeung-Courchesne, R. (1993). Parietal lobe abnormalities detected on magnetic resonance images of patients with infantile autism. American Journal of Roentgenology, 160, 387393.Google Scholar
Courchesne, E., Saitoh, O., Yeung-Courchesne, R., Press, G., Haas, R., Lincoln, A., & Schreibman, L. (1994b). Abnormality of vermian lobules VI and VII in patients with infantile autism: Identification of hypoplastic and hyperplastic subgroups. American Journal of Roentgenology, 162, 123130.Google Scholar
Courchesne, E., Townsend, J., Akshoomoff, N.A., Saitoh, O., Yeung-Courchesne, R., Lincoln, A., James, H., Haas, R.H., Schreibman, L., & Lau, L. (1994c). Impairment in shifting attention in autistic and cerebellar patients. Behavioral Neuroscience, 108, 848865.Google Scholar
Courchesne, E., Townsend, J., Akshoomoff, N.A., Yeung-Courchesne, R., Press, G., Murakami, J., Lincoln, A., James, H., Saitoh, O., Egaas, B., Haas, R.H., & Schreibman, L. (1994e). A new finding: Impairment in shifting attention in autistic and cerebellar patients. In Broman, S.H. & Grafman, J. (Eds.). Atypical cognitive deficits in developmental disorders: Implications for brain function (pp. 101137). Hillsdale, NJ: Lawrence Erlbaum Associates.Google Scholar
Courchesne, E., Townsend, J., & Chase, C. (1995). Neurodevelopmental principles guide research on developmental psychopathologies. In Cicchetti, D. & Cohen, D. (Eds.), A manual of developmental psychopathologies (Vol. 2, pp. 195226). New York: John Wiley & Sons, Inc.Google Scholar
Courchesne, E., Townsend, J., & Saitoh, O. (1994a). The brain in infantile autism: Posterior fossa structures are abnormal. Neurology, 44, 214223.Google Scholar
Courchesne, E., Yeung-Courchesne, R., Press, G.A., Hesselink, J.R., & Jernigan, T.L. (1988). Hypoplasia of cerebellar lobules VI and VII in infantile autism. New England Journal of Medicine, 318, 13491354.Google Scholar
Dawson, G. (1983). Lateralized brain function in autism: Evidence from the Halstead-Reitan neuropsychological battery. Journal of Autism and Developmental Disorders, 13, 369386.Google Scholar
Dawson, G. & Lewy, A. (1989). Arousal, attention and the socioemotional impairments of individuals with autism. In Dawson, G. (Ed.), Autism: Nature, diagnosis and treatment (pp. 4974). New York: Guilford Press.Google Scholar
Dixon, W.J., Brown, M.B., Engelman, L., & Jennrich, R.I. (1990). BMDP Statistical Software Manual (Vols. 1–2). Berkeley, CA: University of California Press.Google Scholar
Edwards, A.L. (1985). Experimental design in psychological research (5th ed.). New York: Harper & Row, Inc.Google Scholar
Frith, U. & Baron-Cohen, S. (1987). Perception in autistic children. In Cohen, D.J. & Donnellan, A.M. (Eds.), Handbook of autism and pervasive developmental disorders (pp. 85102). New York: Wiley.Google Scholar
Garretson, H.B., Fein, D., & Waterhouse, L. (1990). Sustained attention in children with autism. Journal of Autism and Developmental Disorders, 20, 101114.CrossRefGoogle ScholarPubMed
Horwitz, D., Rumsey, J., Grady, C., & Rappoport, S. (1988). The cerebral metabolic landscape in autism. Archives of Neurology, 45, 749755.Google Scholar
Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217250.Google Scholar
Le Couteur, A., Rutter, M., Lord, C., Rios, P., Robertson, S., Holdgrafer, M., & McLennan, J. (1989). Autism diagnostic interview: A standardized investigator-based instrument. Journal of Autism and Developmental Disorders, 19, 363387.CrossRefGoogle ScholarPubMed
Lincoln, A.J., Allen, M.H., & Kilman, A. (1995). The assessment and interpretation of intellectual abilities in people with autism. In Schopler, E., & Mesibov, G.B. (Eds.), Learning and cognition in autism (pp. 89117). New York: Plenum Press.Google Scholar
Lincoln, A.J., Courchesne, E., Kilman, B.A., Elmasian, R., & Allen, M. (1988). A study of intellectual abilities in high-functioning people with autism. Journal of Autism and Developmental Disorders, 8, 505524.Google Scholar
Lord, C., Rutter, M., Goode, S., Heemsbergen, J., Jordan, H., Mawhood, L., & Schopler, E. (1989). Diagnostic observation schedule: A standardized observation of communicative and social behavior. Journal of Autism and Developmental Disorders, 19, 185212.CrossRefGoogle ScholarPubMed
Lovaas, O.I., Koegel, R.L., & Schreibman, L. (1979). Stimulus overselectivity in autism: A review of research. Psychological Bulletin, 86, 12361254.Google Scholar
Lovaas, O.I., Schreibman, L., Koegel, R.L., & Rehm, R. (1971). Selective responding by autistic children to multiple sensory input. Journal of Abnormal Psychology, 77, 211222.CrossRefGoogle ScholarPubMed
Omitz, E.M. (1988). Autism: A disorder of directed attention. Brain Dysfunction, 1, 309322.Google Scholar
Posner, M.I. & Petersen, S. (1990). The attention system of the human brain. Annual Review of Neuroscience, 13, 2542.Google Scholar
Posner, M.I., Walker, J.A., Freidrich, F.A., & Rafal, R.D. (1984). Effects of parietal injury on covert orienting of attention. Journal of Neuroscience, 4, 18631874.Google Scholar
Posner, M.I., Walker, J.A., Freidrich, F.A., & Rafal, R.D. (1987). How do the parietal lobes direct covert attention? Neuropsychologia, 25, 135145.CrossRefGoogle ScholarPubMed
Schopler, E., Reichler, R.J., DeVelis, R.F., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood autism rating scale (CARS). Journal of Autism and Developmental Disorders, 10, 91103.Google Scholar
Schreibman, L. & Lovaas, O.I. (1973). Overselective response to social stimuli by autistic children. Journal of Abnormal Child Psychology, 1, 152168.CrossRefGoogle ScholarPubMed
Sigman, M., Ungerer, J.A., Mundy, P., & Sherman, T. (1987). Cognition in autistic children. In Cohen, D.J. & Donnellan, A.M. (Eds.), Handbook of autism and pervasi***e developmental disorders (pp. 103120). New York: Wiley.Google Scholar
Townsend, J. (1992). Abnormalities of brain structure and function underlying the distribution of visual attention in autism. Doctoral dissertation, University of California, San Diego and San Diego State University. Dissertation Abstracts International, 53, 6010.Google Scholar
Townsend, J. & Courchesne, E. (1994). Parietal damage and narrow “spotlight” spatial attention. Journal of Cognitive Neuroscience, 6, 220232.Google Scholar
Townsend, J., Courchesne, E., & Egaas, B. (1992). Deficits in orienting attention in patients with cerebellar and parietal damage. Society for Neuroscience Abstracts, 18, 332.Google Scholar
Townsend, J., Courchesne, E., & Egaas, B. (1996). Slowed orienting of covert visual-spatial attention in autism: Specific deficits associated with cerebellar and parietal abnormality. Development and Psychopathology, 8, 563584.Google Scholar
Townsend, J., Singer, N., & Courchesne, E. (1994). Spatial attention deficits in patients with developmental or acquired cerebellar damage. Cognitive Neuroscience Society Meeting Abstracts, 1, 98.Google Scholar
Wainwright-Sharp, J.A. & Bryson, S.E. (1993). Visual orienting deficits in high-functioning people with autism. Journal of Autism and Developmental Disorders, 23, 113.CrossRefGoogle ScholarPubMed
Wechsler, D. (1981). Wechsler Adult Intelligence Scale-Revised. New York: Psychological Corporation.Google Scholar