Social Orienting Research Articles

Maternal touch predicts social orienting in young children

This study explored the relationship between maternal touch and a child's spontaneous orienting towards social versus non-social information. Thirty-nine mothers and their 4–6year old children participated in a 10-min play session. Following this session, children completed an object categorization task with face and house distractors. A social orienting index (SOI) was quantified as increased distraction by faces relative to houses. The frequency of maternal touch positively predicted the SOI and some touch actions (e.g., holding) were more relevant for this than others (e.g., pushing). The frequency of maternal vocalizations, recorded as a control behavior, had a non-significant relation with the SOI but was negatively associated with the children's object categorization accuracy. Together, these results point to a specific role of tactile care in the development of social orienting and the emerging “social brain”.

Associations between Infant Behaviors during the Face-To-Face Still-Face Paradigm and Oppositional Defiant and Callous-Unemotional Behaviors in Early Childhood.

Deficits in social orienting (i.e., gazing toward caregivers) during dyadic interactions and reactivity to stressful stimuli have been identified as behavioral correlates of oppositional defiant disorder (ODD) and callous-unemotional (CU) behaviors in older children. The goal of the current study was to investigate infants' mother-directed gaze and reactivity during the face-to-face and still-face episodes of the face-to-face stillface paradigm performed at 6 months in the prediction of ODD and CU behaviors in early childhood. Using data from the Durham Child Health and Development study (n=206), hierarchical regression analyses revealed that infants' negative reactivity during the still-face episode and mother-directed gaze during the face-to-face episode predicted fewer ODD behaviors in early childhood. Examination of interaction effects suggested that mother-directed gaze attenuated the negative relation between reactivity and ODD and CU behaviors in early childhood. The current study is one of the first to extend downward the investigation of ODD and CU behaviors into infancy.

Preterm birth is associated with atypical social orienting in infancy detected using eye tracking.

Preterm birth is closely associated with neurocognitive impairment in childhood including increased risk for social difficulties. Eye tracking objectively assesses eye-gaze behaviour in response to visual stimuli, which permits inference about underlying cognitive processes. We tested the hypothesis that social orienting in infancy is altered by preterm birth. Fifty preterm infants with mean (range) gestational age (GA) at birth of 29(+1) (23(+2) -33(+0) ) weeks and 50 term infants with mean (range) GA at birth 40(+2) (37(+0) -42(+3) ) weeks underwent eye tracking at median age of 7months. Infants were presented with three categories of social stimuli of increasing complexity. Time to first fixate (TFF) and looking time (LT) on areas of interest (AoIs) were recorded using remote eye tracking. Preterm infants consistently fixated for a shorter time on social content than term infants across all three tasks: face-scanning (fixation to eyes minus mouth 0.61s vs. 1.47s, p=.013); face pop-out task (fixation to face 0.8s vs. 1.34s, p=.023); and social preferential looking (1.16s vs. 1.5s p=.02). Time given to AoIs containing social content as a proportion of LT at the whole stimulus was lower in preterm infants across all three tasks. These results were not explained by differences in overall looking time between the groups. Eye tracking provides early evidence of atypical cognition after preterm birth, and may be a useful tool for stratifying infants at risk of impairment for early interventions designed to improve outcome.

Intact perception but abnormal orientation towards face-like objects in young children with ASD

There is ample behavioral evidence of diminished orientation towards faces as well as the presence of face perception impairments in autism spectrum disorder (ASD), but the underlying mechanisms of these deficits are still unclear. We used face-like object stimuli that have been shown to evoke pareidolia in typically developing (TD) individuals to test the effect of a global face-like configuration on orientation and perceptual processes in young children with ASD and age-matched TD controls. We show that TD children were more likely to look first towards upright face-like objects than children with ASD, showing that a global face-like configuration elicit a stronger orientation bias in TD children as compared to children with ASD. However, once they were looking at the stimuli, both groups spent more time exploring the upright face-like object, suggesting that they both perceived it as a face. Our results are in agreement with abnormal social orienting in ASD, possibly due to an abnormal tuning of the subcortical pathway, leading to poor orienting and attention towards faces. Our results also indicate that young children with ASD can perceive a generic face holistically, such as face-like objects, further demonstrating holistic processing of faces in ASD.

The Social ABCs caregiver-mediated intervention for toddlers with autism spectrum disorder: Feasibility, acceptability, and evidence of promise from a multisite study.

The Social ABCs is a parent‐mediated intervention for toddlers with suspected or confirmed autism spectrum disorder (ASD). We undertook a multi‐site pilot study to evaluate feasibility and acceptability, and to identify trends in child and parent behavior to inform future research using a larger sample and a rigorous research design. The program involved 12 weeks of parent coaching, followed by 12 weeks' implementation, and 3‐month follow‐up assessment for 20 parent‐toddler dyads (age range: 12–32 months). Parents successfully learned the techniques and rated the intervention as highly acceptable. Paired samples t‐tests revealed significant gains in children's functional communication (responsivity, initiations), and language gains (age‐equivalents on standardized measures) commensurate with typical developmental rates. Significant increases in shared smiling and social orienting also emerged, but were attenuated at follow‐up. Parents' fidelity was positively associated with child responsivity. Training parents as mediators is a feasible and highly acceptable approach that provides a potentially cost‐effective opportunity for intensive intervention at a very young age at the first signs of ASD risk. Child and parent gains in several key variables demonstrate the promise of this intervention. Autism Res 2016, 9: 899–912. © 2015 The Authors Autism Research published by Wiley Periodicals, Inc. on behalf of International Society for Autism Research

Enhanced Social Attention in Female Infant Siblings at Risk for Autism

Sexual dimorphism in autism spectrum disorders (ASD) is a well-recognized but poorly understood phenomenon. Females are four times less likely to be diagnosed with ASD than males and, when diagnosed, are more likely to exhibit comorbid anxiety symptoms. One of the key phenotypic features of ASD is atypical attention to socially relevant stimuli. Eye-tracking studies indicate atypical patterns of spontaneous social orienting during the prodromal and early syndromic stages of ASD. However, there have been no studies evaluating sex differences in early social orienting and their potential contribution to later outcomes. We examined sex differences in social orienting in 6-, 9-, and 12-month-old infants at high genetic risk for ASD (n= 101) and in low-risk controls (n= 61), focusing on neurobehavioral measures of function across a spectrum of autism risk. Results suggest that, between 6 and 12 months of age, a period highly consequential for the development of nonverbal social engagement competencies, high-risk females show enhanced attention to social targets, including faces, compared to both high-risk males and low-risk males and females. Greater attention to social targets in high-risk infants was associated with less severe social impairments at 2 years. The results suggest an alternative expression of autism risk in females, which manifests in infancyas increased attention toward socially relevant stimuli. This increased attention may serve as a femaleprotective factor against ASD by providing increased access to social experiences in early development.

Intact Reflexive but Deficient Voluntary Social Orienting in Autism Spectrum Disorder

Impairment in social interactions is a primary characteristic of people diagnosed with autism spectrum disorder (ASD). Although these individuals tend to orient less to naturalistic social cues than do typically developing (TD) individuals, laboratory experiments testing social orienting in ASD have been inconclusive, possibly because of a failure to fully isolate reflexive (stimulus-driven) and voluntary (goal-directed) social orienting processes. The purpose of the present study was to separately examine potential reflexive and/or voluntary social orienting differences in individuals with ASD relative to TD controls. Subjects (ages 7–14) with high-functioning ASD and a matched control group completed three gaze cueing tasks on an iPad in which individuals briefly saw a face with averted gaze followed by a target after a variable delay. Two tasks were 100% predictive with either all congruent (target appears in gaze direction) or all incongruent (target appears opposite from gaze direction) trials, respectively. Another task was non-predictive with these same trials (half congruent and half incongruent) intermixed randomly. Response times (RTs) to the target were used to calculate reflexive (incongruent condition RT—congruent condition RT) and voluntary (non-predictive condition RT—predictive condition RT) gaze cueing effects. Subjects also completed two additional non-social orienting tasks (ProPoint and AntiPoint). Subjects with ASD demonstrate intact reflexive but deficient voluntary gaze following. Similar results were found in a separate test of non-social orienting. This suggests problems with using social cues, but only in a goal-directed fashion, in our sample of high-functioning individuals with ASD. Such findings may not only explain inconclusive previous findings but more importantly be critical for understanding social dysfunctions in ASD and for developing future interventions.

The attracting power of the gaze of politicians is modulated by the personality and ideological attitude of their voters: a functional magnetic resonance imaging study.

Observing someone rapidly moving their eyes induces reflexive shifts of overt and covert attention in the onlooker. Previous studies have shown that this process can be modulated by the onlooker's personality, as well as by the social features of the person depicted in the cued face. Here, we investigated whether an individual's preference for social dominance orientation, in-group perceived similarity (PS), and political affiliation of the cued-face modulated neural activity within specific nodes of the social attention network. During functional magnetic resonance imaging, participants were requested to perform a gaze-following task to investigate whether the directional gaze of various Italian political personages might influence the oculomotor behaviour of in-group or out-group voters. After scanning, we acquired measures of PS in personality traits with each political personage and preference for social dominance orientation. Behavioural data showed that higher gaze interference for in-group than out-group political personages was predicted by a higher preference for social hierarchy. Higher blood oxygenation level-dependent activity in incongruent vs. congruent conditions was found in areas associated with orienting to socially salient events and monitoring response conflict, namely the left frontal eye field, right supramarginal gyrus, mid-cingulate cortex and left anterior insula. Interestingly, higher ratings of PS with the in-group and less preference for social hierarchy predicted increased activity in the left frontal eye field during distracting gaze movements of in-group as compared with out-group political personages. Our results suggest that neural activity in the social orienting circuit is modulated by higher-order social dimensions, such as in-group PS and individual differences in ideological attitudes.

Social orienting in gaze leading: a mechanism for shared attention.

Here, we report a novel social orienting response that occurs after viewing averted gaze. We show, in three experiments, that when a person looks from one location to an object, attention then shifts towards the face of an individual who has subsequently followed the person's gaze to that same object. That is, contrary to 'gaze following', attention instead orients in the opposite direction to observed gaze and towards the gazing face. The magnitude of attentional orienting towards a face that 'follows' the participant's gaze is also associated with self-reported autism-like traits. We propose that this gaze leading phenomenon implies the existence of a mechanism in the human social cognitive system for detecting when one's gaze has been followed, in order to establish 'shared attention' and maintain the ongoing interaction.

Exposing the cuing task: the case of gaze and arrow cues.

The prevailing theoretical accounts of social cognitive processes propose that attention is preferentially engaged by social information. However, empirical investigations report virtually indistinguishable attention effects for social (e.g., gaze) and nonsocial (e.g., arrow) stimuli when a cuing task is used. Here, we show that this discrepancy between theory and data reflects a difference in how the extraneous processes induced by the cuing task's parameters (i.e., tonic alertness and voluntary temporal preparation) modulate cue-specific attentional effects. Overall, we found that tonic alertness and voluntary temporal preparation interacted within the cuing task, resulting in underadditive magnitudes of spatial orienting and superadditive magnitudes of the foreperiod effect. However, those interactions differentially affected social and nonsocial attention. While typical rapid social orienting was resilient to changing task parameters, sustained social orienting was eliminated only when the contribution of both extraneous processes was reduced. In contrast, orienting elicited by nonsocial arrows grew in magnitude with the reduction of voluntary temporal preparation and was delayed by the joint reduction of tonic alertness and voluntary temporal preparation. Together, these data indicate that cue-specific attention effects are masked by task dynamics of the cuing paradigm and highlight a pivotal role of the cuing task parameters in both the measurement and the theoretical attribution of spatial attention effects.

A Point of Departure in the Comparison of Social and Nonsocial Visual Orienting Among Persons With Autism Spectrum Disorders.

Endogenous visual orienting among children with autism spectrum disorders (ASDs) and among typically developing (TD) children was examined using a Posner-type task that was modified to include social and nonsocial cues and targets to test hypotheses regarding information (social or nonsocial) and cue processing (long or short stimulus onset asynchronies (SOAs)). The findings suggest intact endogenous orienting to face and mixed face targets using hand and arrow cues among children with ASDs who were matched to typically developing children (TDC) on the basis of nonverbal mental age (MA) at approximately 8.5 years. The findings from this study challenge the notions of a social orienting impairment and of mechanical social orienting as the children with ASDs in this study demonstrated strong orienting effects in all conditions and social sensitivity in the long stimulus onset asynchrony (SOA) condition.

White matter correlates of sensory processing in autism spectrum disorders.

Autism spectrum disorder (ASD) has been characterized by atypical socio-communicative behavior, sensorimotor impairment and abnormal neurodevelopmental trajectories. DTI has been used to determine the presence and nature of abnormality in white matter integrity that may contribute to the behavioral phenomena that characterize ASD. Although atypical patterns of sensory responding in ASD are well documented in the behavioral literature, much less is known about the neural networks associated with aberrant sensory processing. To address the roles of basic sensory, sensory association and early attentional processes in sensory responsiveness in ASD, our investigation focused on five white matter fiber tracts known to be involved in these various stages of sensory processing: superior corona radiata, centrum semiovale, inferior longitudinal fasciculus, posterior limb of the internal capsule, and splenium. We acquired high angular resolution diffusion images from 32 children with ASD and 26 typically developing children between the ages of 5 and 8. We also administered sensory assessments to examine brain-behavior relationships between white matter integrity and sensory variables. Our findings suggest a modulatory role of the inferior longitudinal fasciculus and splenium in atypical sensorimotor and early attention processes in ASD. Increased tactile defensiveness was found to be related to reduced fractional anisotropy in the inferior longitudinal fasciculus, which may reflect an aberrant connection between limbic structures in the temporal lobe and the inferior parietal cortex. Our findings also corroborate the modulatory role of the splenium in attentional orienting, but suggest the possibility of a more diffuse or separable network for social orienting in ASD. Future investigation should consider the use of whole brain analyses for a more robust assessment of white matter microstructure.

The uniqueness of social attention revisited: working memory load interferes with endogenous but not social orienting

It is well known that perceived eye gaze direction influences attentional orienting. However, it still remains unclear whether social orienting involves exogenous or endogenous attentional control. To address this issue, we examined if social orienting and endogenous orienting were differentially modulated by working memory load, which is known to interfere with endogenous but not exogenous attention. To do so, we manipulated eye direction as either spatially counterpredictive in Experiment 1 or spatially predictive in Experiment 2 while participants performed a cueing task either in isolation or under working memory load. We found that when social attention and endogenous attention diverged spatially in Experiment 1, social orienting elicited by gaze direction remained intact while endogenous orienting elicited by the cue's predictive meaning was suppressed under working memory load, suggesting independence between social orienting and endogenous orienting. Indeed, a comparison between the sum of isolated social orienting and endogenous orienting magnitudes from Experiment 1 relative to their combined measure from Experiment 2 confirmed that social attention and endogenous attention operated in parallel. Together, our data show that social orienting is independent from endogenous orienting and further suggest that paying attention to social information might involve either exogenous or unique attentional mechanisms.

Promoting child-initiated social-communication in children with autism: Son-Rise Program intervention effects

This study examined the effects of the Son-Rise Program (SRP), an intensive treatment aimed to improve child-initiated social communication in children with autism. Six children between the ages of 47 and 78 months were provided with 40h of SRP, with pre- to post-treatment behavioral changes tested using a novel passive interaction probe task. Results showed an increase in the frequency of spontaneous social orienting and gestural communication for the experimental children, compared to six age- and behaviorally-matched control children with autism. In addition, for the children who received treatment, the duration of social dyadic interactions and total time spent engaged in social interaction increased from pre- to post-treatment. These findings suggest that intensive intervention focused on fostering child-initiated interaction increases social-communicative behaviors in children with autism.Learning outcomes: Readers will be able to describe the principles underlying the Son-Rise Program, a developmental approach to treatment for autism. Readers will be able to explain the methods of the investigation of a 5-day intensive Son-Rise Program and the results that report change in social communication in children with autism.

Unimpaired Attentional Disengagement and Social Orienting in Children with Autism.

Visual attention is often hypothesized to play a causal role in the development of autism spectrum disorder (ASD). Because attention shapes perception, learning, and social interaction, early deficits in attention could substantially affect the development of other perceptual and cognitive abilities. Here we test two key attentional phenomena thought to be disrupted in autism: attentional disengagement and social orienting. We find in a free-viewing paradigm that both phenomena are present in high-functioning children with ASD (n = 44, ages 5–12 years) and are identical in magnitude to those in age- and IQ-matched typical children (n = 40). Although these attentional processes may malfunction in other circumstances, our data indicate that high-functioning children with ASD do not suffer from across-the-board disruptions of either attentional disengagement or social orienting. Combined with mounting evidence that other attentional abilities are largely intact, it seems increasingly unlikely that disruptions of core attentional abilities lie at the root of ASD.

Social and temporal orienting: Linked or independent?

Social and temporal orienting: Linked or independent?

Social orienting of children with autism to facial expressions and speech: a study with a wearable eye-tracker in naturalistic settings.

This study investigates attention orienting to social stimuli in children with Autism Spectrum Conditions (ASC) during dyadic social interactions taking place in real-life settings. We study the effect of social cues that differ in complexity and distinguish between social cues produced by facial expressions of emotion and those produced during speech. We record the children's gazes using a head-mounted eye-tracking device and report on a detailed and quantitative analysis of the motion of the gaze in response to the social cues. The study encompasses a group of children with ASC from 2 to 11-years old (n = 14) and a group of typically developing (TD) children (n = 17) between 3 and 6-years old. While the two groups orient overtly to facial expressions, children with ASC do so to a lesser extent. Children with ASC differ importantly from TD children in the way they respond to speech cues, displaying little overt shifting of attention to speaking faces. When children with ASC orient to facial expressions, they show reaction times and first fixation lengths similar to those presented by TD children. However, children with ASC orient to speaking faces slower than TD children. These results support the hypothesis that individuals affected by ASC have difficulties processing complex social sounds and detecting intermodal correspondence between facial and vocal information. It also corroborates evidence that people with ASC show reduced overt attention toward social stimuli.

A Step Towards Developing Adaptive Robot-Mediated Intervention Architecture (ARIA) for Children With Autism

Emerging technology, especially robotic technology, has been shown to be appealing to children with autism spectrum disorders (ASD). Such interest may be leveraged to provide repeatable, accurate and individualized intervention services to young children with ASD based on quantitative metrics. However, existing robot-mediated systems tend to have limited adaptive capability that may impact individualization. Our current work seeks to bridge this gap by developing an adaptive and individualized robot-mediated technology for children with ASD. The system is composed of a humanoid robot with its vision augmented by a network of cameras for real-time head tracking using a distributed architecture. Based on the cues from the child's head movement, the robot intelligently adapts itself in an individualized manner to generate prompts and reinforcements with potential to promote skills in the ASD core deficit area of early social orienting. The system was validated for feasibility, accuracy, and performance. Results from a pilot usability study involving six children with ASD and a control group of six typically developing (TD) children are presented.

Alerting trumps space and time in social orienting

Alerting trumps space and time in social orienting

The development of face orienting mechanisms in infants at-risk for autism

A popular idea related to early brain development in autism is that a lack of attention to, or interest in, social stimuli early in life interferes with the emergence of social brain networks mediating the typical development of socio-communicative skills. Compelling as it is, this developmental account has proved difficult to verify empirically because autism is typically diagnosed in toddlerhood, after this process of brain specialization is well underway. Using a prospective study, we directly tested the integrity of social orienting mechanisms in infants at-risk for autism by virtue of having an older diagnosed sibling. Contrary to previous accounts, infants who later develop autism exhibit a clear orienting response to faces that are embedded within an array of distractors. Nevertheless, infants at-risk for autism as a group, and irrespective of their subsequent outcomes, had a greater tendency to select and sustain attention to faces. This pattern suggests that interactions among multiple social and attentional brain systems over the first two years give rise to variable pathways in infants at-risk.