Gaze behavior of pre-adolescent children afflicted with Asperger Syndrome
Issue: Vol 9 No. 2 (2012)
Journal: Communication & Medicine
Subject Areas: Healthcare Communication Linguistics
DOI: 10.1558/cam.v9i2.173
Abstract:
Asperger syndrome (AS) is a form of high-functioning autism characterized by qualitative impairment in social interaction. People afflicted with AS typically have abnormal nonverbal behaviors which are often manifested by avoiding eye contact. Gaze constitutes an important interactional resource, and an AS person’s tendency to avoid eye contact may affect the fluidity of conversations and cause misunderstandings. For this reason, it is important to know the precise ways in which this avoidance is done, and in what ways it affects the interaction. The objective of this article is to describe the gaze behavior of preadolescent AS children in institutional multiparty conversations. Methodologically, the study is based on conversation analysis and a multimodal study of interaction. The findings show that three main patterns are used for avoiding eye contact: 1) fixing one’s gaze straight ahead; 2) letting one’s gaze wander around; and 3) looking at one’s own hands when speaking. The informants of this study do not look at the interlocutors at all in the beginning or the middle of their turn. However, sometimes they turn to look at the interlocutors at the end of their turn. This proves that these children are able to use gaze as a source of feedback. When listening, looking at the speaker also seems to be easier for them than looking at the listeners when speaking.
Author: Mari Wiklund
References :
American Psychiatric Association (APA) (2000) DSM-IV-TR. Arlington: APA.
Argyle, M. and Cook, M. (1976) Gaze and Mutual Gaze. Cambridge: Cambridge University Press.
Baron-Cohen, S. (1996) Mindblindness: An Essay on Autism and Theory of Mind. Cambridge, MA: MIT Press.
Baron-Cohen, S., O’Riordan, M., Stone, V., Jones, R. and Plaisted, K. (1999) Recognition of faux pas by normally developing children and children with Asperger Syndrome or High-Functioning Autism. Journal of Autism and Developmental Disorders 29 (5): 407–18. http://dx.doi.org/10.1023/A:1023035012436
Bavelas, J. B. (2005) Appreciating face-to-face dialogue. In E. Vatikiotis-Bateson (ed.) AVSP-2005 (1) [http://www.isca-speech.org/archive_open/avsp05].
Blomberg, E. (2009) Aisti- ja lääkeyliherkkyyttä ei tunnisteta terveydenhuollossa. Puoltaja 2009 (8) [http://www.puoltaja.fi/haasteet/aisti-ja-laakeyliherkkyytta-ei-tunnisteta-terveydenhuollossa].
Eales, M. J. (1993) Pragmatic impairments in adults with childhood diagnosis of Autism or Developmental Receptive Language Disorders. Journal of Autism and Developmental Disorders 23 (4): 598–617. http://dx.doi.org/10.1007/BF01046104
Gillberg, I. C. and Gillberg, C. (1989) Asperger Syndrome – Some epidemiological considerations: a research note. Journal of Child Psychology and Psychiatry 30: 631–638. http://dx.doi.org/10.1111/j.1469-7610.1989.tb00275.x
Goodwin, C. (1979) The interactive construction of a sentence in natural conversation. In G. Psathas (ed.) Everyday Language: Studies in Ethnomethodology, 97–121. New York: Irvington Publisher.
Goodwin, C. (1981) Conversational Organization: Interaction between Speakers and Hearers. New York: Academic Press.
Goodwin, C. (2000) Action and embodiment within situated human interaction. Journal of Pragmatics 32: 1489–1522. http://dx.doi.org/10.1016/S0378-2166(99)00096-X
Goodwin, C. (1986) Gestures as a resource for the organization of mutual orientation. Semiotica 62 (1/2): 29–49.
Happé, F. G. E. (1994) Autism: An Introduction to Psychological Theory. Cambridge, MA: Harvard University Press.
Hedge, B., Everitt, B. and Erith, C. (1978) The role of gaze in dialogue. Acta Psychologia 42: 453–475. http://dx.doi.org/10.1016/0001-6918(78)90033-1
Heritage, J. and Maynard, D. (eds) (2006) Communication in Medical Care: Interaction between Primary Care Physicians and Patients. Cambridge: Cambridge University Press. http://dx.doi.org/10.1017/CBO9780511607172
Hutt, C. and Ounsted, C. (1966) The biological significance of gaze aversion with particular reference to the syndrome of infantile autism. Behavioral Science 11 (5): 346–356. http://dx.doi.org/10.1002/bs.3830110504
Iso Suomen Kielioppi (ISK) (2004) Hakulinen, A. Vilkuna, M., Korhonen, R., Koivisto, V., Heinonen, T. R. and Alho, I. (eds). Helsinki: SKS.
Jokinen, K., Nishida, M. and Yamamoto, S. (2009) Eye-gaze experiments for conversation monitoring. In Proceedings of the 3rd IUCS, 303–308 [http://dl.acm.org/citation.cfm?id=1667843]. http://dx.doi.org/10.1145/1667780.1667843
Kääntä, L. (2010) Teacher Turn-Allocation and Repair Practices in Classroom Interaction: A Multisemiotic Perspective. Doctoral dissertation. University of Jyväskylä, Jyväskylä. [http://urn.fi/URN:ISBN:978-951-39-3811-6 ].
Kallio, A. and Ruusuvuori, J. (2011) Kertojan katse tarinankerronnassa. In P. Haddington and L. Kääntä (eds) Kieli, keho ja vuorovaikutus. Multimodaalinen näkökulma sosiaaliseen toimintaan. Helsinki: SKS.
Kendon, A. (1967) Some functions of gaze direction in social interaction. Acta Psychologica 26: 22–63. http://dx.doi.org/10.1016/0001-6918(67)90005-4
Kleinman, J., Marciano, P. L. and Ault, R. L. (2001) Advanced theory of mind in high-functioning adults with Autism. Journal of Autism and Developmental Disorders 31 (1): 29–36. http://dx.doi.org/10.1023/A:1005657512379
Korpilahti, P., Jansson-Verkasalo, E., Mattila, M.-L., Kuusikko, S., Suominen, K., Rytky, S., Pauls, D. L. and Moilanen, I. (2007) Processing of affective speech prosody is impaired in Asperger syndrome. Journal of Autism and Developmental Disorders 37 (8): 1539–1549. http://dx.doi.org/10.1007/s10803-006-0271-2
Kremer-Sadlik, T. (2001) How Children with Autism and Asperger Syndrome Respond to Questions: An Ethnographic Study. Unpublished doctoral dissertation. University of California, Los Angeles.
Kremer-Sadlik, T. (2004) How children with Autism and Asperger Syndrome respond to questions: A ‘naturalistic’ theory of mind task. Discourse Studies 6 (2): 185–205. http://dx.doi.org/10.1177/1461445604041767
Kujala, T., Lepistö, T., Nieminen-von Wendt, T., Näätänen, P. and Näätänen, R. (2005) Neurophysiological evidence for cortical discrimination impairment of prosody in Asperger syndrome. Neuroscience Letters 383 (3): 260–265. http://dx.doi.org/10.1016/j.neulet.2005.04.048
Kylliäinen, A. (2007) Face and Gaze Processing in Children with Autism. Doctoral dissertation. University of Tampere, Tampere. [http://urn.fi/urn:isbn:978-951-44-7056-1].
Lehtinen, M. (2012) “Aiheesta toiseen” – Ymmärrysongelmatilanteita Asperger-nuorten kuntoutuskeskusteluissa. In L. Leskelä and C. Lindholm (eds) Haavoittuva keskustelu. Keskustelunanalyyttisia tutkimuksia kielellisesti epäsymmetrisestä vuorovaikutuksesta, 235–277. Helsinki: Kehitysvammaliitto.
Loukusa, S., Leinonen, E., Kuusikko, S., Jussila, K., Mattila, M.-L., Ryder, N., Ebeling, H. and Moilanen, I. (2007) Use of context in pragmatic language comprehension by children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders 37 (6): 1049–1059. http://dx.doi.org/10.1007/s10803-006-0247-2
McPartland, J. and Klin, A. (2006) Asperger’s syndrome. Adolescent Medicine Clinics17 (3): 771–788.
Nieminen-von Wendt, T. (2004) On the Origins and Diagnosis of Asperger Syndrome. A Clinical, Neuroimaging and Genetic Study. Doctoral dissertation. University of Helsinki, Helsinki. [https://oa.doria.fi/handle/10024/2280].
Nieminen-von Wendt, T., Von Wendt, L., Avellan, A. and Tani, P. (2007a) Aspergerin oireyhtymä. Kliininen kuva, diagnostiikka ja kuntoutus (osa 1). Yleislääkäri 2007 (3): 15–19.
Nieminen-von Wendt, T., Von Wendt, L., Avellan, A. and Tani, P. (2007b) Aspergerin oireyhtymä. Kliininen kuva, diagnostiikka ja kuntoutus (osa 2). Yleislääkäri 2007 (4): 10–14.
Ochs, E. and Solomon, O. (2004) Introduction: discourse and autism. Discourse Studies 6 (2): 139–146. http://dx.doi.org/10.1177/1461445604041763
Ogden, R. A. (2001) Turn transition, creak and glottal stop in Finnish talk-in-interaction. Journal of the International Phonetic Association 31 (1): 139–152. http://dx.doi.org/10.1017/S0025100301001116
McPartland, J. and Klin, A. (2006) Asperger’s syndrome. Adolescent Medicine Clinics17 (3): 771–788.
Rossano, F., Brown, P. and Levinson, S. (2009) Gaze, questioning, and culture. In J. Sidnell (ed.) Conversation Analysis: Comparative Perspectives, 187–249. Cambridge: Cambridge University Press.
Ruusuvuori, J. (2001) Looking means listening: Coordinating displays of engagement in doctor-patient interaction. Social Science & Medicine 52: 1093–1108. http://dx.doi.org/10.1016/S0277-9536(00)00227-6
Sacks, H., Schegloff, E. and Jefferson, G. (1974) A simplest systematics for the organization of turn-taking for conversation. Language 50: 696–735. http://dx.doi.org/10.2307/412243
Scott, D.-W. (1985) Asperger’s syndrome and non-verbal communication: A pilot study. Psychological Medicine 15 (3): 683–687. http://dx.doi.org/10.1017/S0033291700031548
Solomon, O. (2001) Narrative Introduction Practices of Children with Autism and Asperger Syndrome. Unpublished doctoral dissertation. University of California, Los Angeles.
Solomon, O. (2004) Narrative introductions: Discourse competence of children with Autistic Spectrum Disorders. Discourse Studies 6 (2): 253–276. http://dx.doi.org/10.1177/1461445604041770
Sterponi, L. (2004) Construction of rules, accountability and moral identity by high-functioning children with Autism. Discourse Studies 6 (2): 207–228. http://dx.doi.org/10.1177/1461445604041768
Szatmari, P., Brenner, R. and Nagy, J. (1989) Asperger syndrome: A review of clinical features. Canadian Journal of Psychiatry 34: 554–560.
Tager-Flusberg, H. (1993) What language reveals about the understanding of minds in children with Autism. In S. Baron-Cohen, H. Tager-Flusberg and D. J. Cohen (eds) Under-standing Other Minds: Perspectives from Autism, 138–157. Oxford: Oxford University Press.
Tager-Flusberg, H. (2000) Understanding the language and communicative impairments in autism. In L. M. Glidden (ed.) International Review of Research on Mental Retardation. Vol. 20, 185–205. San Diego: Academic Press. http://dx.doi.org/10.1016/S0074-7750(00)80011-7
Tager-Flusberg, H. (2001) Understanding the language and communication impairments in Autism. International Review of Research in Mental Retardation 23: 185–205.
Tantam, D. (1991) Asperger syndrome in adulthood. In U. Frith (ed.) Autism and Asperger Syndrome, 147–183. Cambridge: Cambridge University Press.
Tantam, D., Holmes, D. and Cordess, C. (1993) Nonverbal expression in autism of Asperger type. Journal of Autism and Developmental Disorders 23 (1): 111–133. http://dx.doi.org/10.1007/BF01066422
Trevarthen, C. (1984) Emotions in infancy: Regulators of contact and relationships with persons. In K. Scherer and P. Ekman (eds) Approaches to Emotion, 129–157. Hillsdale: Erlbaum.
World Health Organization (WHO) (2007) ICD-10. Geneva: WHO. [http://apps.who.int/classifications/apps/icd/icd10online/].