Children with autism spectrum disorders are less proficient in action identification and lacking a preference for upright point-light biological motion displays
Introduction
Being inherently social creatures, human agents not only move in a uniquely non-rigid way but also excel in recognizing other people's movements (Blake & Shiffrar, 2007). A large body of studies have shown that, even with impoverished visual motion stimuli such as the point-light displays first introduced by Johansson (1973), one can still easily extract sufficient information to recognize an agent's action such as walking, dancing, or reaching (Johansson, 1973), and to identify the agent's gender (Pollick, Kay, Heim, & Stringer, 2005), identity (Loula, Prasad, Harber, & Shiffrar, 2005), and emotional state (Atkinson et al., 2004, Dittrich et al., 1996). The visual sensitivity to biological motion appears to have an early ontogeny and is well-conserved evolutionarily, as evidenced across various species. For example, dark-raised newborn chicks preferentially oriented to images of the heads and the necks of hens (Johnson & Horn, 1988) and to point-light displays depicting the biological motion of a hen (Regolin et al., 2000, Vallortigara et al., 2005). Similarly, 2-day-old human newborns were able to discriminate between biological motion and random motion point-light displays; they preferred upright over inverted biological motion displays (i.e., a walking hen) (Simion, Regolin, & Bulf, 2008) and over a rigid, rotating object (Bardi, Regolin, & Simion, 2011). Moreover, human observers could selectively preserve biological motion perception even when other forms of motion perception are impaired (Jordan, Reiss, Hoffman, & Landau, 2002). These findings collectively suggest an early occurring mechanism and perhaps dedicated brain circuitry for perceiving and attending to biological motion.
Autism spectrum disorders (ASDs) are characterized by qualitative deficits in social interactions, communications, and having stereotypical or repetitive behaviors of restricted interests (American Psychiatric Association, 2006). Given the quintessential importance of biological motion perception to social interaction, studies have shown that individuals with ASD exhibited a disrupted perception of point-light biological motion displays and reduced brain activity in correlated areas. In adults, neuroimaging studies revealed that brain activity in the superior temporal sulcus (STSp), an area known to be associated with the perception of biological motions (Pyles, Garcia, Hoffman, & Grossman, 2007), was much reduced in individuals with ASD when they viewed point-light displays (Herrington et al., 2007, Kaiser et al., 2010b). In children, recent studies suggested that children with ASD showed impaired biological motion perception as compared to typically developing (TD) children in several ways. For example, Blake, Turner, Smoski, Pozdol, and Stone (2003) tested 8–10-year-old children with ASD and age-matched TD children with two visual tasks. The first task involved grouping small, line elements into a global figure (i.e., the global-form task) and the second task involved the perception of human actions portrayed in point-light displays. The results showed that both groups performed equally well on the first global-form task, indicating a seemingly normal functioning of contour integration in the ASD group. However, children with ASD were significantly impaired in the biological motion task, which may be related to the observed impairments in social skills, characteristic of autism. In a recent study, Parron et al. (2008) tested 7–18-year-old TD children and adolescents as well as their counterparts with ASD on the ability to recognize a person's actions, “subjective states,” the term they used to refer to non-emotionally charged states such as itching, or emotions portrayed in point-light displays. They found that the ASD group differed from the TD group only in their ability to name the emotional states depicted in the point-light displays. This suggests that older children with ASD can still extract meanings from bodily movements but may be less sensitive to higher-order emotional information conveyed by human movements.
When might such deficit in perceiving point-light biological motion displays in individuals with ASD emerge during childhood? In a recent single case study, Klin and Jones (2008) examined a 15-month-old autistic infant's preferential looking using point-light displays depicting upright biological motion, and their inverted versions played backwards (non-biological motion). The stimuli were presented side by side and accompanied with audios (e.g. peek-a-boo actions with speech sounds). In contrast to the control toddler group (matched on verbal and non-verbal mental age), the autistic infant did not preferentially look toward the biological motion display, whereas the typically developing toddlers did. Using eye-tracking techniques, Klin, Lin, Gorrindo, Ramsay, and Jones (2009) further examined preferential looking in a larger group of 2-year-old toddlers with ASD. The results demonstrated that toddlers with ASD failed to orient preferentially toward point-light displays of upright biological motion. Instead, they exhibited preferential attention to nonsocial audiovisual contingencies that were ignored by typically developing children and even developmentally delayed children without autism. Taken together, these two studies provided evidence for a lack of looking preference to biological motion in the ASD group as young as 2 years old.
Recently, Annaz, Campbell, Coleman, Milne, and Swettenham (2012) pointed out that because the biological motion stimuli in Klin et al.’s (2009) combined visual motions with sounds (p. 402), the ASD group may simply reflect a preference for the moments when the sound and the movement were contingent in the display, instead of a genuine preference for the nonsocial audiovisual motion displays. Thus, Annaz et al. (2012) adopted the preferential looking method with purely visual stimuli to examine whether children with ASD aged 3–7 years would preferentially attend to biological motion point-light displays. In their Exp. 1, TD children and children with ASD were presented with visual, with no sound, point-light displays depicting a person walking (i.e. not a social gesture) and their phase-scrambled versions of point-light displays as a comparison. The phase-scrambled PLDs served as good control stimuli in which the configural cues in the original biological motion displays were completely eliminated and that the other factors remained unchanged. In Exp.2, the stimuli were the point-light displays of a human walker paired with a point-light display of a non-biological motion, exemplified by a rotating spinning top. The results showed that TD children preferentially attended to the human biological motion in both experiments. In contrast, children with ASD did not preferentially attend to biological motion over scrambled motion, but they spent more time looking at the non-biological spinning top motion than the human walker. This lack of preference for biological motions suggested that children with ASD had a deficit in attending to biological motion.
Using point-light displays, the present study aims to further explore the nature of biological motion perception in 3–7-year-old children with ASD and aged-matched TD children with two specific tasks. Firstly, the looking preference task in Experiment 1 adopted Annaz et al.’s (2012) paradigm and examined children's looking preferences for human and non-human biological motion stimuli in point-light displays. In particular, inspired by Simion et al.’s (2008) demonstration that 2-day-old human infants exhibited a looking preference for an upright point-light display depicting a hen walking over its inverted version, we asked whether the lack of preference of children with ASD toward biological motion was domain-general or domain-specific to “human agents” only. In other words, if the point-light display portrays, for example, an upright “walking pigeon,” would children with ASD exhibit a preference for it over non-biological motion, as do TD children? Secondly, given that the identification of an agent's bodily movement or action is essential to biological motion perception, the ability of children with ASD to recognize human actions in point-light display remains inconclusive among studies (Blake et al., 2003; c.f. Hubert et al., 2007, Moore et al., 1997, Parron et al., 2008). Therefore, we designed the action identification task in Experiment 2, which required children with ASD and TD children to identify 12 different human actions depicted in 12 point-light display clips. We measured and compared both the accuracy and the speed of identification performances of the ASD and TD groups.
Section snippets
Participants
A total of 49 children (aged between 3 and 7 years) were recruited to the study either from the advertisements made through the internet parenting community group, or from the Department of Physical Medicine & Rehabilitation at China Medical University Bei-Gang Hospital, Tao-Yuan County, and Yun-Lin County. All participants had normal or corrected-to-normal vision (20/20). The parental written informed consent and the child's assent were obtained prior to the study. The procedures of
Experiment 1: the preferential looking task
We took the “looking time” and the “percentage of looking” as two main dependent variables for data analysis. The goal was to examine whether a significant looking preference for the biological motion PLDs existed for either of the two groups of children. The entire procedure was videotaped. The primary observer who was a well-trained laboratory member blind to the locations of the stimuli coded the fixation time each participant spent on each stimulus in each trial based on video recordings.
Discussions
Using point-light displays, the present study examined the looking preferences for human and non-human (e.g., a pigeon) biological motion stimuli (Exp. 1) and action identification performances (Exp. 2) in 3–7-year-old TD and ASD children. In Experiment 1, we found that the children with ASD exhibited a shorter overall fixation time for all the point-light displays than did the TD group. More importantly, TD children exhibited a significant looking preference for the upright biological motion
Conclusions
The present study delved into a widely discussed issue of the relationship between the autistic spectrum disorders and the perception of biological motion portrayed in point-light displays; contentions arise as to what aspects of the perception of biological motion are impaired and what are spared. While the research of Moore et al. (1997) and Parron et al. (2008) pointed to a putative deficit of children (and adults) with ASD peculiar to recognizing emotions, our study bolstered a different
Acknowledgements
This project was supported in part by China Medical University Bei-gang Hospital Grant CMUBH-10203 to L. H. Wang and in part by Taiwanese Ministry of Science and Technology Grant: NSC 99-2410-039-003-MY3 to Dr. S. H. L. Chien. The authors would like to thank all the children and their parents for participating the study, Ms. Hsin-Yueh Hsu, Ms. Ya-Ting Huang, and Ms. Ting-Chen Chen for data coding and collection, as well as other Infant Lab members for their support and encouragements.
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