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Individual differences, social attention, and the history of the social motivation hypotheses of autism

Published online by Cambridge University Press:  23 July 2019

Peter C. Mundy*
Affiliation:
School of Education and the Mind Institute, University of California, Davis, CA 95616. pcmundy@ucdavis.eduhttp://ucdmc.ucdavis.edu/mindinstitute/ourteam/faculty/mundy.html

Abstract

The stereotype of people with autism as unresponsive or uninterested in other people was prominent in the 1980s. However, this view of autism has steadily given way to recognition of important individual differences in the social-emotional development of affected people and a more precise understanding of the possible role social motivation has in their early development.

Type
Open Peer Commentary
Copyright
Copyright © Cambridge University Press 2019 

Jaswal & Akhtar (J&A) argue that neither research nor the self-report of people with the diagnosis of autism spectrum disorder (ASD) indicate that affected people are disinterested in other people or social interaction. However, autism is a very complex part of human nature. Universal hypotheses like the “socially uninterested” stereotype of autism so prominent in the 1980s have given way to information on the heterogeneity of ASD, research from quantitative self-report measures, the evolution of diagnostic models of ASD, and the more precise application of social motivation hypotheses in ASD research.

Heterogeneity of expression and individual differences in the development of people with ASD are now well recognized (Georgiades et al. Reference Georgiades, Szatmari and Boyle2013; Happé et al. Reference Happé, Ronald and Plomin2006; Lombardo et al. Reference Lombardo, Lai, Auyeung, Holt, Allison, Smith, Chakrabarti, Ruigrok, Suckling, Bullmore, Ecker, Craig, Murphy, Happé and Baron-Cohen2016). With this awareness has come the view that universal descriptive statements about what autistic people do and do not do or prefer are rarely accurate (Happé et al. Reference Happé, Ronald and Plomin2006). Accordingly, people with ASD are likely to display individual differences and different patterns of social motivation across development (Burnette et al. Reference Burnette, Henderson, Inge, Zahka, Schwartz and Mundy2011). Indeed, based on the observations of Wing and Gould (Reference Wing and Gould1979) “children with ASD may exhibit significant individual differences in social motivation. Some individuals with ASD display social inhibition, withdrawal or aloof behavior, yet others exhibit active but odd social engagement that may be associated with positive social motivation, and that the latter may be associated with lower social symptom intensity in children with ASD” (Kim et al. Reference Kim, Rosenthal, Gwaltney, Jarrold, Hatt, McIntyre, Swain, Solomon and Mundy2015, p. 3892). Research consistent with this possibility indicates that people with ASD display differences in temperament associated with both approach and avoidance motivation (e.g., Burnette et al. Reference Burnette, Henderson, Inge, Zahka, Schwartz and Mundy2011; Schwartz et al. Reference Schwartz, Henderson, Inge, Zahka, Coman, Kojkowski, Hileman and Mundy2009).

These individual differences are also observed in quantitative self-reported ASD data on social anhedonia or the report of reduced pleasure derived from social interactions (Brown et al. Reference Brown, Silvia, Myin-Germeys and Kwapil2007). Typical males generally report less pleasure from social interactions than do females (Dodell-Feder & Germine Reference Dodell-Feder and Germine2018), and males with ASD have reported less pleasure and more neutral responses to social experiences than other people (Chevallier et al. Reference Chevallier, Kohls, Troiani, Brodkin and Schultz2012a). However, a closer look at the data of Chevallier et al. (Reference Chevallier, Kohls, Troiani, Brodkin and Schultz2012a) indicates the presence of significant individual differences; many of the ASD participants reported levels of social pleasure comparable to controls, but a substantial portion also reported the experience of social anhedonia.

In a related study, Novacek et al. (Reference Novacek, Gooding and Pflum2016) assessed 250 individuals with the autism spectrum quotient (Baron-Cohen et al. Reference Baron-Cohen, Wheelwright, Skinner, Martin and Clubley2001) and the Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS, Gooding & Pflum Reference Gooding and Pflum2014). The ACIPS provided a self-reports of differences in pleasure experienced in interpersonal and social interactions. The results indicated a moderately strong association between higher frequencies of reports of autism-related behaviors and lower reports of the anticipation of pleasure in social interactions on the ACIPS (r = −.59, p < .001), even after controlling for variance on a measure of general anhedonia was considered (beta = −.42, p < .001).

Self-report on measures of social anxiety is also informative. As many as 50% of samples of adolescents and adults with ASD report clinical levels of social anxiety associated with aversion to social situations (Spain et al. Reference Spain, Sin, Linder, McMahon and Happé2018). Of course, these prevalence estimates also indicate that as many as 50% of people with ASD do not report social anxiety. Development may affect symptoms of social anxiety, such as fear of the negative evaluation by others, as this symptom is more apparent for adolescents than younger children with ASD (Kuusikko et al. Reference Kuusikko, Pollock-Wurman, Jussila, Carter, Mattila, Ebeling, Pauls and Moilanen2008). Social anxiety may also be related to decreased social motivation in some people with ASD (Corbett et al. Reference Corbett, Swain, Newsom, Wang, Song and Edgerton2014; Swain et al. Reference Swain, Scarpa, White and Laugeson2015) and may be related to faster disengagement from eyes in people with ASD (Kleberg et al. Reference Kleberg, Högström, Nord, Bölte, Serlachius and Falck-Ytter2017).

The stereotype of people with ASD as not interested in social interactions was reified by an old diagnostic description that suggested that all people with ASD display a pervasive lack of responsiveness to others (Mundy & Sigman Reference Mundy, Sigman and Dawson1989). This was the first and only descriptor of the social behavior of ASD in the 1980 version of the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III, American Psychiatric Association 1980). This description was removed from the nosology by 1986, and its expiration was hastened by the observation that young children with ASD displayed levels of attachment behaviors to caregivers that were similar to those of children with other disabilities (Rutgers et al. Reference Rutgers, Bakermans-Kranenburg, van IJzendoorn and Van Berckelaer-Onnes2004; Sigman & Mundy Reference Sigman and Mundy1989; Sigman & Ungerer Reference Sigman and Ungerer1984). Subsequent research has indicated that some people with ASD have a desire for bonding and friendships with others (Bauminger et al. Reference Bauminger, Solomon and Rogers2010) and feel lonely when establishment of friendships is difficult (Locke et al. Reference Locke, Ishijima, Kasari and London2010). Thus, there has been an evidence-based movement away from the universal view of people with ASD as devoid of affiliative social motivation in the science of ASD for quite some time.

Finally, J&A offered hypotheses based on social motivation to explain observations of decreased social orienting, as well as social attention and information in preschool children with ASD (e.g., Chevallier et al. Reference Chevallier, Grèzes, Molesworth, Berthoz and Happé2012b; Mundy Reference Mundy1995; Reference Mundy2016; Rice et al. Reference Rice, Moriuchi, Jones and Klin2012; Stavropoulos & Carver Reference Stavropoulos and Carver2013). This is certainly the case for the social motivation hypothesis of joint attention in ASD, which figured prominently in their review. This hypothesis arose from the observations that initiating joint attention involved smiling or the conveyance of positive affect to other people less often in children with ASD than in other children (Gangi et al. Reference Gangi, Ibañez and Messinger2014; Kasari et al. Reference Kasari, Sigman, Mundy and Yirmiya1990; Mundy et al. Reference Mundy, Kasari and Sigman1992). It was also motivated by data indicating that preschool initiating joint attention predicts the development of childhood prosocial behaviors in children with ASD and typical development (Freeman et al. Reference Freeman, Gulsrud and Kasari2015; Parlade et al. Reference Parlade, Messinger, Delgado, Kaiser, Van Hecke and Mundy2009; Sheinkopf et al. Reference Sheinkopf, Mundy, Claussen and Willoughby2004; Sigman et al. Reference Sigman, Ruskin, Arbelle, Corona, Dissanayake, Espinosa, Kim, Lopez, Zierhut, Mervis and Robinson1999; Vaughan Van Hecke et al. Reference Vaughan Van Hecke, Mundy, Acra, Block, Delgado, Parlade, Meyer, Neal and Pomares2007).

Hence, the joint attention motivation hypothesis of initiating joint attention (IJA) in ASD was developed to address the role of positive affect and social motivation that arises in the first months of life (Mundy Reference Mundy1995). Because data indicated that IJA and attachment were not correlated in the development of children with or without ASD (Capps et al. Reference Capps, Sigman and Mundy1994; Claussen et al. Reference Claussen, Mundy, Mallik and Willoughby2002; Naber et al. Reference Naber, Swinkels, Buitelaar, Dietz, Van Daalen, Bakermans-Kranenburg, van IJzendoorn and van Engeland2007), we hypothesized that IJA did not involve the social-bonding motivation associated with attachment. Instead, we argued that joint attention involved another, less well-recognized type of early social motivation specific to guiding (rewarding) the early prioritization of attending to and sharing experience with others (Mundy & Sigman Reference Mundy, Sigman, Cicchetti and Cohen2015). Most recently, our motivational model has focused on the development of arousal to eye contact in the first year of life (Senju & Johnson 2009) as a likely motivation factor in joint attention impairment in ASD (Mundy Reference Mundy2016). These elements of the literature on ASD, as well as those reviewed earlier, provide different perceptions of social motivation theory and research in ASD than were described by J&A.

References

American Psychiatric Association. (1980) Diagnostic and statistical manual of mental disorders (3rd edition, DSM-III). American Psychiatric Association.Google Scholar
Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J. & Clubley, E. (2001) The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders 31(1):517.Google Scholar
Bauminger, N., Solomon, M. & Rogers, S. J. (2010) Predicting friendship quality in autism spectrum disorders and typical development. Journal of Autism and Developmental Disorders 40(6):751–61. Available at: http://doi.org/10.1007/s10803-009-0928-8.Google Scholar
Brown, L. H., Silvia, P. J., Myin-Germeys, I. & Kwapil, T. R. (2007) When the need to belong goes wrong: The expression of social anhedonia and social anxiety in daily life. Psychological Science 18:778–82. doi:10.1111/j.1467-9280.2007.01978.x [PCM]Google Scholar
Burnette, C. P., Henderson, H. A., Inge, A. P., Zahka, N. E., Schwartz, C. B. & Mundy, P. C. (2011) Anterior EEG asymmetry and the modifier model of autism. Journal of Autism and Developmental Disorders 41(8):1113–24.Google Scholar
Capps, L., Sigman, M. & Mundy, P. (1994) Attachment security in children with autism. Development and Psychopathology 6(2):249–61.Google Scholar
Chevallier, C., Grèzes, J., Molesworth, C., Berthoz, S. & Happé, F. (2012) Brief report: Selective social anhedonia in high functioning autism. Journal of Autism and Developmental Disorders 42(7):1504–49. doi: 10.1007/s10803-011-1364-0.Google Scholar
Chevallier, C., Kohls, G., Troiani, V., Brodkin, E. S. & Schultz, R. T. (2012a) The social motivation theory of autism. Trends in Cognitive Sciences 16(4):231–39. doi:10.1016/j.tics.2012.02.007.Google Scholar
Claussen, A. H., Mundy, P. C., Mallik, S. A. & Willoughby, J. C. (2002) Joint attention and disorganized attachment status in infants at risk. Development and Psychopathology 14(2):279–91.Google Scholar
Corbett, B. A., Swain, D. M., Newsom, C., Wang, L., Song, Y. & Edgerton, D. (2014) Biobehavioral profiles of arousal and social motivation in autism spectrum disorders. Journal of Child Psychology and Psychiatry 55(8):924–34 [PCM]Google Scholar
Dodell-Feder, D. & Germine, L. (2018) Epidemiological dimensions of social anhedonia. Clinical Psychological Science 6(5):735–43.Google Scholar
Freeman, S. F., Gulsrud, A. & Kasari, C. (2015) Brief report: Linking early joint attention and play abilities to later reports of friendships for children with ASD. Journal of Autism and Developmental Disorders 45(7):2259–66.Google Scholar
Gangi, D. N., Ibañez, L. V. & Messinger, D. S. (2014) Joint attention initiation with and without positive affect: Risk group differences and associations with ASD symptoms. Journal of Autism and Developmental Disorders 44(6):1414–24.Google Scholar
Georgiades, S., Szatmari, P. & Boyle, M. (2013) Importance of studying heterogeneity in autism. Neuropsychiatry 3(2):123.Google Scholar
Gooding, D. C. & Pflum, M. J. (2014) Further validation of the ACIPS as a measure of social hedonic response. Psychiatry Research 215(3):771–77.Google Scholar
Happé, F., Ronald, A. & Plomin, R. (2006) Time to give up on a single explanation for autism. Nature Neuroscience 9(10):1218.Google Scholar
Kasari, C., Sigman, M., Mundy, P. & Yirmiya, N. (1990) Affective sharing in the context of joint attention interactions of normal, autistic, and mentally retarded children. Journal of Autism and Developmental Disorders 20(1):87100.Google Scholar
Kim, K., Rosenthal, M. Z., Gwaltney, M., Jarrold, W., Hatt, N., McIntyre, N., Swain, L., Solomon, S., & Mundy, P. (2015) A virtual joy-stick study of emotional responses and social motivation in children with autism spectrum disorder. Journal of Autism and Developmental Disorders 45(12):3891–99.Google Scholar
Kleberg, J. L., Högström, J., Nord, M., Bölte, S., Serlachius, E. & Falck-Ytter, T. (2017) Autistic traits and symptoms of social anxiety are differentially related to attention to others’ eyes in social anxiety disorder. Journal of Autism and Developmental Disorders 47(12):3814–21.Google Scholar
Kuusikko, S., Pollock-Wurman, R., Jussila, K., Carter, A. S., Mattila, M. L., Ebeling, H., Pauls, D. & Moilanen, I. (2008) Social anxiety in high-functioning children and adolescents with autism and Asperger syndrome. Journal of Autism and Developmental Disorders 38(9):1697–709.Google Scholar
Locke, J., Ishijima, E. H., Kasari, C. & London, N. (2010) Loneliness, friendship quality and the social networks of adolescents with high-functioning autism in an inclusive school setting. Journal of Research in Special Educational Needs 10(2):7481.Google Scholar
Lombardo, M. V., Lai, M. C., Auyeung, B., Holt, R. J., Allison, C., Smith, P., Chakrabarti, C., Ruigrok, A., Suckling, J., Bullmore, E., MRC AIMS Consortium, Ecker, C., Craig, M., Murphy, D. G. M., Happé, F. & Baron-Cohen, S. (2016) Unsupervised data-driven stratification of mentalizing heterogeneity in autism. Scientific Reports 6:35333.Google Scholar
Mundy, P. (1995) Joint attention and social-emotional approach behavior in children with autism. Development and Psychopathology 7:6382.Google Scholar
Mundy, P. (2016) Autism and joint attention: Development, neuroscience, and clinical fundamentals. Guilford Press.Google Scholar
Mundy, P., Kasari, C. & Sigman, M. (1992) Nonverbal communication, affective sharing, and intersubjectivity. Infant Behavior and Development 15(3):377–81.Google Scholar
Mundy, P. & Sigman, M. (1989) Specifying the nature of the social impairment in autism. In: Autism: New perspectives on diagnosis, nature, and treatment, ed. Dawson, G., pp. 321. Guilford Press.Google Scholar
Mundy, P. & Sigman, M. (2015) Joint attention, social competence, and developmental psychopathology. In: Developmental psychopathology: Vol. 1. Theory and method, ed. Cicchetti, D. & Cohen, D., pp. 293332.Google Scholar
Naber, F. B., Swinkels, S. H., Buitelaar, J. K., Dietz, C., Van Daalen, E., Bakermans-Kranenburg, M. J., van IJzendoorn, M. & van Engeland, H. (2007) Joint attention and attachment in toddlers with autism. Journal of Abnormal Child Psychology 35(6):899911.Google Scholar
Novacek, D. M., Gooding, D. C. & Pflum, M. J. (2016) Hedonic capacity in the broader autism phenotype: Should social anhedonia be considered a characteristic feature? Frontiers in Psychology 7:666.Google Scholar
Parlade, M. V., Messinger, D. S., Delgado, C. E., Kaiser, M. Y., Van Hecke, A. V. & Mundy, P. C. (2009) Anticipatory smiling: Linking early affective communication and social outcome. Infant Behavior and Development 32(1):3343.Google Scholar
Rice, K., Moriuchi, J. M., Jones, W. & Klin, A. (2012) Parsing heterogeneity of autism spectrum disorders: Visual scanning of dynamic social scenes in school-aged children. Journal of the American Academy of Child & Adolescent Psychiatry 51:239–48. Available at: http://dx.doi.org/10.1016/j.jaac.2011.12.017.Google Scholar
Rutgers, A. H., Bakermans-Kranenburg, M. J., van IJzendoorn, M. H. & Van Berckelaer-Onnes, I. A. (2004) Autism and attachment: A meta-analytic review. Journal of Child Psychology and Psychiatry 45(6):1123–34.Google Scholar
Schwartz, C. B., Henderson, H. A., Inge, A. P., Zahka, N. E., Coman, D. C., Kojkowski, N. M., Hileman, C. & Mundy, P. C. (2009) Temperament as a predictor of symptomatology and adaptive functioning in adolescents with high-functioning autism. Journal of Autism and Developmental Disorders 39(6):842–55.Google Scholar
Senju, A. & Johnson, M. H. (2009b) The eye contact effect: Mechanisms and development. Trends in Cognitive Sciences 13(3):127–34.Google Scholar
Sheinkopf, S. J., Mundy, P., Claussen, A. H. & Willoughby, J. (2004) Infant joint attention skill and preschool behavioral outcomes in at-risk children. Development and Psychopathology 16(2):273–91.Google Scholar
Sigman, M. & Mundy, P. (1989) Social attachments in autistic children. Journal of the American Academy of Child & Adolescent Psychiatry 28(1):7481.Google Scholar
Sigman, M., Ruskin, E., Arbelle, S., Corona, R., Dissanayake, C., Espinosa, M., Kim, N., Lopez, A., Zierhut, C., Mervis, C. & Robinson, B. F. (1999) Continuity and change in the social competence of children with autism, Down syndrome, and developmental delays. Monographs of the Society for Research in Child Development 64(1):1114.Google Scholar
Sigman, M. & Ungerer, J. A. (1984) Attachment behaviors in autistic children. Journal of Autism and Developmental Disorders 14(3):231–44.Google Scholar
Spain, D., Sin, J., Linder, K. B., McMahon, J. & Happé, F. (2018) Social anxiety in autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders 52:5168.Google Scholar
Stavropoulos, K. K. & Carver, L. J. (2013) Research review: Social motivation and oxytocin in autism – Implications for joint attention development and intervention. Journal of Child Psychology and Psychiatry 54(6):603–18.Google Scholar
Swain, D., Scarpa, A., White, S. & Laugeson, E. (2015) Emotion dysregulation and anxiety in adults with ASD: Does social motivation play a role? Journal of Autism and Developmental Disorders 45(12):3971–77.Google Scholar
Vaughan Van Hecke, A., Mundy, P. C., Acra, C. F., Block, J. J., Delgado, C. E., Parlade, M. V., Meyer, J., Neal, R., & Pomares, Y. B. (2007) Infant joint attention, temperament, and social competence in preschool children. Child Development 78(1):5369.Google Scholar
Wing, L. & Gould, J. (1979) Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. Journal of Autism and Developmental Disorders 9(1):1129. Available at: http://dx.doi.org/10.1007/BF01531288.Google Scholar