Adolescents with autism spectrum disorder exhibit intact physical causal inference but weak intention inference.

Abstract

Individuals with autism spectrum disorder (ASD) show impaired mentalizing skills, specifically in understanding intentions. They have difficulty understanding social situations with multiple cues due to their limited ability to perceive subtle social contextual cues. Studies that used comic strips and the strange stories as intention attribution tests found that individuals with ASD exhibit a reduced ability in attributing intentions compared to inferring causal consequences. This study aims to use static photographs of social scenes taken in everyday settings to investigate the ability of adolescents with ASD to infer intentions in social contexts, and to explore how intention inference relates to working memory and basic attention, including sustained attention, selective attention, and divided attention. The results show that the physical causal inference ability of adolescents with ASD is comparable to typically developing adolescents, whereas intention inference is notably weaker. Furthermore, working memory predicts physical causal inference and divided attention predicts intention inference in ASD.