Autistic social challenges have long been assumed to arise from a lack of social knowledge ("not knowing what to do"), which has undergirded theory and practice in assessment, treatment, and education. However, emerging evidence suggests these differences may be better accounted for by difficulties with social performance ("doing what they may know"). This distinction has important implications for research, practice, policy, and community support of autistic people. This review examines the theoretical and clinical implications and empirical status of the knowledge-performance distinction in autism. Current evidence suggests that social knowledge deficits are neither definitional nor reliably related to outcomes in autism. Prioritizing social knowledge, then, may produce unanticipated, problematic consequences in terms of accuracy of assessment, intervention effectiveness, and promotion of stigma. It may also yield unrealistic expectations around the value of knowledge for autistic people and their families, yielding important ethical considerations. Conversely, recent evidence highlights performance-related factors as being especially promising for better modeling and addressing social challenges in autism. Prioritizing performance, then, may offer new directions for assessment, substantially different intervention opportunities, and novel methods of inclusion and affirmation. This review touches upon each of these domains and implications, integrates these developments with broader models of social competence in youth, and provides direction for future research and practice regarding social competence in autism.
Social Knowledge Performance in Autism: A Critical Review Recommendations
Creators
Jacquelyn A. Gates - Stony Brook University
Morgan L. McNair - Stony Brook University
Jared K. Richards - Stony Brook University
Matthew D. Lerner - Stony Brook University
Publication Details
Clinical child and family psychology review, v 26(3), pp 665-689
Publisher
Springer Nature
Number of pages
25
Grant note
T73MC42026 / Health Resources and Services Administration; United States Department of Health & Human Services; United States Health Resources & Service Administration (HRSA)
R01MH110585 / NIMH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
Resource Type
Journal article
Language
English
Academic Unit
College of Arts and Sciences; A.J. Drexel Autism Institute
Web of Science ID
WOS:001043060100001
Scopus ID
2-s2.0-85166930928
Other Identifier
991021862283404721
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Web of Science research areas
Psychology, Clinical
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