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高功能自闭症和阿斯伯格综合征中对模糊视觉刺激赋予社会意义:社会归因任务

Attributing social meaning to ambiguous visual stimuli in higher-functioning autism and Asperger syndrome: The Social Attribution Task.

作者信息

Klin A

机构信息

Yale Child Study Center, Yale University School of Medicine, New Haven, CT 06520, USA.

出版信息

J Child Psychol Psychiatry. 2000 Oct;41(7):831-46.

Abstract

More able individuals with autism and Asperger syndrome (AS) have been shown to pass relatively high level theory of mind (ToM) tasks without displaying commensurate levels of social adaptation in naturalistic settings. This paper presents a social cognitive procedure the Social Attribution Task (SAT) that reduces factors thought to facilitate ToM task performance without facilitating real-life social functioning. Sixty participants with autism (N = 20), AS (N = 20), and normally developing adolescents and adults (N = 20) with normative IQs were asked to provide narratives describing Heider and Simmel's (1944) silent cartoon animation in which geometric shapes enact a social plot. These narratives were coded in terms of the participants' abilities to attribute social meaning to the geometric cartoon. The SAT provides reliable and quantified scores on seven indices of social cognition. Results revealed marked deficits in both clinical groups across all indices. These deficits were not related to verbal IQ or level of metalinguistic skills. Individuals with autism and AS identified about a quarter of the social elements in the story, a third of their attributions were irrelevant to the social plot, and they used pertinent ToM terms very infrequently. They were also unable to derive psychologically based personality features from the shapes' movements. When provided with more explicit verbal information on the nature of the cartoon, individuals with AS improved their performance slightly more than those with autism, but not significantly so.

摘要

研究表明,患有自闭症和阿斯伯格综合征(AS)的高功能个体能够通过相对高水平的心理理论(ToM)任务,但在自然情境中却未表现出相应水平的社会适应能力。本文介绍了一种社会认知程序——社会归因任务(SAT),该程序减少了那些被认为有助于完成ToM任务但无助于现实生活中社会功能的因素。60名参与者,包括20名自闭症患者、20名阿斯伯格综合征患者以及20名智商正常的发育正常的青少年和成年人,被要求提供对海德和西梅尔(1944年)的无声卡通动画的描述,其中几何形状演绎了一个社会情节。这些描述根据参与者将社会意义赋予几何卡通的能力进行编码。SAT在七个社会认知指标上提供可靠且量化的分数。结果显示,两个临床组在所有指标上都存在明显缺陷。这些缺陷与言语智商或元语言技能水平无关。自闭症和阿斯伯格综合征患者识别出故事中约四分之一的社会元素,他们三分之一的归因与社会情节无关,并且他们很少使用相关的心理理论术语。他们也无法从形状的运动中推断出基于心理的个性特征。当提供关于卡通性质的更明确的言语信息时,阿斯伯格综合征患者的表现比自闭症患者略有改善,但改善并不显著。

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