Mundy Peter, Sullivan Lisa, Mastergeorge Ann M
Neurodevelopmental Disorders and Education, School of Education and the M.I.N.D. Institute, University of California at Davis, Davis, California 95616, USA.
Autism Res. 2009 Feb;2(1):2-21. doi: 10.1002/aur.61.
The impaired development of joint attention is a cardinal feature of autism. Therefore, understanding the nature of joint attention is central to research on this disorder. Joint attention may be best defined in terms of an information-processing system that begins to develop by 4-6 months of age. This system integrates the parallel processing of internal information about one's own visual attention with external information about the visual attention of other people. This type of joint encoding of information about self and other attention requires the activation of a distributed anterior and posterior cortical attention network. Genetic regulation, in conjunction with self-organizing behavioral activity, guides the development of functional connectivity in this network. With practice in infancy the joint processing of self-other attention becomes automatically engaged as an executive function. It can be argued that this executive joint attention is fundamental to human learning as well as the development of symbolic thought, social cognition and social competence throughout the life span. One advantage of this parallel and distributed-processing model of joint attention is that it directly connects theory on social pathology to a range of phenomena in autism associated with neural connectivity, constructivist and connectionist models of cognitive development, early intervention, activity-dependent gene expression and atypical ocular motor control.
联合注意发展受损是自闭症的主要特征。因此,理解联合注意的本质是该疾病研究的核心。联合注意或许可以最好地定义为一个在4至6个月大时开始发展的信息处理系统。这个系统将关于自身视觉注意的内部信息的并行处理与关于他人视觉注意的外部信息整合在一起。这种关于自我和他人注意的信息联合编码需要激活一个分布式的前后皮层注意网络。基因调控与自组织行为活动共同引导这个网络中功能连接的发展。随着婴儿期的练习,自我-他人注意的联合处理作为一种执行功能会自动启动。可以说,这种执行性联合注意对于人类学习以及贯穿一生的符号思维、社会认知和社会能力的发展至关重要。这种联合注意的并行和分布式处理模型的一个优点是,它直接将社会病理学理论与自闭症中一系列与神经连接、认知发展的建构主义和联结主义模型、早期干预、活动依赖的基因表达以及非典型眼动控制相关的现象联系起来。