Visual memory processes in high-functioning individuals with autism.

High-functioning autistic individuals were compared with age-matched normal control subjects on a visual recognition memory task. In order to evaluate the effects of "meaning" and "delay" on the visual memory of autistic individuals, meaningful (pictures) and meaningless (nonsense shapes) stimuli were presented visually in no delay and 1-minute delay intervals to both groups. It was concluded that autistic subjects perform particularly poorly on meaningless material, but they are able to utilize meaning to aid their visual memory. Contrary to expectations, 1-minute delay intervals did not differentially affect the visual memory performance of autistic individuals compared to control subjects. The results do not support the idea of a simple parallel between autism and mediotemporal lobe amnesias. The visual memory performance of the autistic subjects was discussed in the light of the possibility of a subtle involvement of the mediotemporal brain structures and inflexible cognitive strategies poorly suited to encode novel information.