University of Windsor University of Windsor
Scholarship at UWindsor
Scholarship at UWindsor
Electronic Theses and Dissertations Theses, Dissertations, and Major Papers
1-1-1964
Differences in the effectiveness of auditory and visual cues for
Differences in the effectiveness of auditory and visual cues for
autistic children in a two-choice discrimination learning task.
autistic children in a two-choice discrimination learning task.
Sylvia Rowe
University of Windsor
Follow this and additional works at: https://scholar.uwindsor.ca/etd
Recommended Citation Recommended Citation
Rowe, Sylvia, "Differences in the effectiveness of auditory and visual cues for autistic children in a two-choice discrimination learning task." (1964). Electronic Theses and Dissertations. 6367.
https://scholar.uwindsor.ca/etd/6367
DIFPBRENGBS IK THE EFFECTIVENESS OP AUDITORS AND VISUAL
GU&S FOR AUTISTIC CBIIDRBN IN A TWD*0M0ICS
DISCRIMINATION LEARNING TASK
V
SILVIA
.A ., U nlv#r#ity o f Wlndaor, I 962
A Theal*
Submitted to th e Faoulty o f Qradiiate Stodie® through th e Departmemt of Payehology la Partial Polfillment
o f th # RaqalrmaoBt# fo r th # Dogre* o f l a s t a r o f A rts a t th e
U n iv ersity o f Windsor
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ABSTRACT
Thle atudy **# *o attem p t to ia v e é tig a te th e d i f f e r e n t i a l
effeo tlv en eee o f vleo& l and a u d ito ry s tim u li as cues In a elmple
t#o»dholoe d ieo rlm ln atlo n te a k o f le a rn in g f o r a u t i s t i c as compared
to n o n â u tls tlc children*
The experim ental group ooneleted o f 18 h o sp ita liz e d a u tl e t i o
c h ild re n , and 13 non&utietlG children* The stim ulus co n d itio n s were
l i g h t a lo n e, bnaaer alone^ and l i g h t and b u ste r combined* The lea rn *
la g ta s k wee to determ ine th a t one o f two doors should he opened to
obtain a reward* The su b je c ts were measured fo r number o f responses,
number o f c o rre c t responses, and re a c tio n tim e to each stim ulus
condition*
The a u d ito ry cue was found to be le s s e ffe c tiv e than th e
v is u a l cue* I t was even le s s e f f e c tiv e fo r a u t i s t i c then f o r non-
PREFACE
T his stu d y began w ith my c u rio s ity aa to th e p o ssib le
v a ria b le * In th e a e tio lo g y o f th e a u t i s t i c ayndrome, Experimental
atudlem in perception le d to i n t e r e s t In th ia f i e l d In r e la tio n to
a u tie a , which was f u r th e r stim u lated by co n ta ct w ith some o f th e s e
c h ild re n . Host o f th e background m a te ria l came from th e writing® o f
1 . Kaoner, 1 . Bender and W» Qoldfarb on th e su b je c t o f childhood
psychoses,
Thanks t o th e cooperation o f th e e ta f f and ch ild ren a t
T histlstow n H o sp ita l, th e Id ea s fo r t h e study se re m odified end
f i n a l l y became a r e a l i t y , My thanks a ls o to th e school in sp e c to r,
p r in c ip a ls and tea ch e rs o f St* A ngela's and S t. Edmond's schools fo r
t h e i r perm ission to t e s t and cooperation in te s tin g fu rth e r su b je c ts
f o r th e c o n tro l group, and to th e c h ild re n them selves fo r ta k in g p a r t.
F in a lly thanks t o my Mentor, Dr, A, 9m ith, fo r h ie e a rly
h elp in th e ferm ulatloo o f th e stu d y , and h is encouragement, c r itic is m
and patle& t guidance through i t s l a t e r sta g es; and to my re a d e rs ,
Mr* M, S t a r r and Dr# F* T, Kingston, f o r t h e i r guidance and suggestions.
Also my thanks to Dr. B. Boddlnott o f T histletow n H o sp ital f o r h is
a s s is ta n c e in th e experim ental d esig n , fo r making th e h o s p ita l children
and f a c u l t i e s a v a ila b le f o r th e experim ent, and f o r t e s ti n g th e s ix
new a u t i s t i c c h ild re n .
T49LS 0* CONTENTS
LIST Of TABLES
Chapter I
IT
I I I
IV
f.r
INTRODUCTION .
D escrip tio n o f A u tis tic Children , Background o f R elated Research • Purpose o f P resen t Research ,
M BTPODOLOCT AND PRO CED URE .
Experim ental Sample « * ,
Equipment
.
.
,
,
.
Experimental Procedure .
PRESENTATION AND ANALYSIS OF RESULTS , Meon Responses f o r Groups and Conditions R e la tiv e E ffectiv en ess o f Sound
Compared to Light * * , D ifferen ces i n R e la tiv e E ffectiv en ess
DISCUSSION OP RESULTS ,
D ifferen ces o f Reward Value . , D ifferences Between H o sp ita lise d and
School Children « . , , Non*soorahle Responses o f A u tis tic S ubjects D ifferenoes between S tim u li . *
SUMMARY AND CONCLUSIONS
BIBUOORAFHY , . ,
VITA AU0T0R13 .
Pag®
i l l
LIS? OF TABLES
T&ble Page
1 Mean Snore* for Experimental and Control
Group# f o r Three C onditions . , . . 12
2 R e la tiv e B ffeetlveoee* o f Bnzaer ve L ight
arlfKO . 13
3 R esu lts o f Menn^Whitney U T est o f Percentage
D ifferen ces o f Buzzer o v er t ig h t Scores . Ik
k D lffereooe* in th e Average Number o f Responses
cHAprm I
INTRODUCTION
The A u tis tic c h ild , from very e&rly age, appears to shut
out h is environment, and does n o t develop s o c ia l r e la tio n ships in th e
normal p a tte r n , He f a l l s to develop adequate vocal o r p h y sical
oOmmunloation w ith th e world, and movement t h a t does occur tends to
be r e p e titio u s . People, o b je c ts , even h im self, he seeks to c o n tro l
through m anipulation, A to y tru c k , e . g . , might be in te r e s tin g to th e
c h ild because he could rep e ate d ly spin i t s wheels o r stro k e i t s ehlny
su rface, but th e r e would be no i n t e r e s t in i t as a tru c k . I f an a d u lt,
e . g , , was b arrin g h is way to a g o al, th e a d u lt would n o t be attack ed
as a person, but th e in te r f e r in g arm o r le g o r body would be pushed
o r p u lled as an o b je c t w ithout any re fe re n c e to the r e s t o f th e in d i
v id u al. Thwarting o f h is wishes i s as l ik e l y to give r i s e to a temper
tantrum a s to an o b je c tiv e a tta c k on th e offending o b je c t; and s e l f -
d e s tru c tiv e a c ts as w ell as tw ir lin g and rocking movements o f h is own
body a re loot uncommon* I t i s a stra n g e s ig h t to see a group o f th ese
ch ild ren , 5, 6, 7 and 8 y e a rs o f age in a playroom to g e th e r, each
occupied w ith h is own thoughts o r movements, and paying l i t t l e o r no
a tte n tio n to each o th er.
The A u tis tic c h ild i s h a p p ie st when alo n e. Although
seemingly u n affected by environm ental stim u li t h a t do not d ir e c tly
i n te r f e r e w ith him, changes in l l r i n g p a tte r n s and ro u tin e s produce
2.
août* a n x ie ty . Hie th in k in g aeeme to he eo concrete end e p eo lflo as
to prevent g e n e ra lis a tio n s , and i n h ib i t grasping cau sal r e la tio n s h ip s .
These c h ild ren a re not feebleminded, and show evidence o f n a tiv e
in te llig e n c e o ften above average, However, because th ey a re a u t i s t i c ,
th ey have no d e s ire to communicate w ith th e e x te rn a l world except fo r
b asic s e l f - g r a t i f i c a t i o n , and a re th u s se v ere ly retard ed s o c ia lly , and
give a g e n eral im pression o f feeblem indedness.
A good example o f t h i s i s t h e i r speech. Because o f t h e i r
d i s i n te r e s t in communicating w ith o th e rs , speech i s u s u a lly delayed
by se v e ra l y e a rs, and may inever develop spontaneously* Those c h ild ren
who a re n o t mute tend to use speech more f o r t h e i r own amusement than
as a means o f communication. Thus e c h o la lla i s a common phenomenon,
and although sentences o r phrase* may be rep eated im m ediately, they
a re o ften sto red fo r hours, days, o r weeks, and then d eliv ered am p-
l a t e l y o u t o f c o n te x t. One o f th e ch ild ren observed by th e author
would remain mute f o r days, then suddenly p a r r o t some p hrase w ithout
any connection to p re se n t e v e n ts, and a l l th e more s t a r t l i n g because
o f i t * m ature co n ten t. Another o f th e c h ild re n r a r e ly spoke w ith o u t
encouragement, y e t would go about singing t o h e rs e lf from a seemingly
l im i tl e s s r e p e r to ir e o f songs and hymns which she had heard on th e
ra d io or from th e s t a f f . In some (ddldreo speech may d e te r io r a te ,
even to mutism, a f t e r having once been acquired.
Another se v ere ly abnormal fe a tu re in th ese c h ild re n , and one
in which th ey resem ble th e a d u lt sch iso p h ren ic, i s t h e i r affe ct* They
do not r e a c t in a normal way to stim u la tio n , "Chen one o f th ese c M l-
3 .
o r & more normal ty p e o f re e e tio n may be delayed fo r hour#, days, o r
lo n g er, Dlgpley* o f emotion, in clu d in g eevere h o s tile ag g ressio n , may
occur w ithout any apparent environm ental stlm ulua proceeding i t .
The c la s s if ic a tio n o f th ese c h ild r œ has been debated, and
th e y a re o ften sa id t o have a%arly Childhood S ohiaophrm ia". However,
ae Robinaon (1961) has pointed o u t, one o f th e mein fe a tu re s o f
echisophrenla 1# d e te r io r a tlA ) , and e lg n lf ie e rég re ssio n from an
e a r l i e r , more normal p erio d o f development. He goes on to say*
In th e m ajo rily o f sev ere H eturbanoe# o f e a rly childhood, th e onset o f th e d ise a s e can, as lan n er s ta te d , be tra c e d to th e e a r l ie e t y e a rs. Withdrawal in th e young (diild o w s ls te o f s e l f - l e o l a t l w and a f a ilu r e o r r e f u s a l to e n te r in to in te rp e rs o n a l r e la tio n s h ip s , r a th e r than an a c tu a l d ep artu re or reg re ssio n or ré g re ssio n from a p rev lo u ely achieved le v e l o f e o d a i p a r tic ip a tio n .
The symptomatology o f childhood psychoeee d i f f e r s frcm th a t o f eohlsophrenla, a# we know i t in th e o ld e r p a tie n t, Frank d e lu s io n a l m a te ria l i s ab sen t, Favoured id e a s a re e;g>re@aed in a r e p e t it i v e stereo ty p ed manner. R ep etetlv e o r compulsive motor a c t i v i t y o ften r ^ r e e e n t s th e most evident fe a tu re s o f th e i l l n e s s . R allu o in atio n i s unusual, e a c o ^ in g i n th e form o f momentary
experieaees which a re a sso c ia te d w ith t e r r o r or a n x i e t y , . The s im ila r ity o f childhood psychoses and achisophrenls in th e a d u lt r e s t s c h ie f ly on th e f a c to r o f e o d a l w ithdrawal ( f a i l u r e to p a rtio ip a te ) mad th e b ia a rre o r unusual q u a li t ie s o f th e behaviour.
Kenner (191*3) termed t h i s " A u tis tic D isturbances o f A ffe ctiv e
Gfmtact", and l a t e r , ( 1 9 W , "Early I n f a n t i l e Autiem", and remained
convinced: th a t i t was a d i s t i n c t syndrome, " d iffe re n tia te d from c h ild -
hood so hlsophreala by v ir tu e o f detachment p resen t no l a t e r than th e
f i r s t y ear o f U f a , and from o lig o p h ren ia ty th e evidence o f good
I n t e l l e c t u a l p o t e n t i a l i t i e s . " However, in follow-up s tu d ie s on Autism,
Sisenberg and Kanner (1956) have included in t h e i r c la s s if ic a tio n a
number o f ch ild ren rep o rted to have developed norm ally fo r th e f i r s t
phenomeno-u.
logy d is tin c t ftroa cases o f childhood echlm ophrw la.
Thus, although a few o f th e 18 c h lld rm in t h i s study have
been diagnosed as "E arly Childhood Soblaophrenia" r a th e r than "Primary
I n f a n t i le A u tim " , th e y a l l f i t th e a u t i s t i c sytdrcme a lre ad y d e sc ri
bed, Since th e researo h ers in t h i s f ie ld l y no means agree on th e
nom enclature, resea rch on ch ild ren c la s s if ie d in c ateg o ries o th er tlwn
t h a t o f E arly o r Primary I n f a n t i le Autism has been u t i l i s e d by t h i s
au th o r i f auoh children f i t t e d K enner's syndrome.
Primary I n f a n t i le Autism i s a condition fo r which th e cause
has never beem adequately dem onstrated, SisAabsrg and Kanner (1956),
in studying 120 o f th e s e ch ild ren oould fin d no c o n siste n t or a p p aren tly
re la te d p h y sio al a b n o rm a litie s. They found a sex d iffe re n c e o f boys
over g i r l s in a r a t i o o f k to 1* They fomid t h a t almoet u n iv e rs a lly
th e p a re n ts were i n t e l l i g e n t , obsessive and m o tlo n s lly f r i g id , but
d id n o t consider t h i s t o be more than a p o ss ib le co n trib u tin g cause.
Bender (1956), Fish (1959) and o th e rs consider one o f th e m ajor c o n tri
buting causes to be a d ev ian t m atu ratio n al p a tte r n , which Bender term s
"a m atu ratio n al lag a t th e embryonic le v e l o h aracteriaed by a p rim itiv e
p l a s t i c i t y in a l l a re a s from Whioh eubsequrnit behaviour develops".
Bender d e f i n ite ly claim s a b lo lo g ie a l b a sis f o r th e behavioural devia
tio n s which th e se c h ild ren e x h ib it.
S erv is and G a rd a (1961) re c e n tly stu d ied 60 such c h ild re n ,
and concluded t h a t th e d i f f i c u l t i e s in v a ria b ly involved th e develop
m ental sta g e when th e mother was th e c h il d 's primary o b je c t, Many
in v e s tig a to r s seem to agree t h a t an e a rly u n s a tis fa c to ry m other-child
5.
a e tlo lo g lo a l f a c to r in t h i s oondltlon* However, th e p aren ts o f mich
o h lld rm u e u a lly claim t h a t th e ch ild ren were " d if f é r e n t" , i . e . ,
unreeponalve, alm ost from b ir th .
I f euch ch ild ren had eomething wrong w ith one o r more o f
t h e i r eenee m odaU tlee, th i# might w ell account fo r th e d lfferen o e in
t h e i r reeponeivw eee from th a t o f o th e r in f a n te . One o f th e moet
common and moat rem arkable symptôme o f t h i e condition l a th e d ie t u r
ban oe o f th e normal speech p a ttern # Not only do th e s e children show
varioua d% rees o f m u tlm , v a rio u s degrees o f delay in th e a c q u is itio n
o f speech, as w e ll a s lim ite d vocabulary, poor sentence s tru c tu re ,
concreteness and l i t e r a l n e s s in word use and e c h o la lia , but many o f
them never acq u ire speech, (Kenner (i960) estim ated o n e -th ird ), and
many o f th o se who do do not speak d i s t i n c t l y . I s t h i s speech d i s t u r -
bance, l ik e th e neologisms o f th e sch iso p h ren ic, a r e s u l t o f th e
a u t i s t i c p e rs o n a lity , or oould i t be due in p a rt to d e fe c tiv e a u d ito ry
in p u t, o r to an i n a b i l i t y to u t i l i s e au d ito ry cues e ffe c tiv e ly ?
I t has o ften been observed t h a t people who a re b lin d seem
to s u f f e r l e s s p e rs o n a lity d istu rb an ce than people who a re d e af, and
S haroff (1959) d isc u sse s th e poseibLe e ff e c t on th e emotional develop
ment o f th e d eaf c h ild when non-verbal c o m m l catio n i s a b ru p tly cut
o f f in favour o f t a l k , which he cannot h ear. Re quoted Reuscb and Kees:
"In th e f i r s t y ear o f l i f e depression n e c e s s a rily must occur through non-verbal means. The c h ild l i t e r a l l y speaks w ith h is whole body. D i f f i c u l ti e s a r is e when p aren ts a re n o t fls a d b le in
communicating n o n -v erb ally end f a i l to respond a t each age le v e l w ith a p p ro p ria te motions* An impoverishment o f ocmaunl catio n
grow In surrounding*, where th e v e rb e l wee m pheelzed too e a rly end when meeeagee expressed in non-verbal terme were l e f t unanswered*" Reueck end Keea here a re r e f e r r in g to th e develop ment o f th e hearing c h ild , How mu<^ g r e a te r i*qx>verlshment o f
cwmmmi c a tio n and d ia r a c te r development may we a n tic ip a te in th e d eaf c h ild , where tW n on-verbal o o n e titu te e h i* only method o f communicating,
Ae Roaenewelg (1959) n o te s , eeneory d e p riv a tio n would r e s t r i c t th e
meaning o f th e environment, and observe#, "As a model psychosis, th e
sensory d ep riv atio n experiment much more c lo s e ly resem bles aohiao-
p h ren ia than do th e eaqpeziments w ith LSD o r m escalin e,"
Qoldfarb (1956 and 1961) re p o rts th a t th e c o n ta ct sense
m o d alities a re p re fe rre d by th e more reg ressed childhood schizophrénies
to th e v is u a l and a u d ito ry f i e l d s , H a rris (1959) noted t h a t scM zo-
p h ren ics were more to le r a n t to co n d itio n s o f a soundproof cu b ic le than
norm als, M e ttle r (1955) claim s an o rg an ic dysfunction as th e b a sie
fo r th e p e rc e p tu a l c«g>acity d ieturbance o f ed hiaophrm ics which makes
i t d i f d o u l t o r Im possible f o r th e c h ild to eetab U sh adequate r e a l i t y
c o n ta c ts, Hal] (1953*) noted th a t a c u te sohlaophrenlcs showed a high
d ^ r e e o f response tim e d e f i c i t to a u d ito ry s tim u li. In an unpublished
study c a rrie d out in Denmark, i t was found t h a t th e hearing o f ch ild ren
o f echlaophrenlc p a r w t s was n o t as good a# th e hearing o f th e ch ild ren
o f non-sehiaophrenlc p a re n ts,*
On th e b a s ie o f a l l t h i s evidence, th en , i t appears th a t
th e re may be a f a c to r o f sensory d ep riv atio n o f some ty p e , and probably
in th e a u d ito iy f i e l d . In th e a e tio lo g y o f frim«ury I n f a n t i l e Autism,
Since any such p o stu la te d sensoiy d e fe c t oould w e ll be d i f f i c u l t to
7 ,
d w o n s tra te ty standard t e s t s , p a r tio n la r ly in view o f th e r e a l
problem in communicating w ith them# a u t i s t i c c h ild ren , i t warn decided
to study th e way th ey handled sensory ones in a simple lea rn in g
problem, w ith a food reward to encourage response. The p a r tio u la r
le a rn in g ta # r chosen was a sim ple tso # ch o iee d isc rim in a tio n . The
p a r tic u la r hypothesis was t h a t a u d lto iy cues would be le s s e f f e c tiv e
CKAPT2R I I
MBTHOIOIDGT AND moCSDURE
Subject*
a l Group, There *w * 18 a u t i s t i c ch ild ren in t h i s group.
Thar* ware 12 c h ild re n , i* g ir l* and 8 hoy*, betwaan th e age* o f 5
year* 6 month* and 10 year* 3 wwith*, who had been o la a e ifla d a*
A u tis tio , and had been under r e s i d e n t ia l treatm en t in th e same
h o s p ita l ward to g e th e r f o r a p w io d o f more than 18 montha* S ix o f
th e s e d iild re n had been ahown to be o o n d itio n ab le in an experiment
c a rrie d out th e previous y e a r, i n which th e m anipulation o f o b je c te
had been rewarded by popcorn. Another group o f a u t i s t i c c h ild re n ,
f iv e boys and one g i r l , between th e age* o f four year* and seven year*
one month, were te s te d by D r.% R oddinott, follow ing «qi^roidmately s ix
month* r e s i d e n t ia l trea tm e n t in th e same h o s p ita l a* th e f i r s t g ro ip .
C ontrol Group. There were o r ig in a lly a t o t a l o f 18 c h lld rm in t h i s
group, matched f o r **%, and ae c lo s e ly a* poaelble f o r age, to th e
experim eotal groiq). Six o f th w e c h ild re n , fiv e boys and one g i r l ,
were from th e e w e h ô p i t a l a* th e experim ental grovqp. They were
c la s s if ie d n e ith e r a* *chisephrenlc o r a u t i e t l c , but a* n e u ro tic or
c h a ra c te r d is o rd e r, and none o f t h e i r p aren ts were known o r suspected
t o be schisophrenie* The o th e r 12 c h ild ren in t h i s group, L g i r l s
and 8 boys, were from two tilndaor grade echoole. They were ra te d a*
9
.
i ll n e s s in t h e i r backgrounds. Of th e se cM ld ren , fo r v ario u s reasons,
( f a i l u r e t o rai^wod t o th e Twsaar, f a i l u r e to respond to th e f i r s t
e e rle a o f t r i a l s , a t t i t u d e s toward th e te s tin g s itu a tio n , e t c . ) , fiv e
had t o be elim inated from th e a n a ly s is . The u sab le c o n tro l group,
th e r e f o re , included 6 oh ild ren fTcm th e h o s p ita l s e ttin g , and 7 from
th e Windsor schools, f o r a t o t a l o f 13 su b je c ts.
Bacperimental Design
Groups. The experim sntal su b je c ts were divided in to two groups o f
n in e ch ild ren each, matched ae w ell ae p o eelb le f o r sex, age, and
o o n d itlo n a b ility , (s in c e t h le i s a conditioning type o f experim ent).
Since th e r e were two boys i n whom some type o f heBiing impair..: ; :
seemed more obvious, one was placed in eadh group. The groiqps were
a ls o matched as w ell a s p o ss ib le f o r degree o f im p a im m t o f th e
c b ild r w ; e * g ., aW .H ty in speech, s e l ^ c a r e , s e lf - p r o te c tio n , e t c ..
T*ie c o n tro l e u b jeo ts were a ls o s p l i t in to two groups, matched as
clo se ly a s p o saib lo fo r age and sex to th e experim ental groups. These
grotg)s a re calle d Experimental Oro^p I , Experimental Group I I , Control
Group I and Control Group H , Groiiyp I was given th e v is u a l stim ulus
f i r s t , and Group 1% was given th e a u d ito ry stim ulus f i r s t .
T r ia ls . There were th r e e blocks o f twenty t r i a l s esoh. In each h a lf
o f t h e tw o n ty t r i a l * th e r e w ere f i v e oues f o r t h e r i g h t ©ide and f i v e
cues f o r th e l e f t s id e , in random o rd er, but never more than th r e e o f
th e same sid e in a row. A d i f f e r e n t random order o f p re s e n ta tio n was
used fo r each block and fo r e&oh c h ild . SVeiy o th er c o rre c t response
10
.
s e rle * o f t r i a l s were In th e o rd e r o f l i g h t , W ezer, l i g h t end buzzer;
end in Grotq)s H , th e o rd e r wee bumzer, l i g h t , l i g h t end bueeer. The
subject® were scored f o r number o f reepeneee, number o f c o rre c t
reeponeee, end re e o tlo n tim e.
Equipment. Tbie ooneieted o f e la rg e cardboard eerto n , w ith th e beck
cut o u t. The fro n t o f th e carton wee th re # f e e t wide, end two f e e t
th re e and o n e -h e lf inehee high. A door, e ig h t inches wide and n in e
inches h ig h , w e cut in each o f th e o u te r loww com era o f th e carton
f ro n t, Above each door a c ir c l e th r e e Inches in di«meter was cut and
backed w ith red silk * The dietaB ce between th e oentree o f th e circleG
was two f e e t , two and o n e -h a lf In ch ea, Looped w hite pipe c le an e rs w # ^
used as handles fo r th e do o rs. A space fiv e and o n e-h alf in ch e s by
e ig h t inches b ^ n d eacdi door was p a rtitio n e d o f f w ith w h ite paper.
This was done to provide a clean w hite eurfaoe f o r th e reward, and to
o b s tru c t th e s u b je c ts ' view fro* th e equipment and experim enter behind
th e carton f r o n t.
A 60 w att l i g h t bulb was suspended behind each c i r c l e , and
a muted darkroom busser was placed on th e back edge o f th e ta b le a t
on# sid e o r th e o th e r to produce.a change in th e d ire c tio n o f th e
etlm ulue. An audible sw itch was used fo r th e l i g h t s and fo r th e buzzer,
t o tu rn them on and o f f , Thie equipmeot, th e popcorn used f o r th e
rew ard, a stop-w atch and th e ecoring sh e e ts , (which a ls o Included th e
schedule o f reinforcem ent and th e stim u lu s d ire c tio n o rd e r), were
p laced on th e ta b le behind th e carto n f r o n t, th e sid e s o f which were
angled out to approxim ately 120 d < ^ e e s . A low child-sim e ta b le was
1 1 .
th e equipment, While th e eubjeot e a t on a sm all c h a ir 80 inches from
th e ta b l e f ro n t, facin g th e c e n tre o f th e equipment. Two etop-watchee
were ueed, one th e examiner, and one by th e a a e ie tfm t.
Procédure, The a e e ie ta n t brought th e c h ild in to the room and i n tr o
duced him to th e experim enter, who gave him popcorn from a cup. The
experim enter than placed th e otq) behind th e equipment and opened th e
rig h t-h a n d d o w , showing th e c h ild th e popcorn which had bew pieced
th e re . The c h ild was encouraged to wme up to th e door, got th e pop
corn, then a l t down again. T his procedure was repeated w ith th e l e f t -
hand door. The experim enter then went behind th e equipment and began
th e t r i a l s . The a e e ie ta n t stood behind th e c h ild . Each twenty-second
t r i a l b ^ a n w ith a three-second presenta'WLon o f th e stim u lu s. For th e
f i r s t t r i a l o f each s e r ie s , th e ch ild was led to th e oorreot door
i f he f a ile d to reepond to th e cue w ltliiu th e f i r s t ten eeconde. The
a s s i s t a n t t r ie d t o prevent th e c h ild from opening th e second door,
(o r from going behind th e t a b l e ) , by going in th e o p p o site door d ire o -
tio n from th e c h ild . I t was a le c th e a s s i s t a n t 'e r e s p o n s ib ility to
le a d th e c h ild beck to b is s e a t, and to tim e th e c h i l d 's re a c tio n from
th e beginning o f th e t r i a l to th e p u llin g on th e door handle, as th e
experim enter could n o t se e th e c h ild , and to re p o rt th e re a c tio n tim e
to th e experim enter v e rb a lly .
In stru ctio n ® . Because o f th e muteness and n agatlveness o f many o f
th e a u t i s t i o o h ild ren , form al in e tr u c tio n e were not given. The c h il
dren were to ld th a t th ey were going to play a game, and th e children
in th e c o n tro l group were to ld th a t in t h i s game we did n o t t e l l them
CmPTER I I I
PKBSSBTATim AND ANALYSIS OP RESULTS
R esult*
The meen number o f responses, ( c o r r e c t end in c o r r e c t) , mean
number o f c o rre c t responses, and average re a c tio n tim e to th e th r e e
stim ulus con d itio n s ( l i g h t , b u ste r, l i g h t and b u zzer), were determined
fo r both th e expeMmontal and co n tro l groups. These d a ta a re shown
in Table 1,
Table 1
Mean Scores f o r B3qperim«ital and Control Groiq)s fo r Three Conditions
Crotqps L ight
* R. G,a. R.T, a .
Busser C.R, n,T.
L ight & Buzzer R. C.R. R.T.
A u tis tio 10,68 9,66 6.75 6,68 3.w^ 9.06 11,83 10,27 6,62
Nonaut. 16,92 16.6L 5,16 17,00
* R, * Number o f Responses
C.R, " Nimber o f C orrect Responses R*T, - Average Reaction Time
9,38 6.67 19.83 18,50 L 7 3
Since th e response d ata seemed very heterogeneous, and since
th e primary I n t e r e e t was in th e d i f f e r e n t i a l e ffe c tiv e n e sa o f l ig h t
13
.
va» sound
m
s tim u li, i t seemed, more a p p ro p ria te to d e riv e a measureo f th e r e l a t i v e e ffe e tiv e o e sa o f th e a u d ito ry stim ulus, as a percen
tag e o f th e buzzer sco re w ith re sp e c t to th e lig h t sco re, fo r a l l
th re e reeponee o a te g o rle e , (mmber o f reeponaes, number o f oorreot
reeponaee, and average re e o tio a tim e ), fo r each su b ject group, and
to aaaeaa th e group d lffe re n e e a by a Doo-perametrlc t e s t . Table 2
give* th e a e mean r e l a t i v e effe o tiv e n ea e aooree fo r which th e s e groups
averaged fo r a l l th r e e response o ateg o riea.
T able 2
R e la tiv e B ffeotivenesa o f Buazer v s. l i g h t (B/L x ICX))
No, o f Responses S o ,o f C orrect Responses AV, Reaction Time
A u tis tic 61.53 W .86 lb9.27
N o n a u tistie 95.82 56,77 133.51
The au d ito ry atim ulue th u s appears to be r e l a ti v e ly le s s
e ff e c tiv e in th e a u t i s t i c o k ild iw i. The eig n lflo a n o e o f th e d if f e r
ences between th e two groups was assessed by th e Mann-W1d.tmey U t e s t
(Moflewar, 1962, pp, 377-178). The r e s u l t s o f th i® a n a l y s i s a r e
Hi.
Table 3
R esult* o f Kann-ivbltney u T eat o f Pereentag* D lfforeooe* o f Buzzer over l i g h t Score*
Ü1 * Score Level o f S ig n ifican ce
No# o f Refgxmee* 176 2.30 .021W*
No, o f O orreet 16L 5 1.90 ,057Ui
Av. Reaction Time 107 . w .68916
CHAPTER 17
DI80USSI0M OF RESULTS
The feck t h a t th e ex p w lm w ta l group, on th e average, made
fewer responses, fewer c o rre c t resp o n ses, end slower responses to a l l
stim u lu s oondltlons than th e o o n tro ls was to be expected, as a lack
o f reeponslvemeee to th e environment i s one o f th e chare o t e r l s t l os o f
s u t l s t l e (dtLldren, Popomm was chosen ae th e reward In an attem pt to
minimise th e s e expected d iffe re n c e s . The o r ig in a l grou^ o f 12 a u t i s t i c
oh ild ren a t th e h o s p ita l had been in o rd in a te ly fm d o f two food item s,
i|k)tatochips and popcorn# F rid ay fo r them was not F rid ay , but Chlpday.
One F riday whw chips were n o t sw ved, through an o v e rsig h t on th e
p a r t o f th e k itc h en s t a f f , many o f th e c h ild ren refused t h e ir suppers.
Whenever they went on an o u tin g , popcorn was a must on th e supply
H a t , and even some o f th e e b lld reo who spoke vw y l i t t l e would say
"Popw m , popoom ", over and o v er, and th e s c a tte re d were suddenly a
group when i t was being eerved. I t was hoped, th e re fo re , th a t th e
use o f popcorn eould e l i c i t more responses from th ese ch ild ren than
o th e r types o f rew ard, However, i t l a q u estio n ab le as to whether
popcorn had th e same reward v alu e to a l l th e ch ild ren in th e c o n tro l
group# I t i e probable t h a t th e r e would be a d lffe re n o e here between
th e grade-a<Aool group and th e h o s p ita l c h ild re n , as th e former would
have more c p p o rtu n lty to g et popcorn and i t s n o n e sse n tia l d ie ta ry
16
.
©quivalent® e ith e r from p a re n t# , o th e r c h ild re n , o r w ith pocket-
money, then would th e h o s p ita l o h ild re n . Table b ehowe th e d i f f e r
ed oee between th e average number o f reqxxiee# o f th e h o s p ita l
c o n tro ls and th e g rade-sohoolers.
Table k
D lfferenoe# in th e Avwage Number o f Respweee between th e Two Control Groups
Groups
Av. Ml l i g h t
0* Responses Busser Both
AV. No, l i g h t
C orrect Responses Buzzer Both
H ospital 17.50 16.16 19.80 12.63 10.83 19.60
School 19.28 17.71 19.00 17,71 10.71 17.71
D lfferenoe# 1,78 1.55 .8 0 L 8 8 .12 1.89
There was only one h o q p ita l < ^ l d who deviated much from th e
r e e t o f th e h o s p ita l c o n tro l group. He had Men in th e h ô p i t a l only
about th r e e weeks p r io r to th e te s tin g , and was more e r r a t i c in h is
gen eral behaviour than th e o th e r childreo in t h l s group. Also he was
1@S3 w ell aoqualnted w ith th e eaominer and th e a e e ie ta n t than any o f
t h e o th e r h o s p i t a l o h ild r e n t e s t e d , in c lu d in g th e ex p e r im e n ta l g ro u p .
The school c h ild ren d iffe re d from a l l th e h o s p ita l o h ild ren ,
both a u t i s t i o and n o n & u tistic, in a t l e a s t fiv e f a c to r s . ( 1 .) The
achool ch ild ren were considered to be normal i n t h e i r general behaviour
17.
a s s i s t a n t, and l i t t l e o r none w ith th e examiner. ( 3 .) The h o a p ita l
ch ild reo went to school in th e same b u ild in g in which t b ^ liv e d , so
th a t th e f a c t th a t they were being te s te d in a room o f th e b o lld in g
which housed t h e i r school would mean l e s s to them, e a p e d a lly sin c e
a l l but s ix o f th e h o sp ita l c h ild re n , ( th e s ix newer a u t i s t i c c h il
d re n ), were te s te d a t a tim e when school had been out f o r two months,
whereas th e grade school o h ild ren were te s te d during t h e i r school year#
( D The h o s p ita l c h ild ren a l l had more t e a t s o p h is tic a tio n than th e
school c h ild ren . All th e l a t t e r had had were grotç» 1 .0 . t e s t s admini-
atered ty ttw ch ers. ( 5 .) The atmo%)here in th e h o s p ita l was perm lsaive,
epontaneity and a o tin g -o t* were more moouraged than discouraged, and
counoellora and s t a f f were not looked upon p rim a rily as a u th o rity
fig u re s .
Although a l l o f th e h o s p ita l c h ild ren made some resp o n ses,
th re e o f th e school ch ild ren f a ile d to make even one response; one
made one response to the second s e r ie s , th re e to th e th ir d and none
to th e f i r s t , and one c h ild began responding only on th e second serlea#
Moat o f th e school ch ild ren looked f o r approval from th e a s s i s t a n t ,
whereas few o f th e h o a p ita l ch ild ren d id . One o f th e school ohildren
tip to e d up to th e door each time he responded. Only one o f th e c h il
dren in th e schools showed th e sp o n tan eity ev id en t in a l l th e h o a p ita l
s u b je c ts.
In tr y in g to overcome th e se s itu a tio n a l d iffe re n c e s , a
l i t t l e e x tra tim e was spent w ith most o f th e school c h ild re n , and
more encouragement was given t o them. However, one o f th e ch ild ren
18
.
"Pretend you’r e out on th e school ground a t re c e s s ." "Don’t be
a fr a id to do whatever you w a n t." ), wag one o f th e th r e e who f a ile d
to reepond* Another wee one who f a ile d to reapond u n t i l th e second
e e rle a . Of th e f l r e t th re e e u b je cta, who did not re c e iv e as much
ex tM encouragement. Wo f a ile d to reepond a t a l l , and one wee th e
c h ild w ith no reeponeea to th e f i r s t s e r i e s , one t o th e second, end
th r e e to th e t h i r d . One o f th e se th re e c h ild re n , who did not respond
a t a l l , when aaked by *1* te a c h e r why he did n ’t "play th e ^sme", said
he was try in g to fig u re out how th e equipment worked. The o th e r ch ild
who didn’t respond watched th e room clock more then th e equipment*
The ch ild who f a ile d to reepond even w ith th e e x tra encouragement,
according to th e a s s i s t a n t, j u s t never did seem to fig u re out what i t
was a l l about.
The a u t i s t i c c h lld r w made o th e r re^^xmses than opening th e
doore* One o h lld once opw ed th e room door, an o th er turned on th e
room lig h t s during th e b u sser s e r ie e . More than one ch ild made more
th an one response o f poking h is f i s t o r fin g e r through a window.
Three attem p ts were made to come around th e back o f th e equipment.
One M ild sp e n t much o f th e time ig n o rin g th e equipment, tw ice in the
f i r s t s e r ie s (b u ss e r), punched through th e window, (only one o f th e se
tim es did ho open th e d o o r), and once he opened th e wrong door but
managed to grab th e reward from th e o th e r door. Re came around th e
equipment, and attem pted t o do so another tim e. Hie soorable responses,
however, were only two, two and one* iJhen th e t r i a l s were fin is h e d ,
he dashed behind th e equipment and began flic k ln fr sw itches, looking to
19
.
f i r s t tw elve, was mute, o fte n so ile d h im self, and had shown l i t t l e
improvement compared to th e o th w s during h is h o s p ita l s ta y , Many
o f th e resp(%8*s which th e a u t i s t i c c h ild ren made were not sc o ra h le ,
nor could i t be d etem ln ed a c c u ra te ly whether th e se were sim ply random
a c tio n s or whether th ey were a u t i s t i c reaponsea to th e s tim u li. Many
o f them o w ta ln ly appeared to be i n th e l a t t e r category.
In Table 1 i t can be seen t h a t even in th e c o n tro l group,
th e average number o f responses to th e l ig h t exceeds t h a t o f responses
to th e buzzer. Also th e n m b w o f c o rre c t responses i s s r ^ a te r fo r
th e l i g h t . The percentage o f c o rre c t responses to th e l i g h t l a 99*$2,
w hile fo r th e buzzer i t i s only $$.17, This d iffe re n c e may w ell be
due to th e equipment i t s e l f , although th e percentage c o rre c t f o r th e
a u t i s t i c grotq] was only $0 f o r th e buzzw , compared to 88,78 p e rc m t
f o r th e l i g h t . The buzzer was not a p leasan t sound, and th e space
between th e doors d id n o t a ffo rd much change in d ire c tio n o f th e
a u d ito ry stim u lu s. In th e othœr ccnditicm th e l ig h t went on d ir e c tly
above th e door, and behind th e c i r c l e o f red c lo th , which, a e s th e ti#
c a lly , was a more appealing stim u lu s. Two o f th e co n tro l c h ild re n
v erb alized t h e i r lik in g fo r th e red colour.
Thus, fo r a l l ch ild ren te s te d , th e buzzer seemed r e l a ti v e ly
le s s e ff e c tiv e than th e lig h t in e l i c i t i n g learned d iscrim in ato ry
behaviour. T)e@pite t h i s , however, and d e s p ite th e o th e r gross
d iffe re n c e s rep o rte d , i t appears t h a t th e buzzer was even leso e ffe c
GHAPTBR 7
3imAR? OOT'TCI,USIONS
Summary
An axperimaat wa$ c arried c u t t c determine th e d ifferen c o a
in th e effeotlvenesm o f a u d ltc ry and v is u a l cues i n a two-choice
d iacrlm in atltx i lea rn in g ta s k fo r a u t l e t l c and n o n a u tis tlc cM ld ren .
There were eig h teen h o a p lta liz e d a u t i s t i c c h ild re n , fiv e g i r le and
t h ir te e n hcys, and eighteen n o n a u tla tlc co n tro l c h ild re n , matched as
w e ll as p o ss ib le f o r age and ee% to th e experim ental group, Six o f
th e co n tro l group were c h ild ren from th e same h o s p ita l, c la s s if ie d
e ith e r as n e u ro tic o r c h a ra o te r d iso rd e r. The o th e r twelve ch ild ren
from two Windsor grade sch o o ls, who were c la s s if ie d ae normal
hy t h e i r teachers* ( f iv e o f th ese su b j^ o ts had to be olim lnated from
th e f i n a l a n a ly sis due to f a i l u r e to respond. ) None o f th e ch ild ren
in th e c o n tro l group were known to have schizophrenic p a re n ts.
The two stim ulus co n d itio n s were a U g h t and a buzzer. The
eaperim ental and c o n tro l groups were div id ed in to motched ^proups,
Sach groTüg) receiv ed a d if f e r e n t stim ulus o rd er o f p re s e n ta tio n , in
th r e e s e r ie s o f twenty t r i a l s each. For ozperim cntal ond co n tro l
grotgpe I , th e o rd e r o f p re se n ta tio n was l i g h t , buzzer, l ig h t and
buzzer. The o rd e r fo r experim ental groi%> PUd c o n tro l group I I , was
b u szer, l i g h t , buzzer and l i g h t . The c h ild ren had to le s m to open
th e door over which th e l i g h t shone o r behind Tfhlch th e buzzer sounded
21,
in order to g e t th e popcorn. The eohedule o f reinforcem ent wee a
reward fo r every o th er c o rre c t reeponeo. The chlldrene* behaviour
was recorded and scored f o r t o t a l mmber o f rcsponaes, nm ber o f
c o rre c t resp o n ses, and re a c tio n tim e. The e ffe c tiv e n e ss o f th e
buzzer r e l a ti v e to th e l i g h t was a ls o computed f o r th e se th re e
resixmsQ m easures.
The average responses o f th e a u t i s t i c ch ild ren t o both buzzer
and l ig h t were c o n s is te n tly fewer and slow er th an th o se o f th e non-^
a u t i s t i c group, ^o r t o t a l responses, the r e la tiv e e ffe c tiv e n e ss o f
th e buzzer was s ig n if ic a n tly lower (p » ,02) in th e a u t i s t i c groty;
th e same r e la tio n s h ip held fo r c o rre c t responses, but th e d ifferen o ee
did not q u ite reach th e conventional $;$ le v e l o f s ig n ific a n c e fp » .0 6 ),
Conolusions
I t appears, t h m , t h a t a u t i s t i c c h ild ren do not u t i l i z e
e ith e r l i g h t o r sound cues as e f f e c tiv e ly as normal ch ild ren do i n a
lea rn in g s itu a tio n , and th a t eound i s cvw l e s s e ffe c tiv e than l i g h t .
However, sin ce th e conditions In t h i s experiment were le s s id e a l f o r
th e c o n tro l group than fo r th e eaqieidmental group, i t may be th a t
th e re i s a c tu a lly a g re a te r d iffe re n c e between th e normal and a u t i s t i c
ch ild ren than a c tu a lly appears in th ese r e s u l t s , which were only s ig n i
fic a n t f o r nm ber of rei^xmsee a t th e .0$ le v e l of confidence,
Ihqw im entatioo w ith d if f e r e n t ty p e s , d is ta n c e s , and in te n
s i t i e s o f sound might show more illim ln a tin g d iffe re n c e s. This same
type o f experlmont using sound only, and d if f e r in g th e tone o r Inten#
s i t y f o r th e reward cue might a lso b a tte r in d ic a te th e reason f o r th e
Bender, L a u re tta , Schizophrenia in childhood- i t ' s re c o g n itio n , deso- rip tio n and trea tm e n t. Amer,J #O rthopaychiat. , 1956, 2 ^ It99-$G6,
îSisonborg, L ,,
&
Kenner, L* E arly i n f a n t i l e autism 19k3-$5, Amer.J,D rthopsychiat». 1956, 2 ^ $56-566, —
Flah, Rarhare L ongitudinal obaervatlone o f b io lo g ic a l d e v ia tio n s in a schizophrénie in f a n t, Amer,J , Peydhiat. , 1959, 116, 2$-31,
Qoldfarb, M. Receptor p referen ces i n eehlaopbrenic c h ild re n . A.M.A, Aron, n e u ro l, P a y c h la t,, 19$6, 6L3-6$2.
Q oldfarb, W, CMldhood Schizophrenia* Harvard D, P re ss, Cmnbridge, M ass,, I 9S C " ' ..
H a ll, K ,, & S tr id e , S. Some fa c to rs a ffe c tin g re a c tio n tim es to a u d ito ry s tin v ili in m ental p a tie n ts . J.m e n t.S o ., 195L, 100,
i.6S-W7.
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1930
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1959
1962
Born In R iv ersid e , ( k ta r io , S ylvia H ilton Rowe#
to Francis Stanley end Anne Sduoated a t John Mmi^e end Edith
R iverelde High end e t R ivereida School.
(]evell Sohoolo, end
Oradnated w ith th e degree o f Aeeumptlon O niverelty o f Windsor, WLndecr, O nterio,