Autistic superiority on embedded figures test and resultant employability: fact or fiction?

Autistics have superior skills that can help them find jobs!  Headlines such as these have become  frequent fodder in the popular media.  Persons on the autism spectrum are said to have superior "attention to detail".  This makes them superior candidates for jobs such as TSA screeners and software testers.  Companies such as SAP, Specialisterne and Aspiritech are training high functioning autistics to be software testers and debuggers.  A statistic cited in a lot of these articles is that 85% of autistics are unemployed (I have no notion of where this statistic comes from)If we can only tap all of the superior skills autistics have where they outperform typical people the problem will be solved.  These people will find their niche and the lack of social skills or other deficits that people on the spectrum have will be immaterial to their occupational success. 

Where does this nebulous term "attention to details" come from?  At least one of the sources is the commonly held belief that autistic people outperform non-autistic people on the Embedded Figures Test-a test where a person has to find a hidden triangle in a larger image or a Where's Waldo type of picture.  Simon Baron-Cohen has said that this shows that autistic people have "attention to details".  Laurent Mottron and Michelle Dawson have cited various studies showing that autistics outperform non-autistics on this test.  They apparently believe that this superiority will enable autistics to be better educated and help them get jobs and even get along better with their parents.  This was the rationale that Autism Speaks gave when awarding them a research grant totaling nearly half a million dollars.

Probably the first study of autistics' performance on the Embedded Figures test was done by Uta Frith and Neil Shah.  They found that the autistics outperformed the non-autistics in both speed and accuracy.  The reason they gave for the superior performance was something called weak central coherence, meaning that autistics have a poor ability to see the large general picture of things and therefore have difficulty understanding context.  But the upside is that they might think about things in the smallest parts and therefore might be more attentive to minute details than a typical person.  This could give them a superior ability in math and engineering for instance, even if they had resultant deficits in other areas.  In other words, though the autistic may miss the forest for the trees, they are superior at seeing the trees in the forest.

Have Frith and Shah's findings been uniformly replicated by independent investigators or is this superior attention to detail (as measured by the Embedded Figures Test) an urban legend?  According to a paper by British cognitive scientist Sarah White, the latter may be true rather than the former.

She cites the sixteen studies published subsequent to Shah and Frith's work that had group designs in which autistic person's performances were compared to controls on the Embedded figures test.    Only two of these studies replicated the accuracy difference between autistics and typical controls.  Of the remaining fourteen studies, half (seven) showed that autistics were able to find the embedded figures more quickly than controls but were either no more accurate or accuracy rates were not cited in the papers.  One of the papers showed differences in accuracy only between low functioning autistics and matched controls but no differences in the higher functioning autistics.  One paper showed the autistics were less accurate than matched controls on the test. I'll discuss later what this means in terms of suitability for jobs such as software tester or airport screener.  There were a variety of possible reasons for the discrepancy in studies such as differences in the way the test was administered, different groups of controls vs. autistics.

In White's study, she used a very large sample of  high-functioning (as measured by IQs) autistics vs. intellectually matched controls and found no differences in accuracies on the EFT between the two groups.  The autistic group performed the task slightly more quickly, but the difference was not statistically significant.  

One salient difference that stands out is that the group differences in accuracy were generally detected with more severely autistic persons rather than persons with milder forms of the condition.  This is particularly relevant to Frith and Shah's work in that it was published in the early 1980s when the definition of autism was different from that of today and it is unlikely their findings would have applicability to people more mildly autistic that would not have been diagnosed as such at that time.

Most of the persons who would be candidates for the above-cited jobs based on an "exceptional attention to detail" would be considered at the milder end of the spectrum.  Assuming Frith and Shah's weak central coherence theory of autism has any validity, it is unlikely that it would be applicable to these people whose central coherence would most likely be closer to that of a typical person's.  Therefore, it is less likely, according to the actual science, they would have these alleged assets that would help them in these professions.

According to some, the seven out of seventeen studies that showed superior speed on the test would be demonstrative of an autistic superiority.  I don't agree, particularly if you are applying the research to enable autistics to perform jobs or stating this research shows they are suited for these occupations.  I know from personal experience accuracy does matter.  In the days when I was still a medical transcriptionist, my production levels were on par with that of the non-autistic transcriptionists.  However, I made more mistakes and this cost me a variety of jobs.  This was also true in the other professions I worked in before I retired.  In the business world, you could be the fastest employee in the world, but if you're not more accurate, you're kaput. 

Though I've read White's article, I have not read the other studies and I will admit to that.  If there is something White gets wrong or something else I am not understanding, I guess people can let me know in the comments section.  Also, there may be other tests given to autistics that allegedly measure attention to detail that I don't know about.  I believe the embedded figures test is the main one though.

I want to sum up to say to anyone reading this article, don't get me wrong.  I think it's great that people would want to train persons on the spectrum for various jobs and I hope they succeed in the jobs, regardless of whether they have good attention to detail or not.  Whatever will enable a person with autism to succeed, I'm all for it and if they can be a success in a job, all the power to them.   I hope that SAP, specialistirne and others can help autistics.  Though, I've been very critical of John Robison in the past, I do applaud his efforts to train people on the spectrum in the automotive profession.   However, I don't think it's helpful to promote what are likely urban legends based on a lack of demonstrated science or science now made obsolete by a different definition of autism where more high functioning autistic people are identified.

Write congress, urge a no vote on HR 4631

The neurodiversity movement has again succeded in one of their inane crusades, persuading congress to change the name of the Combating Autism Act to the Autism Collaboration, Accountability Research, Education and Support (CARES) Act.  Autism Speaks who funded Laurent Mottron and had John Robison on a science advisory board has also gotten into the act . When this law was originally passed, it was the now defunct Cure Autism Now, that lobbied for it.  The original intent was to do research to find a cure for autism and end this nightmare that affects so many of us.

Ari Ne'eman, John Robison and their cronies found the language in the act offensive and so congress is changing the name of this law while reauthorizing it.

The ND movement has already succeeded in packing the interagency autism coordinating committee with members of their warped ideology.  To date, not a single pro-cure, anti-neurodiversity autistic has been appointed to the public membership of the Interagency Autism Coordinating Committee.

Even when this was called the combating autism act, it was a very bad law.  Not just because of all the members of ND that were appointed to public membership, but the fact that it spent millions of dollars on the CDC's autism surveillance program which gives the phony 1 in 68 number which was acquired by looking at school and health records of kids and counting them as autistic if anything at all suggested they had this condition, regardless of whether or not there was an actual diagnosis reported.  This money does absolutely nothing to help those on the spectrum.  Their other work does nothing to help autistic people.  

Now, the proposed law states that autism should not even be combated anymore.  Is a rose by any other name just as foul smelling as before?  I really don't know.

We need to get rid of this law and allow the private sector to take over.  I wish the government would just return the 260 million bucks this law authorizes to the taxpayers who have a stake in autism.  Hopefully an awesome private sector foundation would support sane scientists who would find treatments or even a cure for this horrible disability from which I suffer every day.  I realize this is an opium-induced dream and there is no way I can make it happen.

One thing we can do, however, is write our congress person, urging them to vote no on this legislation which has the new name that implies we should not try to find a cure for autism.

I've written my congress person.  I hope any American who reads this and agrees with me will do the same.