Objectives: This study had two objectives: (1) to investigate the atypical preference towards proper names over pronouns and the impediment of pronoun shift as a function of linguistic perspective-taking, (2) and to confirm the intact visuo-spatial perspective-taking in adults with autism.
Methods: Participants were 14 adults with high-functioning autism (mean age 26.43, full-scale IQ 105.64) and 13 age- and IQ-matched controls. They performed computerized role-taking tasks. The visual stimuli presented a simple object and a question regarding the object from either the participant’s or experimenter’s perspective.
Results: The results showed that adults with autism performed the task as well as the matched control participants based on the error rates; however, the autism group took a significantly longer time to accomplish the task when using a pronominal expression to refer the subject or experimenter rather than their proper names. The autism group also showed a slower reaction time than the control group, when the center of reference was shifted between the experimenter and the participant in the trial, requiring a pronoun reversal. It is also confirmed that there was no performance difference in the visuo-spatial perspective-taking tasks between groups.
Conclusions: These results suggest that, whereas adults with autism do not have obvious difficulty with pronominal expressions, their mental processing may be atypical, probably associated with difficulty with perspective-taking.