Chapter 7: Social Challenges of Children and Youth with Autism Spectrum Disorders
Chapter Summary
Social functioning impairments are fundamental characteristics of individuals with autism. Four
common social skills deficits include nonverbal communication, social initiation, social reciprocity, and
social cognition. Within the social cognition domain, individuals with ASD typically have difficulties in
three specific processes-knowledge (know-how), perspective taking, and self-awareness.
Social skills deficits fall under two categories; performance deficits or skill acquisition deficits. It
is important to determine what type of skill deficit an individual has in order to match an appropriate
intervention strategy.
Social skills training programs must be socially valid. Gresham’s (2002) classification system
divides assessment methods into three levels of social validity. Type I measures are interviews and rating
scales. This level is considered to be the most socially valid as it measures the opinions of the
stakeholders. Type II measures involve the direct assessment of the child’s social skills. These measures
are important to progress monitoring and research. Type III measures are the least socially valid, and
consist primarily of role-playing and asking the individual questions involving social cognition. Social
skills programs must be socially acceptable to ensure consumer’s interest and investment in the
intervention.
Numerous meta-analyses have attempted to identify components of effective social skills and
offer recommendations for social skills programs. Research suggests that training may help children with
ASD improve communication and social skills. It is recommended that social activities be structured and
enjoyable, and provide ample opportunities for positive social exchanges.