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Any defects of sociality in individuals diagnosed with autism spectrum disorder (ASD) are standardly explained in terms of those individuals’ putative impairments in a variety of cognitive functions. Recently, however, the need for a bidirectional approach to social interaction has been emphasized. Such an approach highlights differences in basic ways of acting between ASD and neurotypical individuals which would prevent them from understanding each other. Here we pursue this approach by focusing on basic action features reflecting the agent’s mood and affective states. These are action features Stern named “vitality forms,” and which are widely assumed to substantiate core social interactions [D. N. Stern, The Interpersonal World of the Infant (1985); D. N. Stern, Forms of Vitality Exploring Dynamic Experience in Psychology, Arts, Psychotherapy, and Development (2010)]. Previously we demonstrated that, although ASD and typically developing (TD) children alike differentiate vitality forms when performing actions, ASD children express them in a way that is motorically dissimilar to TD children. To assess whether this motor dissimilarity may have consequences for vitality form recognition, we asked neurotypical participants to identify the vitality form of different types of action performed by ASD or TD children. We found that participants exhibited remarkable inaccuracy in identifying ASD children’s vitality forms. Interestingly, their performance did not benefit from information feedback. This indicates that how people act matters for understanding others and for being understood by them. Because vitality forms pervade every aspect of daily life, our findings promise to open the way to a deeper comprehension of the bidirectional difficulties for both ASD and neurotypical individuals in interacting with one another.

Audio-visual (AV) integration plays a crucial role in supporting social functions and communication in autism spectrum disorder (ASD). However, behavioral findings remain mixed and, importantly, little is known about the underlying neurophysiological bases. Studies in neurotypical adults indicate that oscillatory brain activity in different frequencies subserves AV integration, pointing to a central role of (i) individual alpha frequency (IAF), which would determine the width of the cross-modal binding window; (ii) pre-/peri-stimulus theta oscillations, which would reflect the expectation of AV co-occurrence; (iii) post-stimulus oscillatory phase reset, which would temporally align the different unisensory signals. Here, we investigate the neural correlates of AV integration in children with ASD and typically developing (TD) peers, measuring electroencephalography during resting state and in an AV integration paradigm. As for neurotypical adults, AV integration dynamics in TD children could be predicted by the IAF measured at rest and by a modulation of anticipatory theta oscillations at single-trial level. Conversely, in ASD participants, AV integration/segregation was driven exclusively by the neural processing of the auditory stimulus and the consequent auditory-induced phase reset in visual regions, suggesting that a disproportionate elaboration of the auditory input could be the main factor characterizing atypical AV integration in autism.

Sensory and perceptual anomalies have been increasingly recognized as core phenotypic markers for autism spectrum disorders (ASD). A neurophysiological characterization of these anomalies is of utmost importance to understand more complex behavioural manifestations within the spectrum. The present study employed electroencephalography (EEG) to test whether detail-oriented visual perception, a recognized hallmark of ASD, is associated with altered neural oscillations and functional connectivity in beta (and alpha) frequency bands, considering their role in feedback and top-down reentrant signalling in the typical population. A sample of children with diagnosis of ASD (N=18) and typically developing peers (TD; N=20) performed a visual crowding task, where they had to discriminate a peripheral target letter surrounded by flankers at different distances, together with a control condition with no flankers. In TD participants the amplitude of the target-locked N1 component and its cortical sources was significantly modulated as a function of visual crowding, whereas such modulation was absent in the ASD group, suggesting that their visual scene analysis takes place without a flexible neural computation. The comparison between groups showed a decreased activity in the ASD group in occipital, infero-temporal and inferior/middle frontal regions in conditions requiring detail-oriented perception as opposed to conditions requiring the discrimination of target in isolation. Moreover, in TD participants detail-oriented perception was associated with an event-related beta power reduction (15-30 Hz), which was not evident in the ASD group. A data-driven functional connectivity analysis highlighted in the ASD sample an increased connectivity in the beta frequency range between occipital and infero-temporal regions. Notably, individual hyperconnectivity indexes correlated to less severe ASD symptomatology and to a diminished detail-oriented perception, suggesting a potential compensatory mechanism. Overall, these results show that altered communication in the beta frequency band may explain atypical perception in ASD, reflecting aberrant feedback connectivity within the visual system with potential cascade effects in visual scene parsing and higher-order functions.

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