Autistic children at risk of being underestimated: school-based pilot study of a strength-informed assessment

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Courchesne, V., Meilleur, A. S., Poulin-Lord, M. P., Dawson, M., & Soulières, I. (2015). Autistic children at risk of being underestimated: school-based pilot study of a strength-informed assessment. Molecular Autism, 6(1), 12-12. https://doi.org/10.1186/s13229-015-0006-3

Journal or book title
Molecular Autism
Publisher
Springer Science and Business Media LLC
Volume
6
Issue
1
Pages
12-12
Article number
12
Publication date: 5 Mar 2015 Added to AutiHub: 3 Jul 2026 Type: Article Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
5
Publication authors identified as autistic
1 / 5 (20.0%)

Abstract

BACKGROUND: An important minority of school-aged autistic children, often characterized as 'nonverbal' or 'minimally verbal,' displays little or no spoken language. These children are at risk of being judged 'low-functioning' or 'untestable' via conventional cognitive testing practices. One neglected avenue for assessing autistic children so situated is to engage current knowledge of autistic cognitive strengths. Our aim was thus to pilot a strength-informed assessment of autistic children whose poor performance on conventional instruments suggests their cognitive potential is very limited. METHODS: Thirty autistic children (6 to 12 years) with little or no spoken language, attending specialized schools for autistic children with the highest levels of impairment, were assessed using Wechsler Intelligence Scale for Children (WISC-IV), Raven's Colored Progressive Matrices board form (RCPM), Children's Embedded Figures Test (CEFT), and a visual search task. An age-matched control group of 27 typical children was also assessed. RESULTS: None of the autistic children could complete WISC-IV; only six completed any subtest. In contrast, 26 autistic children could complete RCPM, with 17 scoring between the 5th and 90th percentile. Twenty-seven autistic children completed the visual search task, while 26 completed CEFT, on which autistic children were faster than RCPM-matched typical children. Autistic performance on RCPM, CEFT, and visual search were correlated. CONCLUSION: These results indicate that 'minimally verbal' or 'nonverbal' school-aged autistic children may be at risk of being underestimated: they may be wrongly regarded as having little cognitive potential. Our findings support the usefulness of strength-informed approaches to autism and have important implications for the assessment and education of autistic children.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 2 Oct 2026 17:07.

Cited references
59
With a DOI
42
Without a DOI, from raw bibliography text
14
8 / 59 (13.6%) cited references include at least one author identified as autistic.
References with data to complete
5 / 59 (8.5%)
References with detected author names
56 / 59 (94.9%)
Without detected author names
3
Without a structured title
5
Without a stable identifier
14
References with raw author names still to review
3
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
151
From DOI or external metadata
151
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
4
72 / 151 (47.7%) names are linked to an author already present in AutiHub. 79 / 151 (52.3%) names are not yet linked.
Names linked to a person identified as autistic
8 / 151 (5.3%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 8 / 72 (11.1%). Distinct people identified as autistic: 2 / 117 (1.7%).
  1. Tyler Cowen (2011). An Economic and Rational Choice Approach to the Autism Spectrum and Human Neurodiversity . SSRN Electronic Journal. Elsevier BV.
    Crossref OpenAlex OpenCitations
  2. Helen Tager‐Flusberg , CONNIE KASARI (2013). Minimally Verbal School‐Aged Children with Autism Spectrum Disorder: The Neglected End of the Spectrum . Autism Research, 6(6), 468-478. Wiley.
    Type: Article DOI: 10.1002/aur.1329 OpenAlex: https://openalex.org/W1909988460
    Crossref OpenAlex OpenCitations
  3. Catherine Lord , Michael Rutter , Ann Le Couteur (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders . Journal of Autism and Developmental Disorders, 24(5), 659-685. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  4. Morton Ann Gernsbacher (2004). Language is More than Speech: A Case Study. PubMed, 8, 79-96.
    Type: Article OpenAlex: https://openalex.org/W246429913
    OpenAlex
  5. Emily Jones , Teodora Gliga , Rachael Bedford , Tony Charman , Mark H. Johnson (2014). Developmental pathways to autism: A review of prospective studies of infants at risk . Neuroscience & Biobehavioral Reviews, 39, 1-33. Elsevier BV.
    Crossref OpenAlex OpenCitations
  6. Sally J. Rogers , Laurie Vismara (2014). Interventions for Infants and Toddlers at Risk for Autism Spectrum Disorder . Handbook of Autism and Pervasive Developmental Disorders, Fourth Edition. Wiley.
    Crossref OpenAlex OpenCitations
  7. Sara Jane Webb , Emily Jones , Jean Kelly , Géraldine Dawson (2014). The motivation for very early intervention for infants at high risk for autism spectrum disorders . International Journal of Speech-Language Pathology, 16(1), 36-42. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  8. Therese Jolliffe , Simon Baron-Cohen (1997). Are People with Autism and Asperger Syndrome Faster Than Normal on the Embedded Figures Test? Journal of Child Psychology and Psychiatry, 38(5), 527-534. Wiley.
    Crossref OpenAlex OpenCitations
  9. Inge‐Marie Eigsti , Deborah Fein (2013). More Is Less: Pitch Discrimination and Language Delays in Children with Optimal Outcomes from Autism . Autism Research, 6(6), 605-613. Wiley.
    Type: Article DOI: 10.1002/aur.1324 OpenAlex: https://openalex.org/W1602499539
    Crossref OpenAlex OpenCitations
  10. Amy M. Daniels , Alycia Halladay , Andy J. Shih , Lauren M. Elder , Géraldine Dawson (2014). Approaches to Enhancing the Early Detection of Autism Spectrum Disorders: A Systematic Review of the Literature . Journal of the American Academy of Child & Adolescent Psychiatry, 53(2), 141-152. Elsevier BV.
    Crossref OpenAlex OpenCitations
  11. B. Hermelin , N. O'Connor (1990). Factors and primes: a specific numerical ability . Psychological Medicine, 20(1), 163-169. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  12. Jim Sinclair *Autistic author. Learn more… (2013). Why I Dislike “Person First” Language. Autonomy, the Critical Journal of Interdisciplinary Autism Studies, 1(2), 2.
    Type: Article OpenAlex: https://openalex.org/W1829568558
    OpenAlex
  13. CONNIE KASARI , Nancy Brady , Catherine Lord , Helen Tager‐Flusberg (2013). Assessing the Minimally Verbal School‐Aged Child With Autism Spectrum Disorder . Autism Research, 6(6), 479-493. Wiley.
    Type: Article DOI: 10.1002/aur.1334 OpenAlex: https://openalex.org/W2165555242
    Crossref OpenAlex OpenCitations
  14. Laurent Mottron , Michelle Dawson *Autistic author. Learn more… , Isabelle Soulières (2009). Enhanced perception in savant syndrome: patterns, structure and creativity . Philosophical Transactions of the Royal Society B: Biological Sciences, 364(1522), 1385-1391. The Royal Society.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  15. Tony Charman , Andrew Pickles , Emily Simonoff , S. Chandler , T. Loucas , Gillian Baird (2011). IQ in children with autism spectrum disorders: data from the Special Needs and Autism Project (SNAP) . Psychological Medicine, 41(3), 619-627. Cambridge University Press (CUP).
    Crossref OpenAlex OpenCitations
  16. Jennifer L. Stevenson , Morton Ann Gernsbacher (2013). Abstract Spatial Reasoning as an Autistic Strength . PLoS ONE, 8(3), e59329. Public Library of Science (PLoS).
    Crossref OpenAlex OpenCitations
  17. Morton Ann Gernsbacher , Eve A. Sauer , Heather M. Geye , Emily K. Schweigert , H. Hill Goldsmith (2008). Infant and toddler oral‐ and manual‐motor skills predict later speech fluency in autism . Journal of Child Psychology and Psychiatry, 49(1), 43-50. Wiley.
    Crossref OpenAlex OpenCitations
  18. Michelle Dawson *Autistic author. Learn more… (2011). Autism Spectrum Conditions . Autism Spectrum Conditions, 32.
    Type: Other
    Crossref
  19. Lore Thaler , Stephen R. Arnott , Melvyn A. Goodale (2011). Neural Correlates of Natural Human Echolocation in Early and Late Blind Echolocation Experts . PLoS ONE, 6(5), e20162. Public Library of Science (PLoS).
    Crossref OpenAlex OpenCitations
  20. Sandra Gordon-Salant , Sarah A. Friedman (2011). Recognition of Rapid Speech by Blind and Sighted Older Adults . Journal of Speech, Language, and Hearing Research, 54(2), 622-631. American Speech Language Hearing Association.
    Crossref OpenAlex
  21. Eric Schopler , Robert J. Reichler , Robert F. DeVellis , Kenneth Daly (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS) . Journal of Autism and Developmental Disorders, 10(1), 91-103. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  22. N Sadato (1998). Neural networks for Braille reading by the blind . Brain, 121(7), 1213-1229. Oxford University Press (OUP).
    Crossref OpenAlex OpenCitations
  23. N Mackintosh (2011). IQ and Human Intelligence . IQ and human intelligence.
    Type: Other
    Crossref
  24. James R. Flynn (2003). Movies About Intelligence . Current Directions in Psychological Science, 12(3), 95-99. SAGE Publications.
    Crossref OpenAlex OpenCitations
  25. Sven Bölte , Isabel Dziobek , Fritz Poustka (2009). Brief Report: The Level and Nature of Autistic Intelligence Revisited . Journal of Autism and Developmental Disorders, 39(4), 678-682. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  26. Michelle A. O'Riordan , Kate C. Plaisted , Jon Driver , Simon Baron-Cohen (2001). Superior visual search in autism . Journal of Experimental Psychology, 27(3), 719. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  27. Chantal Kemner , Lizet van Ewijk , Herman van Engeland , Ignace Hooge (2008). Brief Report: Eye Movements During Visual Search Tasks Indicate Enhanced Stimulus Discriminability in Subjects with PDD . Journal of Autism and Developmental Disorders, 38(3), 553-557. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  28. Amitta Shah , Uta Frith (1983). An islet of ability in autistic children: a research note . J. Child Psychol. Psychiatry, 24(4), 613. Wiley.
    Crossref OpenAlex OpenCitations
  29. Keith Atkin , Marjorie Perlman Lorch (2006). Hyperlexia in a 4-year-old boy with Autistic Spectrum Disorder . Journal of Neurolinguistics, 19(4), 253-269. Elsevier BV.
    Crossref OpenAlex OpenCitations
  30. N. J. Mackintosh (1998). IQ and human intelligence .
    Type: Book OpenAlex: https://openalex.org/W2052595156
    OpenAlex
  31. J Raven (1998). Raven Manual . Raven Manual.
    Type: Other
    Crossref
  32. Katrina D Bello , Nahal Goharpey , Sheila G Crewther , David P Crewther (2008). A puzzle form of a non-verbal intelligence test gives significantly higher performance measures in children with severe intellectual disability . BMC Pediatrics, 8(1), 30. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  33. K. B. Nelson , Margaret Bauman (2003). Thimerosal and Autism? PEDIATRICS, 111(3), 674-679. American Academy of Pediatrics (AAP).
    OpenAlex
  34. C Price (2009). Thimerosal and Autism: Technical Report . Thimerosal and Autism: Technical Report.
    Type: Other
    Crossref
  35. Zsuzsa Kaldy , Catherine Kraper , Alice S. Carter , Erik Blaser (2011). Toddlers with Autism Spectrum Disorder are more successful at visual search than typically developing toddlers . Developmental Science, 14(5), 980-988. Wiley.
    Crossref OpenAlex OpenCitations
  36. Wim A.J.M. Schlooz , Wouter Hulstijn (2014). Boys with autism spectrum disorders show superior performance on the adult Embedded Figures Test . Research in Autism Spectrum Disorders, 8(1), 1-7. Elsevier BV.
    Crossref OpenAlex OpenCitations
  37. Robert Plomin (1999). IQ and Human Intelligence. The American Journal of Human Genetics, 65(5), 1476-1477. Elsevier BV.
    Type: Article DOI: 10.1086/302632 OpenAlex: https://openalex.org/W2063114318
    OpenAlex
  38. Michelle A. O’riordan (2004). Superior Visual Search in Adults with Autism . Autism, 8(3), 229-248. SAGE Publications.
    Crossref OpenAlex OpenCitations
  39. Isabelle Soulières , Thomas A. Zeffiro , M.L. Girard , Laurent Mottron (2011). Enhanced mental image mapping in autism . Neuropsychologia, 49(5), 848-857. Elsevier BV.
    Crossref OpenAlex OpenCitations
  40. Michelle Dawson *Autistic author. Learn more… (2009). Where Autistics Excel: Compiling an Inventory of Autistic Cognitive Strengths . Where Autistics Excel: Compiling an Inventory of Autistic Cognitive Strengths. Chicago, IL: International Meeting for Autism Research.
    Type: Other
    Crossref
  41. Ian J. Deary , P. Joseph Bell , Andrew J. Bell , Mary L. Campbell , Nicola D. Fazal (2004). Sensory Discrimination and Intelligence: Testing Spearman's Other Hypothesis . The American Journal of Psychology, 117(1), 1. University of Illinois Press.
    Type: Article DOI: 10.2307/1423593 OpenAlex: https://openalex.org/W1992726231
    Crossref OpenCitations
  42. Fred Volkmar , Matthew Siegel , Marc Woodbury-Smith , Bryan King , James McCracken , Matthew W. State (2014). Practice Parameter for the Assessment and Treatment of Children and Adolescents With Autism Spectrum Disorder . Journal of the American Academy of Child & Adolescent Psychiatry, 53(2), 237-257. Elsevier BV.
    Crossref OpenAlex OpenCitations
  43. Catherine Lord , Susan Risi , Linda Lambrecht , Edwin H. Cook , Bennett L. Leventhal , Pamela C. DiLavore et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism . Journal of Autism and Developmental Disorders, 30(3), 205. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  44. D Wechsler (2005). The Wechsler Intelligence Scales for Children, Fourth Édition: Canadian (WISC-IV) . The Wechsler Intelligence Scales for Children, Fourth Édition: Canadian (WISC-IV).
    Type: Other
    Crossref
  45. GH Roid (1997). Leiter International Performance Scale-Revised: Examiners Manual . Leiter International Performance Scale-Revised: Examiners Manual.
    Type: Other
    Crossref
  46. JC Raven (1995). Coloured Progressive Matrices . Coloured Progressive Matrices.
    Type: Other
    Crossref
  47. (n.d.). Karp SA, Konstadt NL. Manual for the Children’s Embedded Figures Test. 1963.
    Type: Other
    Crossref
  48. Michelle Dawson *Autistic author. Learn more… , Laurent Mottron , Morton Ann Gernsbacher (2008). Learning in Autism . In Learning and memory: A comprehensive reference (pp. 759-772). Elsevier.
    AutiHub · Autistic Autism Scholarship Project Crossref OpenAlex OpenCitations
  49. MA Gernsbacher (2004). Gernsbacher MA. Language is more than speech: a case study. J Dev Learn Disord. 2004;8:79–96. J Dev Learn Disord, 8, 79.
    Type: Other
    Crossref
  50. HA Witkin (1971). A Manual for the Embedded Figure Tests . A Manual for the Embedded Figure Tests.
    Type: Other
    Crossref
  51. Isabel Clare , Marc Woodbury-Smith (2009). Autism spectrum conditions . In Forensic Neuropsychology in Practice (pp. 109-134). Oxford University Press.
    OpenAlex
  52. STEVEN D. THURBER , HOLLIE HOLT–WOEHL (2019). Autism Spectrum Conditions . In Ministry with Persons with Mental Illness and Their Families, Second Edition (pp. 149-168). Fortress Press.
    Type: Book chapter DOI: 10.2307/j.ctvcb5b2b.12 OpenAlex: https://openalex.org/W2992765512
    OpenAlex
  53. Simon Baron-Cohen (2005). Baron-Cohen S. Enhanced attention to detail and hyper-systemizing in autism. Commentary on Milne, E., Swettenham, J., & Campbell, R. Motion perception in autism: a review. Curr Psychol Cogn. 2005;23:59–64. Curr Psychol Cogn, 23, 59.
    Type: Other
    Crossref
  54. (n.d.). Dickens W. T. What is G? http://www.brookings.edu/~/media/Research/Files/Papers/2007/5/03education%20dickens/20070503 . PDF. 2007. Retrieved June, 2014
    Type: Other
    Crossref
  55. (n.d.). Sinclair J. Why I dislike “person first” language. 1999. http://web.archive.org/web/20090210190652/ http://web.syr.edu/~jisincla/person_first.htm . Retrieved January, 2015
    Type: Other
    Crossref