Skip to main content
Philosophical Transactions of the Royal Society B: Biological Sciences logoLink to Philosophical Transactions of the Royal Society B: Biological Sciences
. 2003 Feb 28;358(1430):345–360. doi: 10.1098/rstb.2002.1202

The enactive mind, or from actions to cognition: lessons from autism.

Ami Klin 1, Warren Jones 1, Robert Schultz 1, Fred Volkmar 1
PMCID: PMC1693114  PMID: 12639332

Abstract

Normative-IQ individuals with autism are capable of solving explicit social cognitive problems at a level that is not matched by their ability to meet the demands of everyday social situations. The magnitude of this discrepancy is now being documented through newer techniques such as eye tracking, which allows us to see and measure how individuals with autism search for meaning when presented with naturalistic social scenes. This paper offers an approach to social cognitive development intended to address the above discrepancy, which is considered a key element for any understanding of the pathophysiology of autism. This approach, called the enactive mind (EM), originates from the emerging work on 'embodied cognitive science', a neuroscience framework that views cognition as bodily experiences accrued as a result of an organism's adaptive actions upon salient aspects of the surrounding environment. The EM approach offers a developmental hypothesis of autism in which the process of acquisition of embodied social cognition is derailed early on, as a result of reduced salience of social stimuli and concomitant enactment of socially irrelevant aspects of the environment.

Full Text

The Full Text of this article is available as a PDF (772.9 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adrien J. L., Faure M., Perrot A., Hameury L., Garreau B., Barthelemy C., Sauvage D. Autism and family home movies: preliminary findings. J Autism Dev Disord. 1991 Mar;21(1):43–49. doi: 10.1007/BF02206996. [DOI] [PubMed] [Google Scholar]
  2. Aglioti S., Smania N., Manfredi M., Berlucchi G. Disownership of left hand and objects related to it in a patient with right brain damage. Neuroreport. 1996 Dec 20;8(1):293–296. doi: 10.1097/00001756-199612200-00058. [DOI] [PubMed] [Google Scholar]
  3. Bach-y-Rita P. Tactile vision substitution: past and future. Int J Neurosci. 1983 May;19(1-4):29–36. doi: 10.3109/00207458309148643. [DOI] [PubMed] [Google Scholar]
  4. Baron-Cohen S., Jolliffe T., Mortimore C., Robertson M. Another advanced test of theory of mind: evidence from very high functioning adults with autism or asperger syndrome. J Child Psychol Psychiatry. 1997 Oct;38(7):813–822. doi: 10.1111/j.1469-7610.1997.tb01599.x. [DOI] [PubMed] [Google Scholar]
  5. Blakemore S. J., Decety J. From the perception of action to the understanding of intention. Nat Rev Neurosci. 2001 Aug;2(8):561–567. doi: 10.1038/35086023. [DOI] [PubMed] [Google Scholar]
  6. Bonda E., Petrides M., Ostry D., Evans A. Specific involvement of human parietal systems and the amygdala in the perception of biological motion. J Neurosci. 1996 Jun 1;16(11):3737–3744. doi: 10.1523/JNEUROSCI.16-11-03737.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Boucher J., Lewis V. Unfamiliar face recognition in relatively able autistic children. J Child Psychol Psychiatry. 1992 Jul;33(5):843–859. doi: 10.1111/j.1469-7610.1992.tb01960.x. [DOI] [PubMed] [Google Scholar]
  8. Bowler D. M. "Theory of mind" in Asperger's syndrome. J Child Psychol Psychiatry. 1992 Jul;33(5):877–893. doi: 10.1111/j.1469-7610.1992.tb01962.x. [DOI] [PubMed] [Google Scholar]
  9. Bryant P. E. Developmental psychology. Face to face with babies. Nature. 1991 Nov 7;354(6348):19–19. doi: 10.1038/354019a0. [DOI] [PubMed] [Google Scholar]
  10. Bushnell E. W., Boudreau J. P. Motor development and the mind: the potential role of motor abilities as a determinant of aspects of perceptual development. Child Dev. 1993 Aug;64(4):1005–1021. [PubMed] [Google Scholar]
  11. Celani G., Battacchi M. W., Arcidiacono L. The understanding of the emotional meaning of facial expressions in people with autism. J Autism Dev Disord. 1999 Feb;29(1):57–66. doi: 10.1023/a:1025970600181. [DOI] [PubMed] [Google Scholar]
  12. Clark A. An embodied cognitive science? Trends Cogn Sci. 1999 Sep;3(9):345–351. doi: 10.1016/s1364-6613(99)01361-3. [DOI] [PubMed] [Google Scholar]
  13. Dahlgren S. O., Trillingsgaard A. Theory of mind in non-retarded children with autism and Asperger's syndrome. A research note. J Child Psychol Psychiatry. 1996 Sep;37(6):759–763. doi: 10.1111/j.1469-7610.1996.tb01469.x. [DOI] [PubMed] [Google Scholar]
  14. Dawson G., Meltzoff A. N., Osterling J., Rinaldi J., Brown E. Children with autism fail to orient to naturally occurring social stimuli. J Autism Dev Disord. 1998 Dec;28(6):479–485. doi: 10.1023/a:1026043926488. [DOI] [PubMed] [Google Scholar]
  15. Dawson Geraldine, Carver Leslie, Meltzoff Andrew N., Panagiotides Heracles, McPartland James, Webb Sara J. Neural correlates of face and object recognition in young children with autism spectrum disorder, developmental delay, and typical development. Child Dev. 2002 May-Jun;73(3):700–717. doi: 10.1111/1467-8624.00433. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Diamond R., Carey S. Why faces are and are not special: an effect of expertise. J Exp Psychol Gen. 1986 Jun;115(2):107–117. doi: 10.1037//0096-3445.115.2.107. [DOI] [PubMed] [Google Scholar]
  17. Dittrich W. H., Troscianko T., Lea S. E., Morgan D. Perception of emotion from dynamic point-light displays represented in dance. Perception. 1996;25(6):727–738. doi: 10.1068/p250727. [DOI] [PubMed] [Google Scholar]
  18. Eimas P. D., Siqueland E. R., Jusczyk P., Vigorito J. Speech perception in infants. Science. 1971 Jan 22;171(3968):303–306. doi: 10.1126/science.171.3968.303. [DOI] [PubMed] [Google Scholar]
  19. Engel A. K., Fries P., Singer W. Dynamic predictions: oscillations and synchrony in top-down processing. Nat Rev Neurosci. 2001 Oct;2(10):704–716. doi: 10.1038/35094565. [DOI] [PubMed] [Google Scholar]
  20. Fernald A. Approval and disapproval: infant responsiveness to vocal affect in familiar and unfamiliar languages. Child Dev. 1993 Jun;64(3):657–674. [PubMed] [Google Scholar]
  21. Fox R., McDaniel C. The perception of biological motion by human infants. Science. 1982 Oct 29;218(4571):486–487. doi: 10.1126/science.7123249. [DOI] [PubMed] [Google Scholar]
  22. Frith C. D., Frith U. Interacting minds--a biological basis. Science. 1999 Nov 26;286(5445):1692–1695. doi: 10.1126/science.286.5445.1692. [DOI] [PubMed] [Google Scholar]
  23. Gaffan E. A., Gaffan D., Harrison S. Disconnection of the amygdala from visual association cortex impairs visual reward-association learning in monkeys. J Neurosci. 1988 Sep;8(9):3144–3150. doi: 10.1523/JNEUROSCI.08-09-03144.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Gauthier I., Nelson C. A. The development of face expertise. Curr Opin Neurobiol. 2001 Apr;11(2):219–224. doi: 10.1016/s0959-4388(00)00200-2. [DOI] [PubMed] [Google Scholar]
  25. Gauthier I., Tarr M. J., Anderson A. W., Skudlarski P., Gore J. C. Activation of the middle fusiform 'face area' increases with expertise in recognizing novel objects. Nat Neurosci. 1999 Jun;2(6):568–573. doi: 10.1038/9224. [DOI] [PubMed] [Google Scholar]
  26. Gauthier I., Tarr M. J. Becoming a "Greeble" expert: exploring mechanisms for face recognition. Vision Res. 1997 Jun;37(12):1673–1682. doi: 10.1016/s0042-6989(96)00286-6. [DOI] [PubMed] [Google Scholar]
  27. Gergely G., Nádasdy Z., Csibra G., Bíró S. Taking the intentional stance at 12 months of age. Cognition. 1995 Aug;56(2):165–193. doi: 10.1016/0010-0277(95)00661-h. [DOI] [PubMed] [Google Scholar]
  28. Grigorenko Elena L., Klin Ami, Pauls David L., Senft Riley, Hooper Catalina, Volkmar Fred. A descriptive study of hyperlexia in a clinically referred sample of children with developmental delays. J Autism Dev Disord. 2002 Feb;32(1):3–12. doi: 10.1023/a:1017995805511. [DOI] [PubMed] [Google Scholar]
  29. Grossman E. D., Blake R. Brain activity evoked by inverted and imagined biological motion. Vision Res. 2001;41(10-11):1475–1482. doi: 10.1016/s0042-6989(00)00317-5. [DOI] [PubMed] [Google Scholar]
  30. Grossman E., Donnelly M., Price R., Pickens D., Morgan V., Neighbor G., Blake R. Brain areas involved in perception of biological motion. J Cogn Neurosci. 2000 Sep;12(5):711–720. doi: 10.1162/089892900562417. [DOI] [PubMed] [Google Scholar]
  31. Grèzes J., Fonlupt P., Bertenthal B., Delon-Martin C., Segebarth C., Decety J. Does perception of biological motion rely on specific brain regions? Neuroimage. 2001 May;13(5):775–785. doi: 10.1006/nimg.2000.0740. [DOI] [PubMed] [Google Scholar]
  32. Gusella J. L., Muir D., Tronick E. Z. The effect of manipulating maternal behavior during an interaction on three- and six-month-olds' affect and attention. Child Dev. 1988 Aug;59(4):1111–1124. doi: 10.1111/j.1467-8624.1988.tb03264.x. [DOI] [PubMed] [Google Scholar]
  33. HELD R., HEIN A. MOVEMENT-PRODUCED STIMULATION IN THE DEVELOPMENT OF VISUALLY GUIDED BEHAVIOR. J Comp Physiol Psychol. 1963 Oct;56:872–876. doi: 10.1037/h0040546. [DOI] [PubMed] [Google Scholar]
  34. Hadwin J., Baron-Cohen S., Howlin P., Hill K. Does teaching theory of mind have an effect on the ability to develop conversation in children with autism? J Autism Dev Disord. 1997 Oct;27(5):519–537. doi: 10.1023/a:1025826009731. [DOI] [PubMed] [Google Scholar]
  35. Haith M. M., Bergman T., Moore M. J. Eye contact and face scanning in early infancy. Science. 1977 Nov 25;198(4319):853–855. doi: 10.1126/science.918670. [DOI] [PubMed] [Google Scholar]
  36. Happé F. G. An advanced test of theory of mind: understanding of story characters' thoughts and feelings by able autistic, mentally handicapped, and normal children and adults. J Autism Dev Disord. 1994 Apr;24(2):129–154. doi: 10.1007/BF02172093. [DOI] [PubMed] [Google Scholar]
  37. Haxby J. V., Ungerleider L. G., Clark V. P., Schouten J. L., Hoffman E. A., Martin A. The effect of face inversion on activity in human neural systems for face and object perception. Neuron. 1999 Jan;22(1):189–199. doi: 10.1016/s0896-6273(00)80690-x. [DOI] [PubMed] [Google Scholar]
  38. Held R. Plasticity in sensory-motor systems. Sci Am. 1965 Nov;213(5):84–94. doi: 10.1038/scientificamerican1165-84. [DOI] [PubMed] [Google Scholar]
  39. Hobson R. P., Ouston J., Lee A. What's in a face? The case of autism. Br J Psychol. 1988 Nov;79(Pt 4):441–453. doi: 10.1111/j.2044-8295.1988.tb02745.x. [DOI] [PubMed] [Google Scholar]
  40. Iriki A., Tanaka M., Iwamura Y. Coding of modified body schema during tool use by macaque postcentral neurones. Neuroreport. 1996 Oct 2;7(14):2325–2330. doi: 10.1097/00001756-199610020-00010. [DOI] [PubMed] [Google Scholar]
  41. Johnson M. H. Functional brain development in humans. Nat Rev Neurosci. 2001 Jul;2(7):475–483. doi: 10.1038/35081509. [DOI] [PubMed] [Google Scholar]
  42. Jordan Heather, Reiss Jason E., Hoffman James E., Landau Barbara. Intact perception of biological motion in the face of profound spatial deficits: Williams syndrome. Psychol Sci. 2002 Mar;13(2):162–167. doi: 10.1111/1467-9280.00429. [DOI] [PubMed] [Google Scholar]
  43. Kanwisher N., McDermott J., Chun M. M. The fusiform face area: a module in human extrastriate cortex specialized for face perception. J Neurosci. 1997 Jun 1;17(11):4302–4311. doi: 10.1523/JNEUROSCI.17-11-04302.1997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  44. Klin A. Attributing social meaning to ambiguous visual stimuli in higher-functioning autism and Asperger syndrome: The Social Attribution Task. J Child Psychol Psychiatry. 2000 Oct;41(7):831–846. [PubMed] [Google Scholar]
  45. Klin A. Listening preferences in regard to speech in four children with developmental disabilities. J Child Psychol Psychiatry. 1992 May;33(4):763–769. doi: 10.1111/j.1469-7610.1992.tb00911.x. [DOI] [PubMed] [Google Scholar]
  46. Klin A. Young autistic children's listening preferences in regard to speech: a possible characterization of the symptom of social withdrawal. J Autism Dev Disord. 1991 Mar;21(1):29–42. doi: 10.1007/BF02206995. [DOI] [PubMed] [Google Scholar]
  47. Klin Ami, Jones Warren, Schultz Robert, Volkmar Fred, Cohen Donald. Defining and quantifying the social phenotype in autism. Am J Psychiatry. 2002 Jun;159(6):895–908. doi: 10.1176/appi.ajp.159.6.895. [DOI] [PubMed] [Google Scholar]
  48. Klin Ami, Jones Warren, Schultz Robert, Volkmar Fred, Cohen Donald. Visual fixation patterns during viewing of naturalistic social situations as predictors of social competence in individuals with autism. Arch Gen Psychiatry. 2002 Sep;59(9):809–816. doi: 10.1001/archpsyc.59.9.809. [DOI] [PubMed] [Google Scholar]
  49. Langdell T. Recognition of faces: an approach to the study of autism. J Child Psychol Psychiatry. 1978 Jul;19(3):255–268. doi: 10.1111/j.1469-7610.1978.tb00468.x. [DOI] [PubMed] [Google Scholar]
  50. Le Grand R., Mondloch C. J., Maurer D., Brent H. P. Neuroperception. Early visual experience and face processing. Nature. 2001 Apr 19;410(6831):890–890. doi: 10.1038/35073749. [DOI] [PubMed] [Google Scholar]
  51. Lord C. Follow-up of two-year-olds referred for possible autism. J Child Psychol Psychiatry. 1995 Nov;36(8):1365–1382. doi: 10.1111/j.1469-7610.1995.tb01669.x. [DOI] [PubMed] [Google Scholar]
  52. Markman AB, Dietrich E. Extending the classical view of representation. Trends Cogn Sci. 2000 Dec 1;4(12):470–475. doi: 10.1016/s1364-6613(00)01559-x. [DOI] [PubMed] [Google Scholar]
  53. Maurer D., Lewis T. L., Brent H. P., Levin A. V. Rapid improvement in the acuity of infants after visual input. Science. 1999 Oct 1;286(5437):108–110. doi: 10.1126/science.286.5437.108. [DOI] [PubMed] [Google Scholar]
  54. McBeath M. K., Shaffer D. M., Kaiser M. K. How baseball outfielders determine where to run to catch fly balls. Science. 1995 Apr 28;268(5210):569–573. doi: 10.1126/science.7725104. [DOI] [PubMed] [Google Scholar]
  55. Meltzoff A. N., Moore M. K. Imitation of facial and manual gestures by human neonates. Science. 1977 Oct 7;198(4312):75–78. doi: 10.1126/science.198.4312.75. [DOI] [PubMed] [Google Scholar]
  56. Mills M., Melhuish E. Recognition of mother's voice in early infancy. Nature. 1974 Nov 8;252(5479):123–124. doi: 10.1038/252123a0. [DOI] [PubMed] [Google Scholar]
  57. Neri P., Morrone M. C., Burr D. C. Seeing biological motion. Nature. 1998 Oct 29;395(6705):894–896. doi: 10.1038/27661. [DOI] [PubMed] [Google Scholar]
  58. Osterling J., Dawson G. Early recognition of children with autism: a study of first birthday home videotapes. J Autism Dev Disord. 1994 Jun;24(3):247–257. doi: 10.1007/BF02172225. [DOI] [PubMed] [Google Scholar]
  59. Ozonoff S., Miller J. N. Teaching theory of mind: a new approach to social skills training for individuals with autism. J Autism Dev Disord. 1995 Aug;25(4):415–433. doi: 10.1007/BF02179376. [DOI] [PubMed] [Google Scholar]
  60. Piaget J. The affective unconscious and the cognitive unconscious. J Am Psychoanal Assoc. 1973;21(2):249–261. doi: 10.1177/000306517302100201. [DOI] [PubMed] [Google Scholar]
  61. Prizant B. M., Duchan J. F. The functions of immediate echolalia in autistic children. J Speech Hear Disord. 1981 Aug;46(3):241–249. doi: 10.1044/jshd.4603.241. [DOI] [PubMed] [Google Scholar]
  62. Puce A., Allison T., Bentin S., Gore J. C., McCarthy G. Temporal cortex activation in humans viewing eye and mouth movements. J Neurosci. 1998 Mar 15;18(6):2188–2199. doi: 10.1523/JNEUROSCI.18-06-02188.1998. [DOI] [PMC free article] [PubMed] [Google Scholar]
  63. Schultz R. T., Gauthier I., Klin A., Fulbright R. K., Anderson A. W., Volkmar F., Skudlarski P., Lacadie C., Cohen D. J., Gore J. C. Abnormal ventral temporal cortical activity during face discrimination among individuals with autism and Asperger syndrome. Arch Gen Psychiatry. 2000 Apr;57(4):331–340. doi: 10.1001/archpsyc.57.4.331. [DOI] [PubMed] [Google Scholar]
  64. Tager-Flusberg H., Sullivan K. A second look at second-order belief attribution in autism. J Autism Dev Disord. 1994 Oct;24(5):577–586. doi: 10.1007/BF02172139. [DOI] [PubMed] [Google Scholar]
  65. Tarabulsy G. M., Tessier R., Kappas A. Contingency detection and the contingent organization of behavior in interactions: implications for socioemotional development in infancy. Psychol Bull. 1996 Jul;120(1):25–41. doi: 10.1037/0033-2909.120.1.25. [DOI] [PubMed] [Google Scholar]
  66. Thelen E., Schöner G., Scheier C., Smith L. B. The dynamics of embodiment: a field theory of infant perseverative reaching. Behav Brain Sci. 2001 Feb;24(1):1–86. doi: 10.1017/s0140525x01003910. [DOI] [PubMed] [Google Scholar]
  67. Tronick E., Als H., Adamson L., Wise S., Brazelton T. B. The infant's response to entrapment between contradictory messages in face-to-face interaction. J Am Acad Child Psychiatry. 1978 Winter;17(1):1–13. doi: 10.1016/s0002-7138(09)62273-1. [DOI] [PubMed] [Google Scholar]
  68. Uller C., Nichols S. Goal attribution in chimpanzees. Cognition. 2000 Aug 14;76(2):B27–B34. doi: 10.1016/s0010-0277(00)00078-0. [DOI] [PubMed] [Google Scholar]
  69. Walker A. S. Intermodal perception of expressive behaviors by human infants. J Exp Child Psychol. 1982 Jun;33(3):514–535. doi: 10.1016/0022-0965(82)90063-7. [DOI] [PubMed] [Google Scholar]
  70. Weeks S. J., Hobson R. P. The salience of facial expression for autistic children. J Child Psychol Psychiatry. 1987 Jan;28(1):137–151. doi: 10.1111/j.1469-7610.1987.tb00658.x. [DOI] [PubMed] [Google Scholar]
  71. Werner E., Dawson G., Osterling J., Dinno N. Brief report: Recognition of autism spectrum disorder before one year of age: a retrospective study based on home videotapes. J Autism Dev Disord. 2000 Apr;30(2):157–162. doi: 10.1023/a:1005463707029. [DOI] [PubMed] [Google Scholar]

Articles from Philosophical Transactions of the Royal Society B: Biological Sciences are provided here courtesy of The Royal Society

RESOURCES