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How Autism and Sex Influence Perspective-Taking in Pragmatic Inferences.

Anna Teresa Porrini1, Jessica Goulston2, Alexandra Perovic3

  • 1Istituto Universitario di Studi Superiori (IUSS), Pavia, Italy.

Journal of Autism and Developmental Disorders
|June 27, 2026
PubMed
Summary

Autistic adults flexibly interpret scalar implicatures in context, similar to non-autistic peers. Communicative context and sex influence performance, with autistic females using compensatory strategies and males showing more difficulty with speaker perspective.

Keywords:
AutismPerspective-takingPragmatic inferencesPrimingScalar implicaturesSex

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Area of Science:

  • Psycholinguistics
  • Neurodevelopmental Disorders
  • Cognitive Science

Background:

  • Autistic individuals often exhibit challenges with pragmatic language, particularly perspective-taking.
  • Previous scalar implicature research in autism used artificial contexts, potentially skewing results.
  • Underrepresentation of females in autism research may obscure sex-based differences in pragmatic abilities.

Purpose of the Study:

  • To investigate scalar implicature processing in autistic adults within realistic communicative contexts.
  • To examine the influence of speaker presence and sex on pragmatic inferences in autism.
  • To address limitations of prior studies by using ecologically valid tasks and balanced sex representation.

Main Methods:

  • A cohort of 52 autistic and 52 non-autistic adults (sex-balanced) completed an online implicature priming task.
  • The task involved lexical and ad-hoc scalar implicatures presented via a card-selection game.
  • Clues were delivered either by a simulated interlocutor or as static on-screen text.

Main Results:

  • Both autistic and non-autistic adults demonstrated reliable priming effects for scalar implicatures.
  • Speaker presence modulated performance: autistic males showed reduced implicatures, while autistic females increased them.
  • Autistic females exhibited longer reaction times despite similar interpretation rates to controls.

Conclusions:

  • Communicative context and sex significantly impact pragmatic performance in autism.
  • Autistic females may employ compensatory strategies to achieve similar pragmatic outcomes.
  • Autistic males appear more sensitive to the cognitive load of inferring speaker intentions.