Why Does My Autistic Child Play Differently from Other Children?

Lining Up Toys
Lining Up Toys. Getty

Kids with autism play differently from other kids. Even at a very young age, autistic kids are more likely than their typical peers to line objects up, play by themselves, and repeat the same actions over and over again. They're also less likely to engage in games that require "make believe," collaboration, or social communication.

Of course many children withOUT autism line up objects, play alone, or choose board games or sports over make-believe.

  But typical children ALSO imitate their peers to learn new play skills, collaborate with others, and ask questions when they're confused. If your child seems unaware of other children, or appears to be unable to learn new play skills through observation, social engagement, or verbal communication, you might be looking at a red flag for autism.

Why is it that children with autism play differently?  Most are facing some daunting challenges:

  • Lack of imitation skills. Typically-developing children watch how others play with toys and imitate them. For example, a typically-developing child might choose to line up blocks one next to the other the first time they play with them. But as soon as the typically developing child sees others build with the blocks, he will imitate that behavior. A child with autism may not even notice that others are playing with blocks at all, and is very unlikely to observe others' behavior and then intuitively begin to imitate that behavior.
  • Lack of symbolic play skills. Symbolic play is just another term for pretend play, and by the age of three, most children have developed fairly sophisticated tools for engaging in symbolic play both alone and with others. They may use toys exactly as they're designed -- playing "house" with a pretend kitchen and eating plastic food. Or they may make up their own creative pretend play, turning a box into a fortress or a stuffed animal into a talking playmate. Children with autism rarely develop symbolic play skills without help: They may enjoy placing engines on a track, but they're unlikely to enact scenes, make sound effects, or otherwise pretend with their toy trains.
  • Lack of social communication skills. In order to be successful in pretend play and imitation, typically developing children actively seek out engagement and communication, and quickly learn how to "read" the intentions of other people. Children with autism tend to be self-absorbed, and have little desire to communicate or engage with playmates.
  • Lack of joint attention skills. Joint attention skills are the skills we use when we attend to something with another person.  We use joint attention skills when we share a game together, look at a puzzle together, or otherwise think and work in a pair or group. People with autism often have impaired joint attention skills.

If lack of play skills is a possible symptom of autism, is it possible to teach a child with autism to play? The answer, in many cases, is an enthusiastic YES. In fact, several therapeutic approaches focus largely on building and remediating play skills, and parents (and siblings) can take an active role in the process. These include:

Sources:

LC Murdock. "Picture Me Playing: Increasing Pretend Play Dialogue of Children with Autism Spectrum Disorders."J Autism Dev Disord. 2010 Sep 25.

LC Murdock. "Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: effects on language, pretend play, and joint attention." J Autism Dev Disord. 2006 May;36(4):487-505.

MM Manning. "The role of high level play as a predictor social functioning in autism." J Autism Dev Disord. 2010 May;40(5):523-33.

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