Through the looking glass: Pretend play for children with autism

Lack of spontaneous pretend play is an early diagnostic indicator of autism spectrum conditions (ASC) along with impaired communication and social interaction. In a previous ISMAR poster [2] we proposed an Augmented Reality (AR) system to encourage pretend play, based on an analogy between imaginative interpretation of physical objects (pretense) and the superimposition of virtual content on the physical world in AR. This paper reports an empirical experiment evaluating that proposal, involving children between the ages of 4 and 7 who have been diagnosed with ASC. Results find significantly more pretend play, and higher engagement, using the AR system by comparison to a non-augmented condition. We also discuss usability issues and design implications for AR systems that aim to support children with ASC and other pervasive developmental disorders.

[1]  Gregory D. Abowd,et al.  TriggerHunter: designing an educational game for families with asthmatic children , 2010, CHI Extended Abstracts.

[2]  C. Jarrold.  A Review of Research into Pretend Play in Autism , 2003, Autism : the international journal of research and practice.

[3]  Sara Smilansky,et al.  The Effects Of Sociodramatic Play On Disadvantaged Preschool Children , 1968 .

[4]  Zhen Bai,et al.  Can we augment reality with "mental images" to elicit pretend play?: a usability study , 2013, CHI Extended Abstracts.

[5]  Inmaculada Coma,et al.  A Kinect-based Augmented Reality System for Individuals with Autism Spectrum Disorders , 2018, GRAPP/IVAPP.

[6]  Justine Cassell,et al.  StoryMat: a play space for collaborative storytelling , 1999, CHI Extended Abstracts.

[7]  Nicola Yuill,et al.  An augmented toy and social interaction in children with autism , 2012, Int. J. Arts Technol..

[8]  Christopher Jarrold,et al.  Generativity deficits in pretend play in autism , 1996 .

[9]  Roseli de Deus Lopes,et al.  Computer Assisted Music Therapy: A Case Study of an Augmented Reality Musical System for Children with Cerebral Palsy Rehabilitation , 2009, 2009 Ninth IEEE International Conference on Advanced Learning Technologies.

[10]  M. Wolery,et al.  Teaching Pretend Play to Children With Disabilities , 2008 .

[11]  M. Sigman,et al.  Symbolic play and language comprehension in autistic children. , 1981, Journal of the American Academy of Child Psychiatry.

[12]  Anita Bundy,et al.  Do behavioural approaches teach children with autism to play or are they pretending? , 2007, Autism : the international journal of research and practice.

[13]  Panos Markopoulos,et al.  pOwerball: the design of a novel mixed-reality game for children with mixed abilities , 2005, IDC '05.

[14]  J. Cassell,et al.  Authorable Virtual Peers for Autism Spectrum Disorders , 2006 .

[15]  Mark Fiala,et al.  Magic Mirror System with Hand-held and Wearable Augmentations , 2007, 2007 IEEE Virtual Reality Conference.

[16]  Zhen Bai,et al.  Making Pretense Visible and Graspable: An augmented reality approach to promote pretend play , 2012, 2012 IEEE International Symposium on Mixed and Augmented Reality (ISMAR).

[17]  Gerardo Herrera,et al.  Development of symbolic play through the use of virtual reality tools in children with autistic spectrum disorders , 2008, Autism : the international journal of research and practice.

[18]  Doris Bergen,et al.  The Role of Pretend Play in Children's Cognitive Development. , 2002 .

[19]  Lizbeth Escobedo,et al.  MOSOCO: a mobile assistive tool to support children with autism practicing social skills in real-life situations , 2012, CHI.

[20]  A. Leslie.  Pretense and representation: The origins of "theory of mind." , 1987 .

[21]  S. Baron-Cohen.  Autism and symbolic play , 1987 .

[22]  E. Hill.  Executive dysfunction in autism , 2004, Trends in Cognitive Sciences.

[23]  P. Richard,et al.  Augmented Reality for Rehabilitation of Cognitive Disabled Children: A Preliminary Study , 2007, 2007 Virtual Rehabilitation.

[24]  S. Kosslyn,et al.  Mental imagery , 2013, Front. Psychol..

[25]  N. Taylor,et al.  Symbolic play in autistic, Down's, and normal children of equivalent mental age , 1982, Journal of autism and developmental disorders.

[26]  Stuart MacFarlane,et al.  Using the fun toolkit and other survey methods to gather opinions in child computer interaction , 2006, IDC '06.

[27]  Simon Baron-Cohen.  Instructed and elicited play in autism: A reply to Lewis & Boucher , 1990 .

[28]  J. Piaget.  Play, dreams and imitation in childhood , 1951 .

[29]  S. Baron-Cohen,et al.  Brief Report: Prompted Pretend Play in Autism , 1997, Journal of autism and developmental disorders.

[30]  S. Baron-Cohen,et al.  ‘Obsessions' in children with autism or Asperger syndrome , 1999, British Journal of Psychiatry.

[31]  Sean White,et al.  Developing an augmented reality racing game , 2008, INTETAIN '08.

[32]  Justine Cassell,et al.  Authorable virtual peers: technology as an intervention for difficulties with peer social interaction in autism spectrum and related disorders , 2011 .

[33]  Alan M. Leslie,et al.  Theory of Mind , 2001 .

[34]  Blair MacIntyre,et al.  Using children's developmental psychology to guide augmented-reality design and usability , 2012, 2012 IEEE International Symposium on Mixed and Augmented Reality (ISMAR).