Foundations for self-awareness: An exploration through autism.

Developmental psychopathology holds promise for elucidating the structure of self-awareness. Here we studied social emotions in matched groups of children and adolescents with and without autism. Our aims were to determine whether there are potentially dissociable aspects of self-awareness, and to reconsider how the qualities of young children's engagement with other persons influences the development of their sense of self. Parent interviews yielded evidence that children with autism are limited in social-relational and emotional domains of self-awareness; for example, few were reported to show guilt, embarrassment, or shame. Yet according to parent report, most were affected by the moods of others, showed some degree of pity and concern, and manifested jealousy. When presented with videotaped scenes, participants with autism were similar to those without autism in identifying pride, guilt, and shame, and they were able to describe their own experiences of pride and, more rarely, guilt. In situations designed to elicit emotions, participants with autism were rated as showing pride, but they manifested lesser degrees and atypical qualities of guilt and coyness. Relatively few showed personal forms of self-consciousness when asked to pose for a photograph. We argue that in order for children to achieve depth in self-awareness, and to relate to themselves as occupying a distinctive stance within a framework of mutual self-other relatedness, they need to identify with the attitudes of other people. We interpret the present studies in terms of dissociations among three forms of social emotion: "person-centered" qualities of relational self-awareness that require identification and are specifically limited among children with autism, more diffuse modes of relational self-consciousness, and a third group of social emotions, epitomized by jealousy, situated in a separate developmental line. We propose a rebalancing of emotion theory that gives greater prominence to children's developing forms of interpersonal and intra-psychic relatedness.