Interviewing autistic adults: Adaptations to support recall in police, employment and healthcare interviews 2017-2019

DOI

The current study tested the efficacy of different prompting techniques to support autistic adults’ recall of specific personal memories. Thirty autistic and 30 typically developing (TD) adults (IQs > 85) were asked to recall specific instances from their past, relevant to CJS, healthcare, and employment interviews. Questions comprised ‘open questions’, ‘semantic prompting’ (where semantic knowledge was used to prompt specific episodic retrieval), and ‘visual-verbal prompting’ (V-VP; a pie-diagram with prompts to recall specific details, e.g., who, what, where, etc). Half the participants received the questions in advance. Consistent with previous research, autistic participants reported memories with reduced specificity. For both groups, V-VP support improved specificity and episodic-relevance, while semantic prompting also aided recall for employment questions (but not health or CJS). Findings offer new practical insight for interviewers to facilitate communication with TD and autistic adults. Autism spectrum disorder (ASD) is diagnosed in around 1% of the population and presents a number of challenges to the day-to-day lives of these individuals as well as their families and support services. This project will provide an evidence base and guide improvements to existing methods used by professional groups to support those with ASD. This will take place in three important information-gathering contexts in which they are currently at a disadvantage. First, only around half of young autistic adults have worked for pay outside the home - the lowest rate among disability groups. Performance in occupational interviews is a crucial determinant of employment prospects, yet the social, cognitive and communication difficulties associated with ASD mean they are often unable to perform to the best of their abilities in interviews. Second, autistic people are more likely to have certain social and health-related issues and co-occurring conditions, and may therefore be more likely to visit health and social care professionals. However, difficulties with introspection and social communication are likely to make relaying relevant information difficult, unless their specific difficulties are appropriately supported. Finally, although autistic individuals are over-represented in the Criminal Justice System (CJS) as both witnesses (victims) and suspects, current police interviewing models are ineffective in supporting them to provide 'best evidence'. For people with ASD and their families, research on societal issues and improving the lives of autistic individuals is vital. Yet research of this nature is currently lacking. Most services including health and social care, employment and the justice system are developed to cater for 'neurotypical' people, or adapted for those with broad intellectual disability. However little consideration or support is in place for the social and cognitive difficulties that are specific to ASD. If autistic individuals are to receive appropriate and fair access to services and justice, their difficulties must be better understood and accommodated. This begins with their reporting of relevant information to authorities and services. Autistic people have difficulties in socio-cognitive domains, including reduced insight into their own and others' intentions, as well as 'executive functions' (a set of capacities involving cognitive control, regulation, planning and flexibility). As a result, they experience problems in open-ended social situations where the desired response or type of information required from them needs to be inferred. The proposed project will compare how individuals with and without ASD perform on varying social and open-ended tasks. It builds on my existing work to test 1) how the shifting social contexts and increased task complexity inherent in information-gathering interactions in employment, healthcare and CJS contexts might heighten autistic difficulties, and 2) how these can be ameliorated with appropriate support. Furthermore, people with ASD can also have areas of strength, and the research aims to determine how these strengths can be utilised to develop interviewing formats that support their difficulties whilst capitalising on their strengths. This research will directly inform best practice in HR, health and social care and the CJS, improving access to services and justice for people with ASD. It will also advance theory by providing new insight into how the social and cognitive difficulties (and strengths) of ASD impact upon real life social interactions. Findings will have implications for national organisations, including the Department of Health, Department for Business Innovation and Skills, Home Office, as well as more local groups, for example, potential employers, police interviewers and health and social care professionals. An extensive program of dissemination to both academic and non-academic stakeholders is planned to maximise the research impact with a broad range of key users.

Thirty autistic and thirty typically developing (TD) adults (IQs > 85) received an autobiographical memory interview whereby they were asked to recall specific instances from their past, relevant to CJS, healthcare, and employment interviews. Questions comprised ‘open questions’, ‘semantic prompting’ (where semantic knowledge was used to prompt specific episodic retrieval), and ‘visual-verbal prompting’ (V-VP; a pie-diagram with prompts to recall specific details, e.g., who, what, where, etc). Half the participants received the questions in advance ('preparation' condition); the other half did not. Recalling specific past experiences is critical for most formal social interactions, including when being interviewed for employment, as a witness or defendant in the Criminal Justice System (CJS), or as a patient during a clinical consultation. Such interviews can be difficult for autistic adults under standard open questioning, however applied research into effective methods to facilitate autistic adults’ recall is beginning to emerge.

Identifier
DOI https://doi.org/10.5255/UKDA-SN-854012
Metadata Access https://datacatalogue.cessda.eu/oai-pmh/v0/oai?verb=GetRecord&metadataPrefix=oai_ddi25&identifier=93e22ca95fa4b0540d752d493ee324ac3ac24bf4a1c2c3aa9b92fbb4e9c6f774
Provenance
Creator Maras, K, University of Bath
Publisher UK Data Service
Publication Year 2019
Funding Reference Economic and Social Research Council
Rights Katie Maras, University of Bath; The Data Collection is available to any user without the requirement for registration for download/access.
OpenAccess true
Representation
Language English
Resource Type Numeric
Discipline Psychology; Social and Behavioural Sciences
Spatial Coverage South West of England; United Kingdom