Literature review examines perceptual strengths in ASD, highlighting bottom-up processing impacts.
Objective This literature review checks the “Enhanced Perceptual Functioning” (EPF) hypothesis in autism spectrum disorder (ASD), which proposes that autistic individuals show superior performance on detail-oriented tasks. This review examined how recent EEG/fMRI connectivity findings and behavioral studies address potential perceptual strengths versus predominantly deficit-focused frameworks. Method Databases such as PubMed, PsycINFO, and Google Scholar were searched for peer-reviewed articles using keywords such as “autism,” “ASD,” “bottom-up processing,” and “enhanced perceptual functioning.” Studies were chosen if they explicitly tested perceptual or sensory processing in ASD within a detail-focused paradigm. Results Most studies pointed to the enhanced bottom-up processing (e.g., increased occipital-to-frontal connectivity), often associated with hypersensitivity or sensory overload in individuals with autism. This heightened attention to detail might translate into more accurate visual detection or a unique sensitivity to novel auditory cues. However, only a few studies directly measured real-world benefits of these detail-oriented tendencies. Heterogeneous samples and inconsistent methodologies further limited conclusions about EPF as a generalizable strength. Conclusion While theoretical models suggest a detail-driven perceptual style may be advantageous in ASD, empirical support fails to check its real-world benefits. Future investigations should include more direct comparisons of bottom-up advantages versus top-down deficits to find better strength-based techniques for autistic individuals. Such research may clarify whether EPF represents a genuine cognitive strength or remains a limiting factor in ASD.
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Karimzadeh et al. (2025) studied this question.
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