Are children with Autism able to develop joint attention during play?

PostedDecember 15, 2025

UpdatedDecember 15, 2025

ByMy Patient Advice

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Yes, many children on the autism spectrum can develop joint attention in play and autism, though often along different timelines or through different strategies than their neurotypical peers. Joint attention involves sharing focus on an object or activity with another person, for example, looking at a toy that someone else points to, or alternating gaze between a caregiver and an object. While it may emerge more slowly, it remains an important goal in social and communicative development.

Difficulties with eye contact or unexpected transitions can make natural joint attention harder, but thoughtful support can help bridge the gap. With guidance, many autistic children learn ways to engage, even if their style of connection differs.

How joint attention develops (and what it looks like)

Joint attention often starts small and grows more complex over time and it can be nurtured through play.

Shared gaze toward toys

A child might initially follow another’s gaze or gesture by looking at the same object. This simple shift from solo focus to shared focus is a foundational form of joint attention.

Alternating gaze between partner and object

After the child looks at the toy, they may turn to look at the adult, then back again. This “look-say-look” pattern helps build the shared experience of play.

Using gestures or pointing to direct attention

Some children begin to point to toys or gestures to communicate “Look at this.” These intentional cues help bring another into their play world.

Turn-taking and back-and-forth play

With time, children may share control over play flow, handing a toy, waiting for a reply, or building on what the other does. Even small exchanges count as progress.

While joint attention in play and autism may arise differently in timing or form, many children steadily expand their social focus through supportive scaffolding, repeated exposure and responsive play.

Visit providers like Autism Detect for strategies to support joint attention in play and tailored developmental planning.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Unusual Play Patterns.

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.