The involvement of temporal lobe structures in autism has found suppor
t in several animal and human studies. The delayed match- and nonmatch
-to-sample paradigms are two tasks that are sensitive to temporal lobe
and frontal lobe development and damage and may be useful in the stud
y of autism. High- and low-functioning autistic disordered (HAD, LAD)
subjects and developmental language-disordered (DLD) and mentally reta
rded (MR) control subjects were tested on a two stimuli matching parad
igm. Both trial-unique and repeated-stimuli procedures were used. All
subjects performed equally well with both procedures. Performances of
HAD subjects and controls of similar nonverbal intelligence (DLD subje
cts) were not significantly different. The LAD group performed at chan
ce levels and scored significantly lower than all other groups, but co
nvarying for nonverbal intelligence elminated all signficant group dif
ferences. These results indicate successful performance on a visual re
cognition memory task by HAD subjects. These findings are more consist
ent with the possibility of temporal rather than frontal lobe dysfunct
ion in autism. The involvement of specific temporal lobe structures, i
ncluding the amygdala and hippocampus, in autism is discussed.