Two independent and complementary studies were conducted to assess the abil
ity of boys with fragile-X syndrome to recognize facial and emotional expre
ssions. Both studies failed to find any specific deficits associated with f
ragile-X syndrome. The performance of the test group was comparable to the
level of subjects with intellectual disability and subjects of average cogn
itive development matched for intellectual ability. This suggests that chro
nological age and intellectual level are unlikely to explain the findings.
The results are discussed in the context of the controversy surrounding the
relationship between autism and fragile-X syndrome. The findings are consi
stent with fragile-X individuals having a profile of social, communicatory
and ritualistic disturbances, which in some ways may differ from those foun
d in individuals who have more typical autistic spectrum disorders.